Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Prof John Allotey
-
john.allotey@liverpool.ac.uk


Dr Carmel Moore
+44 (0)1245 684938
carmel.moore@aru.ac.uk


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

Skip to Main Content
English | Cymraeg
Be Part of Research - Trial Details - Improving epilepsy and pregnancy care

Improving epilepsy and pregnancy care

Medical Conditions

Pregnant women with epilepsy


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Every year in the UK, around 2,500 women with epilepsy get pregnant. Epilepsy is one of the leading causes of maternal death and women with epilepsy face higher risks during pregnancy such as miscarriage, high blood pressure, early birth, and problems with the baby’s growth. During pregnancy, changes in the body can affect seizure patterns and how medicines which help control epilepsy are processed in the body. Some women stop taking their medication on their own because they worry it may harm their baby. These factors can increase the risk of seizures which is why specialist epilepsy care is recommended during pregnancy. However, in practice, many don’t receive specialist care or early enough. For this study, a new programme (the EpiSafe bundle) has been developed, which aims to support more women accessing specialist care during pregnancy and to improve overall health outcomes.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Jul 2025 31 Dec 2026

Midwives in the maternity units randomly allocated to the ‘EpiSafe bundle’ will apply the ‘EpiSafe bundle’ at the first antenatal appointment. It includes a short risk assessment to identify pregnant women with epilepsy at increased risk and refer them early to an epilepsy specialist. If a maternity unit is allocated to EpiSafe, all eligible women with epilepsy attending that unit will automatically receive the EpiSafe intervention as part of their standard care during their antenatal booking visit. In the units allocated to usual care (the control group), women will be booked according to the standard guidelines according to the National Institute for Health and Care Excellence (NICE) and the Royal College of Obstetricians and Gynaecologists guidelines. The study will also involve interviews with two different groups: 25 – 30 healthcare professionals and 18 – 24 women with epilepsy at maternity sites allocated to the EpiSafe bundle. These interviews will explore what poses barriers to and what helps health professionals use the EpiSafe bundle and pregnant women’s experiences of being exposed to it.


The study will take place at NHS Maternity Units across the UK. The study design (cluster randomised controlled trial) means that all pregnant women aged 18 years and over with epilepsy who attend the antenatal clinics at participating maternity units will automatically be part of the study if they meet the study inclusion criteria. While pregnant women with epilepsy will not be approached to consent to take part in the study, they will be made aware of its existence and the use of their data through a study poster and dedicated website. Women will have the option to opt out of data collection via the national NHS digital data opt-out system.

You can take part if:



You may not be able to take part if:


Unit-level exclusion criteria, maternity units:1. Where there is no access to dedicated epilepsy specialists (either obstetric or neurological)2. That lack the resources to implement the EpiSafe bundle 3. Where procedures are already in place for all women with epilepsy to access specialist epilepsy care <14 weeks' gestation

Individual level exclusion criteria, pregnant women:1. With non-epileptic attack disorder (NEAD)2. Whose epilepsy diagnosis was not confirmed before pregnancy3. Who had already seen or are planning to see an epilepsy specialist in the first trimester 4. Less than 18 years of age5. Withdrawal of consent to use data, through the NHS data opt-out


