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Electroconvulsive therapy in pregnancy.

Pinette MG, Santarpio C, Wax JR, Blackstone J

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Maine Medical Center, Portland, Maine 04102, USA. cartia@mmc.org

BACKGROUND: Electroconvulsive therapy for the treatment of depressive and bipolar disorders has been advocated as being safe and effective in pregnancy. CASE: A primigravida underwent multiple electroconvulsive treatments during pregnancy for the diagnosis of major depression. The infant was subsequently born with multiple deep interhemispheric infarcts. CONCLUSION: Despite reassuring statements regarding the safety of electroconvulsive therapy, this case report and a review of the literature suggests that electroconvulsive therapy during pregnancy should be performed with caution.

Published 1 August 2007 in Obstet Gynecol, 110(2): 465-6.
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