More than half of all pregnancies in women with epilepsy (WWE) are unintended, despite that planning for pregnancy is of utmost importance in this population. It is likely that both maternal age and socioeconomic status contribute to the higher rates of pregnancy in WWE compared with women without epilepsy (WWoE), according to the results of a retrospective analysis that used data from the Pregnancy Risk Assessment Monitoring System (PRAMS) — an annual survey of randomly sampled postpartum women that is administered by the Centers for Disease Control and Prevention. Findings from the current analysis were published in Neurology.
The investigators sought to compare the proportions of unintended pregnancies, prenatal vitamin or folic acid (PNVF) use, breastfeeding, and adequate prenatal care visits among WWE vs WWoE — all considered the primary outcomes. They used PRAMS data from 13 states compiled between 2009 and 2014 to compare primary outcomes among WWE