Nursing Care for Pregnant Woman with Epilepsy
Keywords:
Pregnant woman, Epilepsy, Nursing careAbstract
Pregnant women who have been diagnosed with epilepsy are categorized as pregnancies with a high level of risk. Nurses have a vital role in delivering care to prevent complications in pregnant women with epilepsy and their unborn babies. Preconception counseling is an essential aspect of nursing care for pregnant women who have epilepsy. An effective education program will provide pregnant women with epilepsy with the requisite knowledge and information. This allows pregnant ladies to conduct themselves in a suitable manner. Ensuring a pregnancy that is both safe and of high quality, free from any difficulties during birth, the postpartum period, or childrearing. Orem's nursing theory is a conceptual framework that prioritizes the improvement of one's ability to take care of oneself and the control of any deficiencies in self-care. Therefore, nurses who are providing care for pregnant women with epilepsy can utilize their theoretical knowledge in their nursing practice.
The case study involved women who were pregnant for the second time and did not plan to become pregnant. First visit at prenatal clinic at 13+1 weeks of gestation. The nursing process is employed to deliver nursing care by incorporating Orem's theory. This involves analyzing the relationship between capability and self-care requirements to detect any deficiencies in self-care. Next, establish clear definitions for nursing diagnoses, execute nursing interventions, and evaluate nursing outcomes. This pregnant woman was found to have delivered a baby towards the end of her pregnancy. There are no challenges or complications in any aspect of pregnancy, childbirth, and the postpartum period.
References
Aunwong, K. (Ed.). (2016). Clinical practice guidelines for epilepsy. Bangkok, Tanapress. (In Thai).
Aydin, E. & Beksac, M.S. (2020). Retrospective evaluation of pregnancy outcomes with maternal epilepsy. Journal of Clinical Obstetrics & Gynecology. 30(1), 20-25.
Bangshaw, J. (2008). Women with epilepsy and pregnancy: from preconception to the postnatal period. British Journal of Neurosceince Nursing, 4(11), 532-537.
Chahed, S., Bannour, B, Bannour I, Messaoudi, A, Khairi, H. (2021). Pregnancy and epilepsy: a retrospective study of 100 pregnancies. European Journal of Public Health. 31(supplement 3), iii550.
Chen, D., Hou, L., Duan, X., Peng, H., Peng, B. (2017). Effect of epilepsy in pregnancy on fetal growth restriction: a systematic review and meta-analysis. Arch Gynecol Obstet, 296, 421-427.
Coker, D. (2008). Managing pregnancy in women with epilepsy. Practice Nursing, 19(12), 615-619.
Doyle, L., Geraghty, S., Folan, M. (2016). Epilepsy in pregnancy: Pharmacodynamics and pharmacokinetics. British Journal of Midwifery. 24(12), 830-835.
Firoz, T., Pineles, B., Navrange, N., Grimshaw. A., oladapo, O., Chou, D. (2022). Non-communicable diseases and maternal health: a scoping review. BMC Pregnancy and Childbirth, 22(1), 787. https://doi.org/10.1186/s12884-022-05047-6
Harden, C.L., et al. (2010). Management issues for women with epilepsy-focus on pregnancy. Neurology, 74(2), 2010, pp. 142-149.
Homphet, P., Kongsap, P., Sanbandit, N. (2023). Effectiveness of the discharge planning model for maternal methamphetamine abuse on knowledge and behavior in postpartum self-care, readmit and relapse in a tertiary care hospital. Journal of Sakon Nakhon Hospital, 26(1), 12-15.
Li, Y., & Meador, K. J. (2022). Epilepsy and pregnancy. CONTINUUM: Lifelong Learning in Neurology, 28(1), 34-54.
Morley, K. (2018). Epilepsy in pregnancy: The role of the midwife in risk management. British Journal of Midwifery (26)9: 564-573.
Tiamkao, S. & Tiamkao, S. (2021). Consideration for safety in using anticonvulsants generic name levetiracetam per oral. Thai Journal of Neurology, 37(1), 1-8. (In Thai).
Tomson, T., et al. (2007). Therapeutic monitoring of antiepileptic drugs for epilepsy. Cochrane Database of Systematic Reviews, no. 1.
Veiby, G., et al. (2015). Intake of antiepileptic drugs in pregnancy: changes over a 30-year period. Acta Neurologica Scandinavica, 132(1) 2015: 49-56.
Yip, J.Y.C. (2021). Theory-based advanced nursing practice: A practice update on the application of Orem’s self-care deficit nursing theory. SAGE Open Nursing, 7: 23779608211011993. https://doi.org/10.1177/23779608211011993
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Boromarajonani College of Nursing, Suratthani

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Published articles are copyrighted by the Journal of Boromarajonani College of Nursing, Suratthani.
The content appearing in each article in this academic journal represents the personal opinions of the respective authors and is not affiliated with Boromarajonani College of Nursing, Suratthani, or any other faculty members of the institution. Each author bears full responsibility for all components of their respective article. In the event of any errors, each author shall be solely responsible for their own article.