Management of women with epilepsy: Are guidelines being followed?
Judged by a review of documentation in case notes, active implementation of guidelines had no measurable effect on clinical practice. However, the follow-up during pregnancy seemed to have improved. Patients' knowledge of WWE issues compared favorably with published studies. Better strategies are needed to secure successful implementation of guidelines.
The exact mechanisms responsible for the gender differences, with a better chance of survival of female infants, remain to be determined. The paper by Elsmén et al. provides an important contribution to this most important area of clinical research.