Social Disparities in Pregnancy Outcomes in Women with Epilepsy
Abstract number :
2.155
Submission category :
4. Clinical Epilepsy / 4E. Women
Year :
2022
Submission ID :
2204241
Source :
www.aesnet.org
Presentation date :
12/4/2022 12:00:00 PM
Published date :
Nov 22, 2022, 05:24 AM
Authors :
Jasmine Coles, BS – Wayne State University School of Medicine; Aila Rahman, BS – Medical Student, Neurology, Wayne State University School of Medicine; Deepti Zutshi, MD – Associate Professor, Neurology, Wayne State University School of Medicine
This abstract has been invited to present during the Broadening Representation Inclusion and Diversity by Growing Equity (BRIDGE) poster session
Rationale: Low socioeconomic status has been associated with poorer epilepsy outcomes amongst different patient groups including women. Furthermore, pregnancy in women with epilepsy require a higher level of risk and clinical expertise due to multiple variables. Our objective was to describe differences in outcomes of pregnancies as well as other risk factors related to worse outcomes in women with epilepsy based upon socioeconomic disparities in an urban population of Detroit, Michigan.
Methods: A retrospective analysis was performed on all women with epilepsy who attended a high risk epilepsy and pregnancy clinic in Detroit Medical Center from August 2013 through April 2021. Data were collected on demographic variables including zip code, Medicare/Medicaid or private insurer, seizure history, anti-seizure medications (ASMs), pregnancy outcomes and neonatal outcomes. Pregnancies were classified on socioeconomic status (SES) by mother’s zip code using the annual median household income data from the publicly available 2020 U.S. census data and categorized as low SES (medium household income <$35,000) or high SES (income ≥$35,000). Descriptive analysis was performed to compare outcomes and variables between the two groups.
Clinical Epilepsy