The effect of socioeconomic status on treatment and pregnancy outcomes in women with epilepsy in Scotland

Campbell, Ellen; Hunt, Stephen; Kinney, Michael; Guthrie, Eleanor; Smithson, W Henry; Parsons, Linda M.; Irwin, B.; Morrison, Patrick J.; Morrow, James; Craig, John; Russell, Aline

doi:10.1016/j.yebeh.2013.05.019

Cited by 15 publications

(15 citation statements)

References 14 publications

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“…Women from more socially deprived areas were less likely to take folic acid before conception, had more convulsive seizures, and used less favourable drug regimens from a teratogenicity perspective. 32 This should be considered when counselling women regarding pregnancy, as specific advice and support needs to be tailored to the patient's own ideas, concerns, and expectations. 33 34 What are the risks associated with seizures in pregnancy?…”

Section: How Is Epilepsy Affected By Pregnancy?mentioning

confidence: 99%

Epilepsy in pregnancy

Kinney¹,

Morrow

2016

BMJ

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Section: How Is Epilepsy Affected By Pregnancy?mentioning

confidence: 99%

Epilepsy in pregnancy

Kinney¹,

Morrow

2016

BMJ

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“…All but one father was White-British and were aged between 23 and 43 (M= 33.38 years, SD = 5.75 years). Consistent with previous research (Campbell et al, 2013;Caslake et al, 2013), SES was calculated using the participant's postcode, which they provided. Based upon this, a credit report agency was used to generate a score for each participant.…”

Section: Methodsmentioning

confidence: 99%

Applying Pleck's model of paternal involvement to the study of preschool attachment quality: a proof of concept study

Kennedy

Betts

Dunn

et al. 2014

Early Child Development and Care

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Recent re-conceptualisation of paternal involvement (Pleck, J. H. (2010). Paternal involvement: Revised conceptualization and theoretical linkages with child outcomes. In M. Lamb (Ed.), The role of the father in child development (5th ed., pp. 67-107). London: Wiley), while proving fruitful, has yet to be applied to investigations into what extent a father's level of involvement may affect childpeer interactions in the preschool age range, over and above the effects of motherchild attachment quality and socio-economic status (SES). Patterns of associations between attachment quality, sensitivity and general caregiving behaviours have also yet to be compared in equally involved mothers and fathers. Thirty preschool children (17 males:13 females) with similar SES profiles and their immediate caregivers participated in hour-long observations, conducted in the home. Even when attachment quality was controlled for, children with low paternal involvement were found to have higher levels of child-peer aggression. Further, patterns of effects between caregiver sensitivity, child-caregiver attachment quality and general caregiver interactions were similar for equally involved mothers and fathers. These preliminary data support the concept of applying Pleck's (2010) re-conceptualisation of paternal involvement to preschool attachment, and have implications towards the wider study of child-father attachment. Limitations of the current study and directions for future research are discussed.

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“…Patients who have epilepsy at school age have worse learning achievement 10 . Campbell et al observed no diff erence in the rate of major congenital anomalies between the groups of women with low income and education and those with higher income and education 12 . Less deprived women were more likely to take preconception FA and less likely to have generalized tonic-clonic seizures in pregnancy than socially deprived ones.…”

Section: Socioeconomic Status Of Epileptic Pregnant Womenmentioning

confidence: 99%

“…Less deprived women were more likely to take preconception FA and less likely to have generalized tonic-clonic seizures in pregnancy than socially deprived ones. Th ey also were more likely to be on monotherapy, less likely to be on VPA, and more likely to be on lower doses of the drug compared to socially deprived ones 12 . As diff erences in treatment between socioeconomic groups do exist, particularly in preconception FA consumption, AED choice and seizure frequency, there should be benefi t from preconception counseling for women with low socioeconomic status, to discuss AED choice and FA intake and to improve chances for normal pregnancy and delivery.…”

Section: Socioeconomic Status Of Epileptic Pregnant Womenmentioning

confidence: 99%

The Croatian Model of Integrative Prospective Management of Epilepsy and Pregnancy

Miškov¹,

Juraški

Mikula³

et al. 2016

acc

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SUMMARY -Epilepsy is the most common neurological complication in pregnancy. Women with epilepsy have a higher risk of complications in pregnancy. In Croatia, women with epilepsy are treated by neurologists at tertiary centers according to the place of residence. We prospectively followed-up pregnancies in women with epilepsy and healthy controls, and analyzed the factors responsible for their delivery outcomes and development of their babies. Healthy pregnant women had a higher level of education and economic status, but pregnant women with epilepsy took folic acid in a higher proportion than controls, possibly due to timely preconception counseling. Complications during pregnancy depended on the number of antiepileptic drugs and epilepsy control. We noticed some behavioral and cognitive aspects in children exposed in utero to valproic acid, which required follow up. Th e rate of congenital malformations was not increased. In conclusion, women with epilepsy should receive preconception counseling about the risk for pregnancy, but also about the possibilities to minimize that risk. We have introduced a model of integrative management of pregnancy and epilepsy based on close collaboration among diff erent clinical experts in Croatia, in order to provide prompt counseling and timely intervention.

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The effect of socioeconomic status on treatment and pregnancy outcomes in women with epilepsy in Scotland

Cited by 15 publications

References 14 publications

Epilepsy in pregnancy

Epilepsy in pregnancy

Applying Pleck's model of paternal involvement to the study of preschool attachment quality: a proof of concept study

The Croatian Model of Integrative Prospective Management of Epilepsy and Pregnancy

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