Ms. Li, 28 years old, 20 weeks pregnant, has a history of epilepsy for 5 years, has been taking anti-epileptic drugs, and has stable epilepsy control. Recently, she came to the hospital for a pregnancy check-up to ensure the safety of the mother and baby.
I first asked Ms. Li about her epilepsy history in detail, including the frequency of seizures, medication use, and whether she had recent seizures. At the same time, I also learned about her family history, allergies, and previous maternal history.
After that, I conducted a comprehensive physical examination of Ms. Li, including measuring her blood pressure, heart rate, weight, etc., to assess her overall health. At the same time, her nervous system was specifically examined to see if there were any signs of seizures.
I also arranged a series of laboratory tests for her, including blood routine, urine routine, liver and kidney function, etc., to evaluate Ms. Li's physiological function and drug metabolism. In addition, serum antiepileptic drug concentrations are measured to ensure that the drug is within reasonable limits.
Considering that Ms. Li is pregnant, Ms. Li was also given a detailed obstetric examination, including fetal ultrasound, fetal heart rate monitoring, etc., to assess the development and health of the fetus.
In order to more accurately assess Ms. Li's epilepsy status, Ms. Li was subjected to an electroencephalogram. This test looks at the brain's electrical activity and can help identify potential seizure risks.
After a series of tests, Ms. Li's epilepsy was well controlled, the drug concentration was within the normal range, and there were no signs of seizures. At the same time, she is in good physical condition and the fetus is developing normally.
I have the following recommendations for her pregnancy management:
Continue to take anti-epileptic medications on time and monitor drug concentrations regularly to ensure that seizures are effectively controlled.
Enhance your nutrition during pregnancy, maintain a healthy lifestyle, and avoid overexertion and emotional agitation.
Conduct regular prenatal check-ups, pay close attention to the development of the fetus, and seek medical attention in time if there is any abnormality.
If you have seizures or other uncomfortable symptoms, you should seek immediate medical attention and tell your doctor about your epilepsy history.
Through this physical examination, Ms. Li has a more comprehensive understanding of her physical condition and the development of the fetus, and she is also full of confidence in the future management of pregnancy.
