Annals of Indian Academy of Neurology
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LETTER TO EDITOR
Year : 2006  |  Volume : 9  |  Issue : 4  |  Page : 251
 

Need for educational program among mothers with epilepsy for safe childcare practice


1 Department of Neurology, University Hospital North Staffordshire, United Kingdom
2 Leeds Teaching Hospitals, United Kingdom

Correspondence Address:
Sandipan Pati
Department of Neurology, University Hospital North Staffordshire
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.29213

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How to cite this article:
Pati S, Nambron R. Need for educational program among mothers with epilepsy for safe childcare practice. Ann Indian Acad Neurol 2006;9:251

How to cite this URL:
Pati S, Nambron R. Need for educational program among mothers with epilepsy for safe childcare practice. Ann Indian Acad Neurol [serial online] 2006 [cited 2019 Dec 5];9:251. Available from: http://www.annalsofian.org/text.asp?2006/9/4/251/29213


Sir,

We read with interest the study by Saramma et al ,[1] which is a hospital-based comparative study in Kerala, evaluating the knowledge of child-rearing issues for mother with epilepsy. This is an important but a less covered issue in literature and hence this small study will make a meaningful contribution in understanding epileptic mothers' knowledge and child-rearing practice in the Indian context. Based on this study we would like to draw attention to certain aspects:

  1. The study showed that a mother with epilepsy, had significantly poorer knowledge and child-rearing practice with regard to safe handling of the infants. It would be interesting if the study attempts to correlate this with regard to frequency of seizure, type of family (nuclear or extended) and parity (primi vs multiparous). The risk of the child being harmed depends on the type, severity and frequency of seizure the mother is having. If the mother is not seizure-free, the family needs special counseling to avoid seizure-related accidents to the child.[2] Whether the three instances of accidental dropping of babies by epileptic mothers (mentioned in the study) happened in nuclear or extended family is a matter of interest with reference to the above mentioned reason.
  2. Lot of studies suggests that women with epilepsy especially during peripartum are not receiving adequate counseling. More important, studies have demonstrated that knowledge and awareness among healthcare providers is inadequate[3] and hence to improve counseling, healthcare providers (including nurses, community health workers) should be updated on a regular basis.
  3. Difference in the perceptions of educational need between the epilepsy patients and the medical personnel seem to exist.[4] This should be kept in mind while counseling the mother and/or the family regarding child-rearing issues and their individual views need to be explored.
  4. While few studies (including this) have addressed issues regarding breastfeeding while on antiepileptic medication, no studies to our knowledge have evaluated maternal compliance to antiepileptic medicines during breastfeeding. Understandably a lot of anxiety about the possible risks to a child from antiepileptic exists among mothers and whether this prevents them from continuing antiepileptic medicines during breastfeeding is not known.


Minor criticisms apart, the investigators deserve congratulation and studies need to be conducted on a large scale regarding child-rearing practices among mothers with epilepsy so as to identify and design effective educational program for safe childcare practice.

 
   References Top

1.Saramma PP, Thomas SV, Sarma PS. Child rearing issues for mothers with epilepsy: A case control study. Ann Indian Acad Neurol 2006;9:158-62.  Back to cited text no. 1    
2.Crawford P. Best practice guidelines for the management of women with epilepsy. Epilepsia 2005;46:117-24.  Back to cited text no. 2  [PUBMED]  
3.Morrell MJ, Sarto GE, Shafer PO, Borda EA, Herzog A, Callanan M. Health issues for women with epilepsy: A descriptive survey to assess knowledge and awareness among healthcare providers. J Womens Health Gend Based Med 2000;9:959-65.  Back to cited text no. 3  [PUBMED]  
4.Choi-Kwon S, Yoon SM, Choi MR, Kang DW, Lee SK. The difference in perceptions of educational need between epilepsy patients and medical personnel. Epilepsia 2001;42:785-9.  Back to cited text no. 4  [PUBMED]  [FULLTEXT]




 

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