title: The management of epilepsy in pregnancy at the Whittington Hospital: a retrospective audit 2004-2006 and 2007-2010.
abstract: BACKGROUND
  In the last maternal death enquiries report there were 14 indirect deaths due to epilepsy.
  
  
  METHODS
  Retrospective case-note analysis of epileptic women seen antenatally over two separate time periods were examined. Care in the routine antenatal clinic (ANC) was compared with that in the obstetric medicine clinic (OMC).
  
  
  RESULTS
  1st audit, 65 epileptic women seen. In OMC 14% had documented preconception counselling, 58% were on anti-epileptic drugs (AEDs). In ANC 0% had documented preconception counselling, 34% were on AEDs. 2nd audit, 88 epileptic women seen. In OMC 37.5% of women had preconception counselling, 84% were on AEDs. In ANC, 4.2% had preconception counselling, 31% were on AEDs.
  
  
  CONCLUSIONS
  Women seen in OMC received care more compliant with Scottish Obstetric Group and Audit Project recommendations. All women with epilepsy should be reviewed in an OMC.
authors.affiliation: Barts Health NHS Trust, London, E1 1BB.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Allen
authors.affiliation: Bedford Hospital NHS Trust, Bedford, MK42 9DJ.
authors.forename: Liliana
authors.initials: L
authors.lastname: Grosu
authors.affiliation: Barts Health NHS Trust, London, E1 1BB.
authors.forename: Ishita
authors.initials: I
authors.lastname: Das
authors.affiliation: Whittinghton Hospital NHS Trust, London, N19 5NF.
authors.forename: Amma
authors.initials: A
authors.lastname: Kyei-Mensah
keywords: maternal–fetal medicine