Electroconvulsive treatment during pregnancy: a systematic review

@article{Pompili2014ElectroconvulsiveTD,
  title={Electroconvulsive treatment during pregnancy: a systematic review},
  author={Maurizio Pompili and Giovanni Dominici and Gloria Giordano and Lucia Longo and Gianluca Serafini and David Lester and Mario Amore and Paolo Girardi},
  journal={Expert Review of Neurotherapeutics},
  year={2014},
  volume={14},
  pages={1377 - 1390}
}
Pharmacological treatment of severe psychiatric disorders during pregnancy is complicated by the potential harmful effects of treatment for the fetus. Electroconvulsive therapy (ECT) has been demonstrated to be effective for the treatment of several mental disorders. The aim of this study was to investigate the safety of ECT in the treatment of psychiatric disorders during pregnancy; to compare its efficacy with medication; and to identify the main indications for use in pregnancy. We performed… 
Electroconvulsive therapy for a psychotic adolescent during the first trimester of pregnancy: case study.
TLDR
A case of a 16 year-old adolescent at 3 weeks gestation who had progressively developed psychotic symptoms over the previous 9 months, including social isolation, irritability, insomnia, delusional speech and visual and auditory hallucinations is reported.
ELECTROCONVULSIVE THERAPY FOR MENTAL DISORDERS DURING PREGNANCY AND THE POSTPARTUM PERIOD
  • F. Orlov
  • Psychology, Medicine
    Acta medica Eurasica
  • 2020
TLDR
Although electroconvulsive therapy is considered to be a safe and effective method for treating mental patients if necessary measures are taken to reduce potential risks, it is extremely rarely used to treat women with mental disorders during pregnancy and the postpartum period.
[Electroconvulsive therapy in pregnancy: case report and interdisciplinary treatment suggestions].
TLDR
This case report shows the potentially high effectiveness and safe administration of ECT in pregnancy for both mother and fetus and suggests ECT is a useful therapeutic option in pregnancy.
Electroconvulsive Therapy in Pregnancy: Safety, Best Practices, and Barriers to Care
TLDR
The current safety data on electroconvulsive therapy (ECT) in pregnancy is reviewed to provide guidance to clinicians on the role of ECT in pregnancy and the special considerations for its use in the authors' population.
Recommendations for the use of ECT in pregnancy: literature review and proposed clinical protocol
TLDR
Electroconvulsive therapy is a reasonably safe and effective treatment alternative for management of many psychiatric disorders in pregnant patients and recommendations for treatment modifications in pregnancy-based physiologic changes that occur during that period are provided to assist clinicians in improving access and safety of ECT for pregnant patients.
Management of Bipolar Disease in Pregnancy and Lactation
TLDR
A patient-centered approach with minimal effective dosing of necessary medications is likely to produce the best outcome for optimization and simplification of the medical regimen for mother and child.
Recent Updates on Electro-Convulsive Therapy in Patients with Depression
TLDR
Electro-convulsive therapy is evolving toward reducing cognitive side effects and maximizing therapeutic effects, and the scope of its use in the treatment of depression will be more expanded in the future.
Use of modified bilateral electroconvulsive therapy during pregnancy: A case series
TLDR
No adverse maternal and fetal outcomes were encountered except for possible precipitation of labor in one case and the use of ECT required multidisciplinary approach involving psychiatrist, gynecologist, anesthetist and neonatologist.
Adverse Effects of Electroconvulsive Therapy.
A Meta-review of the Safety of Electroconvulsive Therapy in Pregnancy
TLDR
A meta-review provides readers with comparative information on the strengths and limitations of the 4 systematic reviews, their findings, and their conclusions to assist with clinical decision making on the use of ECT in pregnancy.
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References

SHOWING 1-10 OF 136 REFERENCES
Anesthesia for electroconvulsive therapy in early pregnancy.
TLDR
This case of a 31-year-old primigravida with a general medical history of obesity and hypertension, previously diagnosed with bipolar affective disorder, now presenting with severe, therapy-resistant manic agitation is presented.
Electroconvulsive therapy in pregnant patients.
Electroconvulsive Therapy for Mood Disorders in Pregnancy
TLDR
Electroconvulsive therapy seems to be an effective and safe treatment option in pregnant patients with mood disorders in retrospectively examined 12 pregnant patients treated with ECT for their mood disorders.
Use of electroconvulsive therapy during pregnancy.
  • L. Miller
  • Medicine
    Hospital & community psychiatry
  • 1994
TLDR
Electroconvulsive therapy is a relatively safe and effective treatment during pregnancy if steps are taken to decrease potential risks.
Acute and Maintenance Electroconvulsive Therapy for Treatment of Severe Major Depression During the Second and Third Trimesters of Pregnancy With Infant Follow-Up to 18 Months: Case Report and Review of the Literature
TLDR
The successful and safe administration of acute and continuation ECT in a 39-year-old pregnant patient with severe major depression is reported, during which time the patient was successfully transitioned to antidepressant medication.
Acute and maintenance electroconvulsive therapy for treatment of psychotic depression in a pregnant patient.
Depression may relapse during pregnancy in women with a history of depression. Treatments which may be effective for mothers may be harmful to the fetus. Electroconvulsive therapy (ECT) has been
[Electroconvulsive therapy in the third trimester of pregnancy: a case report].
TLDR
The case of a 35-year-old woman at 30 weeks' gestation who was hospitalized with severe depression, who received electroshock therapy and 2 days after the last treatment spontaneous labor commenced, and a healthy boy was born by vaginal delivery.
Electroconvulsive Therapy in Pregnancy
TLDR
Fetal heart rate monitoring and realtime ultrasonography were performed, and the results suggest that maternal electroconvulsive therapy has little effect on fetal status.
Electroconvulsive therapy during high-risk pregnancy.
[Case report: electroconvulsive therapy during pregnancy].
TLDR
The case of a 28-year-old woman, 20 weeks pregnant, who presented severe depressive disorder, associated with agitation, and psychotic symptoms as delusion and hallucinations occurred, and the fatal outcome after electroconvulsive therapy is reported, the safety and place of this treatment in pregnancy psychiatric disorders remain critical situations.
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