Based on the analysis of the results of their own examinations of 129 patients with epilepsy and the published research papers, the authors present the principles of management and delivery of patients with this condition. Attention is drawn to the need for a close cooperation between a neurologist, an epileptologist, an obstetrician-gynecologist, a geneticist, and an epileptic patient for discussion on contraceptive issues, by taking into account the interaction of antiepileptic and contraceptive hormonal drugs, mandatory pregnancy planning, therapy choice, and a drug dosage regimen. Emphasis is laid on the highly potential teratogenic effect of antiepileptic drugs and on the increased frequency of births of newborns with congenital malformations. There is general consensus on the need for folic acid used by epileptic patients during the first trimester of pregnancy. Obstetric complications are diagnosed and treated according to standard protocols. The paper sets out the principles of analgesia in pregnant women with epilepsy during spontaneous labor and abdominal delivery, management of the postpartum period. It presents three clinical cases, the outcomes of pregnancy and labor in epileptic patients. Epilepsy should not prevent a woman from having a normal family; however, but the planning and management of pregnancy, delivery, and a follow-up of a woman and a child require an individual approach, by taking into account all medical, social and psychological factors.