A 28-year-old woman with epilepsy controlled on levetiracetam is planning pregnancy. She has had no seizures for 2 years. She asks what should be

Question

A 28-year-old woman with epilepsy controlled on levetiracetam is planning pregnancy. She has had no seizures for 2 years. She asks what should be addressed before conception. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Begin folic acid supplementation and coordinate neurology care

Answer

Switch to valproate as preferred preconception therapy

Answer

Stop antiseizure therapy abruptly

Answer

Avoid prenatal vitamins

Answer

Delay discussion until the third trimester

Epilepsy in pregnancy planning — USMLE Step 3 MCQ

A 28-year-old woman with epilepsy controlled on levetiracetam is planning pregnancy. She has had no seizures for 2 years. She asks what should be addressed before conception. Which of the following would you recommend at the follow-up visit?