The article is well written, but when I read "***epilepsy raises risk for certain adverse pregnancy outcomes***", I noted an omission to consider when counseling females who have seizure disorders. Namely, a thorough medical history is needed as it pertains to their epilepsy. I have had several pts who have primary generalized tonic-clonic epilepsy that is, most certainly, genetically linked. From discussions with pts ( which took several sessions trying to obtain answers to this delicate issue ), the patient's parents were related ( cousin to cousin ). The parents married and had offspring. The parents had four children with a 50% rate of epilepsy in the offspring and now one daughter's son has just started to present with epilepsy. Their foreign-land culture, it is accepted for close family marriages. As we all know from genetics 101, Mother Nature prefers genetic diversity; when that is not followed, harmful mutation(s) occur at a much greater rate than the norm.
So, in closing, the article's "***reproductive outcomes***" should be prefaced with counseling of: should a pregnancy even take place? Can this chain of seizure disorder from parent to child to 2nd generation child be broken using a "I advise against getting pregnant". A delicate discussion, indeed, but if the chain is to be broken - this is the only way until a genetic reprogramming can be developed in some future decade.