This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical, surgical and gynaecological illness complicating pregnancy, Subject name: Gynaecology & Obstetrics
Drug of first line choice in pregnancy with epilepsy except : 
Select and explain. 
A. Carbamazepine, B. Lamotrigine, C. Levitiracetam, D. Sodium valproate
D: Sodium valproate
Answer: D: Sodium valproate 
Explanation: Considering the risk of teratogenicity of all Anti epileptic drugs Lamotrigine Levetiracetam Carbamazepine is the drug of first line choice Ref: Dutta Obs 9e pg 273.