News
Tuesday, 02, Dec 2008 12:58
Latest news page
Latest news page from our website
www.epilepsy.org.uk/news
News Archive
Link to our website for news archive etc
www.epilepsy.org.uk/news
Press Releases
Latest press releases and archive from our website
www.epilepsy.org.uk/press
Subscribe Today
You can subscribe to our weekly email newsletter here
www.epilepsy.org.uk/newsletter
You can subscribe to our email press release service here
www.epilepsy.org.uk/press/email
Current Campaigns
Mothers in Mind
The national charity, Epilepsy Action, is urging women with epilepsy to seek advice from a health professional before conceiving, as part of the charity’s Mothers in mind campaign.
The call follows the publication of results from the UK Epilepsy and Pregnancy Register at the end of last year, which define, more clearly, the risks of major congenital malformations (MCMs) posed to the unborn child by anti-epilepsy drugs (AEDs).
The results provide evidence that there is an increased risk of MCMs in babies of women taking AEDs. The study covers the relative risk of a number of AEDs, the use of single AEDs and different combinations of drugs, as well as the effects of different dosages.
Epilepsy Action welcomes the study as it shows that it is possible to try to minimise the risks to the babies of women taking AEDs by paying close attention to the particular drugs and combinations prescribed. The findings will help clinicians to look at the relative risks and work with women to choose the most appropriate AED regime for them.
In the UK it is estimated that 131,000 women with epilepsy are of childbearing age and between 1800 and 2400 children are born to women with active epilepsy each year .
Many women with epilepsy still face an unacceptable increase in the risk of having a baby with MCMs and less severe problems (minor congenital abnormalities), which can be related to having epilepsy itself and to taking AEDs during pregnancy. A number of other issues affect women with epilepsy, including the interaction of some AEDs with the contraceptive pill and the increased risk to some women of polycystic ovary syndrome.
Epilepsy Action has launched a new 15-page Mothers in mind booklet offering advice for women with epilepsy of childbearing age. The booklet offers information on issues from contraception and planning a family to pregnancy, birth and caring for babies.
The charity is advising women to discuss all the options open to them with a health professional, in order to achieve good seizure control during pregnancy for the woman and pose the minimum risk to the unborn child.
Amanda Stoneman, information services officer at Epilepsy Action, said: “Mothers in mind is about raising awareness of the issues affecting women with epilepsy. The more information that women and health professionals have, the more capable they are of establishing a good partnership to reduce the risks and establish a better quality of life for mother and child.”
For women in the general population, the risk of having a baby with a MCM is a one to two per cent chance (one to two children in every 100 born). Women who do take AEDs have an average of around a four per cent chance of having a baby with a MCM.
Carley Stenson, Hollyoaks’ Stephanie Dean, whose character in the hit teen-soap has epilepsy, comments: “For young women living with epilepsy there are lots of important issues – how the condition will affect your lifestyle and relationships, what impact the medication will have, etc. Most young women with epilepsy just want to be treated normally, but there are certain times in your life when a bit of extra help is needed – like when you are thinking about starting a family. That’s why I’m endorsing this campaign – to ask young women to keep their epilepsy in mind when planning a family.”
Women with epilepsy should not stop taking their medication without consulting their GP or epilepsy specialist first. Stopping taking medication without advice could cause an increase in seizures, which may cause more problems than the risks associated with the drugs themselves, for example by causing injury to the mother and baby due to falling.
Copies of the Mothers in mind booklet are available from Epilepsy Action’s Freephone Helpline on 0808 800 5050 or via our website.
www.epilepsy.org.uk/campaigns
Take Control
Take Control is a campaign to help people with epilepsy to take more control of:
Epilepsy symptoms
Treatment side effects
The support resources
Their rights
Their future
Many people with epilepsy are just not aware of some of the opportunities now available to them in helping to manage their epilepsy better. Often people become so used to the way that their epilepsy affects them that they stop looking to improve their situation.
