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Gynaecology & Obstetrics Medical, surgical and gynaecological illness complicating pregnancy 320bef24

True statement regarding use of antiepileptic drugs in pregnancy

A
valproate is associated with NTD
B
Multiple drug should be given
C
carbamazepine is used as monotherapy
D
phenytoin can produce foetal hydantoin syndrome
High-Yield Explanation
Neural tube defects are associated with valproate. fetal anticonvulsant syndrome or fetal hydantoin syndrome :risk is increased with the number of drugs.the cause is thought to be folate defeciency as these drugs interfere with folate metabolism monotherapy is associated with lower risk TEXTBOOK OF GYNECOLOGY,SHEILA BALAKRISHNAN,Pg no:330,2nd edition

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