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Last updated: August 20, 2026 11:03 am
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Subject: Prenatal Antiseizure Exposure Linked to Poor Fetal Growth

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Discovery of the day  ·  Neurology

[Articles] Antiseizure medication use in pregnancy and the risk of poor fetal growth in the EURAP international registry: a prospective cohort study

Dear Kelly M Leyden, this is your personalized scientific intelligence briefing — curated for your work in Neurology.

Key finding

Medicine · Neurology

Discovery of the day

This prospective cohort study from the EURAP international registry demonstrates that exposure to antiseizure medications in utero is associated with a significantly increased risk of poor fetal growth, an adverse outcome that must now be considered alongside the known risks of congenital malformations and neurodevelopmental effects. The researchers found that the risk of poor fetal growth varies substantially across individual antiseizure monotherapies and specific drug combinations, and it escalates with the number of concomitant antiseizure medications taken during pregnancy. These findings provide critical data for risk stratification and individualised treatment selection during preconception counselling, directly informing clinical decisions for women with epilepsy.

Novelty

72%

Rigor

88%

Significance

84%

Validity

81%

Clarity

90%


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