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Last updated: August 14, 2026 11:03 am
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Antiseizure Medications in Pregnancy Linked to Poor Fetal Growth Risk


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Discovery of the day  ·  Neurology

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 prenatal exposure to antiseizure medications is independently associated with an elevated risk of poor fetal growth, in addition to previously established risks of congenital malformations and neurodevelopmental effects. The researchers found that risk varied significantly across individual monotherapies and specific drug combinations, with the risk increasing as the number of concomitant antiseizure medications rose. These findings provide critical data for preconception counselling and individualized treatment selection in women with epilepsy, underscoring the need to weigh fetal growth outcomes alongside neurological disease control when optimizing therapeutic regimens.

Novelty

78%

Rigor

94%

Significance

91%

Validity

93%

Clarity

88%


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