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Oxford University Hospitals NHS Foundation Trust
    John Radcliffe Hospital Headley Way Headington
    Oxford
    OX3 9DU
  • South Tees Hospitals NHS Foundation Trust
    James Cook University Hospital Marton Road
    Middlesbrough
    TS4 3BW
  • University Hospitals Birmingham NHS Foundation Trust
    Queen Elizabeth Hospital Mindelsohn Way Edgbaston
    Birmingham
    B15 2GW
  • Manchester University NHS Foundation Trust
    Cobbett House Oxford Road
    Manchester
    M13 9WL
  • University Hospitals of Leicester NHS Trust
    Leicester Royal Infirmary Infirmary Square
    Leicester
    LE1 5WW
  • The Shrewsbury and Telford Hospital NHS Trust
    Mytton Oak Road
    Shrewsbury
    SY3 8XQ
  • King's College Hospital
    Denmark Hill
    London
    SE5 9RS
  • Birmingham Women's and Children's NHS Foundation Trust
    Steelhouse Lane
    Birmingham
    B4 6NH
  • Barts Health NHS Trust
    The Royal London Hospital 80 Newark Street
    London
    E1 2ES
  • Wirral University Teaching Hospital NHS Foundation Trust
    Arrowe Park Hospital Arrowe Park Road Upton
    Wirral
    CH49 5PE
  • Guy's & St Thomas Hospital
    Westminster Bridge Road
    London
    SE1 7EH
  • Hull University Teaching Hospitals NHS Trust
    Hull Royal Infirmary Anlaby Road
    Hull
    HU3 2JZ
  • University Hospitals Sussex NHS Foundation Trust
    Worthing Hospital Lyndhurst Road
    Worthing
    BN11 2DH
  • Royal Surrey County Hospital NHS Foundation Trust
    Egerton Road
    Guildford
    GU2 7XX
  • Frimley Health NHS Foundation Trust
    Portsmouth Road Frimley
    Camberley
    GU16 7UJ
  • Northumbria Healthcare NHS Foundation Trust
    North Tyneside General Hospital Rake Lane
    North Shields
    NE29 8NH
  • Worcestershire Acute Hospitals NHS Trust
    Worcestershire Royal Hospital Charles Hastings Way
    Worcester
    WR5 1DD
  • North Cumbria Integrated Care NHS Foundation Trust
    Pillars Building Cumberland Infirmary Infirmary Street
    Carlisle
    CA2 7HY
  • Warrington and Halton Teaching Hospitals NHS Foundation Trust
    Warrington Hospital Lovely Lane
    Warrington
    WA5 1QG
  • Epsom and St Helier University Hospitals NHS Trust
    St Helier Hospital Wrythe Lane
    Carshalton
    SM5 1AA
  • York and Scarborough Teaching Hospitals NHS Foundation Trust
    York Hospital Wigginton Road
    York
    YO31 8HE
  • Bradford Teaching Hospitals NHS Foundation Trust
    Bradford Royal Infirmary Duckworth Lane
    Bradford
    BD9 6RJ
  • South Tyneside and Sunderland NHS Foundation Trust
    Sunderland Royal Hospital Kayll Road
    Sunderland
    SR4 7TP
  • Blackpool Teaching Hospitals NHS Foundation Trust
    Victoria Hospital Whinney Heys Road
    Blackpool
    FY3 8NR
  • Walsall Healthcare NHS Trust
    Manor Hospital Moat Road
    Walsall
    WS2 9PS
  • Mid Cheshire Hospitals NHS Foundation Trust
    Leighton Hospital Leighton
    Crewe
    CW1 4QJ
  • Liverpool Women's NHS Foundation Trust
    Liverpool Womens Hospital Crown Street
    Liverpool
    L8 7SS
  • Mid Yorkshire Teaching NHS Trust
    Pinderfields Hospital Aberford Road
    Wakefield
    WF1 4DG
  • Royal Victoria Infirmary
    Claremont Wing Eye Dept Royal Victoria Infirmary Queen Victoria Road
    Newcastle upon Tyne
    NE1 4LP
  • East Sussex Healthcare NHS Trust Hq
    St. Annes House 729 the Ridge
    St. Leonards-on-sea
    TN37 7PT
  • Grampian
    Summerfield House 2 Eday Road
    Aberdeen
    AB15 6RE
  • Ashford & St Peters Hospital
    Guildford Road
    Chertsey
    KT16 0PZ
  • Queen Elizabeth Hospital Kings Lynn
    Gayton Road Queen Elizabeth Hospital Site
    King's Lynn
    PE30 4ET
  • Sandwell and West Birmingham Hospitals NHS Trust
    Midland Metropolitan University Hos Grove Lane
    Smethwick
    B66 2QT
  • Ailsa Hospital
    Dalmellington Road
    Ayr
    KA6 6AB

The EpiSafe bundle has the potential to increase access to specialist epilepsy care in the first 14 weeks for women at high risk due to their epilepsy. The study primarily uses data collected as part of routine care and therefore minimises disruption to the lifestyle and care of women with epilepsy. There are no anticipated risks to pregnant women with epilepsy cared for in the maternity units in the intervention arm. This is because their care and their care pathways remain the same. The intervention will only aid in the systematic assessment of the high-risk women and early referral to specialist epilepsy teams.

Dr Carmel Moore
+44 (0)1245 684938
carmel.moore@aru.ac.uk


Prof John Allotey
-
john.allotey@liverpool.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by University of Liverpool and funded by National Institute for Health and Care Research.




We'd like your feedback

Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.


Is this study information helpful?

What will you do next?

Read full details for Trial ID: ISRCTN63771613

Or CPMS 68695

Last updated 27 June 2025

This page is to help you find out about a research study and if you may be able to take part

You can print or share the study information with your GP/healthcare provider or contact the research team directly.