Annals of Indian Academy of Neurology
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LETTER TO EDITOR
Year : 2006  |  Volume : 9  |  Issue : 4  |  Page : 251-252
 

Reply comment on child rearing issues for mothers with epilepsy


Department of Neurology, SCTIMST, Trivandrum, India

Correspondence Address:
S V Thomas
Department of Neurology, SCTIMST, Trivandrum
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.29214

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How to cite this article:
Thomas S V. Reply comment on child rearing issues for mothers with epilepsy. Ann Indian Acad Neurol 2006;9:251-2

How to cite this URL:
Thomas S V. Reply comment on child rearing issues for mothers with epilepsy. Ann Indian Acad Neurol [serial online] 2006 [cited 2019 Nov 20];9:251-2. Available from: http://www.annalsofian.org/text.asp?2006/9/4/251/29214


Sir,

We appreciate the interest of the reader on child-rearing problems of women with epilepsy,[1] which is often neglected in clinical practice. The objective for this preliminary study was to assess and compare the knowledge and practices of child-rearing among mothers with epilepsy (MWE) with that of mothers without epilepsy (MWoE). This pilot study was essential to test the tools that we had developed to assess this aspect. The sample size was very small to do further analysis. All the three MWE whose babies had a fall were Primipara (out of 12 Primipara MWE) and were from extended families (out of 16 MWE with extended family structure). Type of epilepsy and seizure were localization related epilepsy (complex partial seizure with secondary generalization) for two persons and generalized epilepsy (generalized tonic clonic seizures) for the other. Frequency of seizure was once in a year for two persons; the last one had three seizures during the index pregnancy but was seizure-free afterwards.

We agree with the reader that the health care personnel are poorly informed about the special needs of WWE in the peripartum period. Kerala Registry of Epilepsy and Pregnancy (KREP) is a comprehensive program that enrolls women with epilepsy in the preconception period and follow them up through pregnancy until the children are six years old. We offer extensive counseling on diverse aspects of epilepsy pregnancy and child-rearing. We had been closely following up the child-rearing problems experienced by the WWE for the past several years. We have taken special interest in counseling them in all aspects of family health starting from premarital counseling, through pregnancy, postnatal issues including infant care to development of their babies. Regarding maternal compliance to antiepileptic drug (AED) during breast-feeding: Among the cases, 16(80%) of them reported AED compliance. Out of the noncompliant group one each gave reasons for noncompliance as forgetfulness, financial problems and fear of harming the baby. One mother gave all the three reasons for her noncompliance. We are undertaking further studies to see the effect of various interventions on the child-rearing outcome of WWE. We hope that several centers would take up more prospective studies on this aspect of epilepsy care.

 
   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    




 

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