In most cases however, it is wrong to think that things cannot get better. The Take Control campaign has been launched to provide people with epilepsy with information and resources to help them work closely with their doctor to ensure their epilepsy is managed in the best possible way for them.
The campaign aims to help people realise that things change constantly in health care and medicine – and epilepsy is no exception. It may be that asking the doctor a few specific questions will help both the person with epilepsy and the doctor to make the right decisions together. It may be that a newer epilepsy medication could provide better control of their seizures or that treatment side effects could be better managed. It may also help to be in contact with a patient support organisation which can provide information and advice.
The campaign aims to help everyone with epilepsy in the UK. Most of all, it aims to reach people who are not currently receiving such information, and therefore are least likely to be receiving the best possible treatment and care.
Included in the full Take Control pack is the Take Control Action Card, part of which is a seizure diary that will help record the frequency of seizures, and assist patients to discuss their condition with their doctor.
To be sent a full Take Control pack, please either call our Freephone Helpline on 0808 800 5050 or contact our Email Helpline staff at:
helpline@epilepsy.org.uk
Taking action to improve services
In May 2002 the National Sentinel Clinical Audit on Epilepsy-Related Deaths was published. The audit highlighted the fact that, of the 1000 annual epilepsy-related deaths, 400 were potentially preventable through improved health care services. The government’s own Chief Medical Officer called for urgent action on the audit.
The Department of Health finally published an Action Plan in February 2003. Unfortunately, the Plan didn’t set any targets for improvement, didn’t offer any specific epilepsy-related initiatives and didn’t offer any new funding to improve services. Epilepsy Action believes that this plan will fail to reduce the number of epilepsy-related deaths or deliver any service improvements for epilepsy care.
Without targets, epilepsy-specific improvements and funding, epilepsy services will continue to provide inadequate health care for people with epilepsy. Epilepsy Action is therefore seeking an improved Action Plan and has invited the Department of Health to work with it to find a better way forward.
We are asking all people with an interest in epilepsy to lobby their local health services, their MP, the Health Minister and the Prime Minister, calling for a real Action Plan that will improve epilepsy services and reduce the number of bereaved families. Tools to help people in this can be found on our website:
www.epilepsy.org.uk/action
Women’s Campaign
Over the past five years, Epilepsy Action has run a series of women’s campaigns to raise awareness of the particular issues facing women with epilepsy and how their treatment may affect the following areas: contraception, fertility, pregnancy and the menopause.
The aim of the campaign was to establish some of the main issues affecting women with epilepsy and to ensure greater awareness of these amongst health professionals and women with epilepsy.
This is done on an on-going basis through mailings, leaflets, web information and national/regional press and radio. Epilepsy Action wants all women to be able to make informed choices about their epilepsy care
1999 – “We Can” campaign – Epilepsy Mine
A survey was carried out amongst Epilepsy Action members asking them to describe what it is like to be a woman with epilepsy. A booklet of women’s personal experiences of living with epilepsy was produced.
2000 – Contraception campaign
The aim of this was to raise awareness that certain AEDs can interfere with oral contraception, making it less effective. Articles were placed in regional press and women/family magazines, encouraging women
2001 – Get Ahead
This focused on teenage girls and the specific issues that can affect this age group (e.g. fertility, contraception and independence). ‘Factsheets’ were produced and a teenage section of Epilepsy Action’s website was also developed.
2002 – Ideal World
We carried out a survey of Epilepsy Action members, which identified three lifestages.
On the back of this factsheets were produced to provide women with information to help them make informed decisions about their treatment and care.
A checklist was also created for GPs and epilepsy specialists to ensure that they were discussing all the key areas of concern with their female patients.
2003 - Women Matter
A patient booklet was produced, containing information for women with epilepsy and a number of discussion points for women to raise with their health professional. The booklet also included spaces for women to write their thoughts and comments.
A letter and mailer were sent to GP practices to encourage greater awareness of the specific issues that need to be addressed when caring for women with epilepsy.
2004 – Contraception Week
A series of radio interviews took place during national contraception week to highlight the interaction between AEDs and contraception.