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Many people tend to think that epilepsy issues regarding women with epilepsy are primarily related to pregnancy complications or seizures during menstruation. Folic acid, or folate, is one of the B vitamins important for healthy growth of an unborn baby.
A worry for women who are or are thinking about getting pregnant is having a seizure while they are pregnant. It is essential to the normal development of a baby's spine, brain and skull, especially during the first four weeks of your pregnancy. However women with epilepsy must take special precautions before getting pregnant, as well as during pregnancy.
It is recommended that all women of child bearing age have at least 0.4 mg of folic acid a day (whether it be from food sources or vitamins). Because of this it is recommended that women of child bearing age not be prescribed valproate acid unless absolutely necessary. For women taking valproic acid, divalproex sodium, or carbamazepine, a higher dose of folic acid may be recommended.
This could range from 1% to 5% As well it is very important to already be taking folic acid before trying to get pregnant.

Folic acid prevents spina bifida in the first four weeks of pregnancy – this is usually before you know that you are pregnant. When a woman has enough folic acid in her body before and during pregnancy, it can prevent major birth defects, including:Spina bifida (SPEYE-nuh BIF-ih-duh), which occurs when an unborn baby’s spinal column does not close to protect the spinal cord. Talk with your doctor about how much folic acid you need if:You are pregnant or are planning to become pregnant.
Pregnant women need 400 to 800 mcg of folic acid in theВ veryВ early stages of pregnancyВ often before they know that they are pregnant. Some doctors prescribe prenatal vitamins that contain higher amounts of folic acid.You are breastfeeding. Some doctors suggest that breastfeeding women keep taking their prenatal vitamins to be sure they are getting plenty of folic acid while they are breastfeeding and should they become pregnant again.You had a baby with a birth defect of the brain or spine and want to get pregnant again. Taking this high dose of folic acid can lower the risk of having another baby with these birth defects.You have a family member with spina bifida.
Birth defects of the brain and spine happen in the very early stages of pregnancy, often before a woman knows she is pregnant. By the time she finds out she is pregnant, it might be too late to prevent those birth defects.

If you have a hard time swallowing pills, you might try a chewable or liquid product that has folic acid. Please note, if you already are taking a daily prenatal vitamin, you probably are getting all the folic acid you need. We cannot be sure that eating foods that contain folate would have the same benefits as consuming folic acid. In the United States, most women who eat foods enriched with folic acid are still not getting all that they need. But unless your doctor tells you otherwise, do not consume more than 1,000 mcg of folic acid a day. Consuming too much folic acid can hide signs that a person is lacking vitamin B12, which can cause nerve damage.

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