Preconception counselling for women with epilepsy to reduce adverse pregnancy outcome



Winterbottom, Janine B, Smyth, Rebecca MD, Jacoby, Ann and Baker, Gus A
(2008) Preconception counselling for women with epilepsy to reduce adverse pregnancy outcome. COCHRANE DATABASE OF SYSTEMATIC REVIEWS (3). CD006645-.

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Abstract

<h4>Background</h4>The provision of preconception counselling to women with epilepsy (WWE) has become established as recommended practice and includes a review of drug treatment and the provision of information and advice on both seizure and treatment-related risks to both mother and child. In this review we assess the evidence regarding the effectiveness of preconception counselling for WWE.<h4>Objectives</h4>To determine the effectiveness of preconception counselling for WWE, measured by a reduction in adverse pregnancy outcome in both mother and child; increased knowledge of preconception issues in WWE and increasing intention to plan pregnancy.<h4>Search strategy</h4>We searched the Epilepsy Group's Specialized Register (30/01/2008), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2007, Issue 4), and electronic databases: MEDLINE (OVID) (1950-February 2008); SCOPUS (1966-March 2008); CINAHL (1982-March 2008); PsyclNFO (1806-March 2008); ASSIA (1987-March 2008).<h4>Selection criteria</h4>Randomised control trials; including cluster and quasi-randomised trials, prospective cohorts, controlled before and after studies, and interrupted time series that compared the outcomes in mothers with epilepsy and infants of mothers with epilepsy who received preconception counselling, to the outcomes of mothers with epilepsy and their infants who received standard care or no intervention.<h4>Data collection and analysis</h4>The methodological quality of potentially relevant studies were assessed to determine appropriate inclusion. Where necessary, study authors were contacted for additional information. No studies met the review inclusion criteria.<h4>Main results</h4>The search strategy identified 11 studies for consideration of inclusion. However, none met the required criteria for inclusion.<h4>Authors' conclusions</h4>There is no evidence to inform the content, methods of delivery or effectiveness of preconception counselling to improve pregnancy outcomes for WWE and their offspring. The value of counselling delivered to WWE prior to conception, with the intention of reducing the risks of adverse outcome in mother and child, requires evaluation in well-designed studies, appropriately powered to detect changes in both maternal and infant outcome.

Item Type: Article
Additional Information: This version first published online: 16 July 2008 in Issue 3, 2008. Full-text for this item only available by clicking on the doi link provided or accessing it from the Cochrane Database of Systematic Reviews website http://www.thecochranelibrary.com. As the Cochrane Reviews are regularly updated as new evidence emergences and in response to feedback, the Cochrane Database of Systematic Reviews should be consulted for the most recent version. The bibliographic information provided in the metadata is for the original electronic version prior to any revision. The item should be cited as: Winterbottom JB, Smyth RMD, Jacoby A, Baker GA. Preconception counselling for women with epilepsy to reduce adverse pregnancy outcome. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD006645. DOI: 10.1002/14651858.CD006645.pub2.
Uncontrolled Keywords: Humans, Epilepsy, Anticonvulsants, Pregnancy Outcome, Preconception Care, Counseling, Pregnancy, Female
Subjects: ?? RC0321 ??
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Divisions: Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 19 Mar 2009 12:08
Last Modified: 15 Dec 2022 22:49
DOI: 10.1002/14651858.CD006645.pub2
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URI: https://livrepository.liverpool.ac.uk/id/eprint/1132