Primary studies included in this broad synthesis

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57 articles (57 Referencias) loading Revertir Estudificar

Estudio primario

No clasificado

Unpublished study

Autores Ravina M
No publicado Information reported in a systematic review
Año

Este artículo está incluido en 1 Revisión sistemática Revisiones sistemáticas (1 referencia) 1 Síntesis amplia Síntesis amplias (1 referencia)

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Reported in Leroux C and Longet. Melancholic delirium with hallucinations in a woman pregnant for 8 1⁄2 months; rapid recovery after 3 electroshocks; transitory modification of fetal heart sounds. Gynecol Obstet 1944;44:186–8.

Estudio primario

No clasificado

Acute and maintenance electroconvulsive therapy for treatment of psychotic depression in a pregnant patient.

Revista The journal of ECT
Año 2007
Enlaces Pubmed DOI

Este artículo está incluido en 4 Revisiones sistemáticas Revisiones sistemáticas (4 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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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 widely used in patients with different medical illnesses. It is safe, and its efficacy is well established. In our example, the patient was a 34-year-old white woman who was at 13 weeks' gestation at the time of admission to our hospital. Over a 1-month period, the patient underwent a total of 13 ECTs (3 times a week) and 3 more ECTs monthly until the birth of her child. After 10th ECT, the Hamilton Depression Rating Scale score was reduced from 33 before ECT to 7. After 3 more weekly ECTs, the patient was discharged from the hospital with a Hamilton Depression Rating Scale score of 3. The patient was instructed to continue maintenance treatment with ECT sessions monthly. Except for pelvic pain and transient fetal arrhythmias, no complications were reported. Thus, acute and maintenance ECT may be the choice of treatment in severely depressed or psychotic pregnant patients.

Estudio primario

No clasificado

Pregnancy and malignant catatonia.

Revista General hospital psychiatry
Año 2007
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Este artículo está incluido en 3 Revisiones sistemáticas Revisiones sistemáticas (3 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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The occurrence of malignant catatonia in pregnancy is a psychiatric emergency. In this article, we present the case of a pregnant woman with a first psychotic episode with catatonic features, autonomic abnormalities and elevated creatinine phosphokinase levels in the context of a severe adverse reaction to antipsychotic pharmacotherapy who had good responses to electroconvulsive therapy and lorazepam.

Estudio primario

No clasificado

Electroconvulsive therapy in pregnancy.

Revista Obstetrics and gynecology
Año 2007
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Este artículo está incluido en 3 Revisiones sistemáticas Revisiones sistemáticas (3 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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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.

Estudio primario

No clasificado

Electroconvulsive therapy use in pregnancy.

Autores Kasar M , Saatcioglu O , Kutlar T
Revista The journal of ECT
Año 2007
Enlaces Pubmed DOI

Este artículo está incluido en 3 Revisiones sistemáticas Revisiones sistemáticas (3 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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Treatment of psychiatric disorders during pregnancy poses many challenges. Electroconvulsive therapy is a relatively safe and effective treatment during pregnancy if steps are taken to decrease potential risks. In this article, we discuss premature labor in a patient who underwent electroconvulsive therapy.

Estudio primario

No clasificado

Status epilepticus after electroconvulsive therapy in a pregnant patient.

Revista International journal of obstetric anesthesia
Año 2006
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Este artículo está incluido en 3 Revisiones sistemáticas Revisiones sistemáticas (3 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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Status epilepticus after electroconvulsive therapy is a rare complication, and its occurrence during pregnancy has not been reported previously. We discuss the case of a 31-year-old primigravida at 22 weeks of gestation, with a history of bipolar disorder, who underwent electroconvulsive therapy under general anesthesia. Following three treatments she developed status epilepticus, requiring large doses of benzodiazepines, thiopental, propofol and diphenylhydantoin to control the seizure activity. She remained intubated and ventilated for several days after treatment with a complicated course. As a consequence, the fetus died. We discuss the possible causes and the management of status epilepticus after electroconvulsive therapy during pregnancy and its implications for maternal and fetal outcome.

Estudio primario

No clasificado

[Electroconvulsive therapy in the third trimester of pregnancy: a case report].

Revista Revista española de anestesiología y reanimación
Año 2006
Enlaces Pubmed

Este artículo está incluido en 3 Revisiones sistemáticas Revisiones sistemáticas (3 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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Electroconvulsive or electroshock therapy is an effective psychiatric treatment. The need for effective psychotherapy in the pregnant patient and the need to limit application of psychotropic drugs have encouraged the use of electroshock therapy in the past 50 years. We report the case of a 35-year-old woman at 30 weeks' gestation who was hospitalized with severe depression. When her condition worsened after initiation of medical treatment, electroshock therapy was considered. She received a total of 9 sessions (3 per week). During treatments the patient received general anesthesia with propofol and succinylcholine with insertion of a tracheal tube. Significant variations in the hemodynamic variables of mother and fetus were not observed; nor were there signs of fetal distress. The patient experienced clear improvement and 2 days after the last treatment spontaneous labor commenced. A healthy boy was born by vaginal delivery.

Estudio primario

No clasificado

The first-line use of electroconvulsive therapy in major affective disorders.

Autores Maletzky BM
Revista The journal of ECT
Año 2004
Enlaces Pubmed

Este artículo está incluido en 4 Revisiones sistemáticas Revisiones sistemáticas (4 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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Although electroconvulsive therapy (ECT) has generally been reserved for patients refractory to other forms of treatment, its use as a first-line treatment, prior to the use of other biologic approaches, has occasionally been mentioned in the literature on the treatment of affective disorders and, when indicated, can prove rapidly effective and even life saving. The present study retrospectively reviewed 27 cases treated over the span of a decade in which ECT was chosen as the first treatment of an affective episode. In none of these cases was antidepressant medication or other biologic approaches used for the current episode. A clinical global rating scale was employed to measure improvement. Although the majority of such patients were treated with ECT first based upon the severity of their depressive illness, 13 received ECT because of their obtunded condition and these patients, initially diagnosed as catatonic on admission, were suspected of having a bipolar condition, as revealed on their discharge diagnosis. In addition, ECT was recommended preferentially in 4 patients because they were pregnant and in another 4 because it had worked well in the past; an additional patient received ECT first because of his fragile medical condition. Almost all patients recovered and none suffered serious adverse effects. Sample case histories are provided along with tentative guidelines for the consideration of first-line use of ECT in clinically difficult cases.

Estudio primario

No clasificado

[A case of pregnant woman with severe obsessive-compulsive disorder successfully treated by modified-electroconvulsive therapy].

Revista Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica
Año 2003
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Este artículo está incluido en 3 Revisiones sistemáticas Revisiones sistemáticas (3 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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Obsessive-compulsive disorder (OCD) is rare psychiatric disorder during pregnancy, and is often therapy-resistant. We report a 36-year-old pregnant woman with severe obsessive-compulsive disorder successfully treated by modified-electroconvulsive therapy. During the pregnancy, severe mysophobia and compulsive washing appeared, so severely that she was unable to lie down, endangering the life of the fetus. Since the pharmacotherapy was ineffective, modified electroconvulsive therapy (m-ECT) was performed in cooperation with the obstetrician and the anesthesiologist, along with monitored cardiotocography throughout the procedure. During the second therapy late deceleration on the fetal cardiotocogram occurred, but rapid intravenous administration of ritodrine led to the cessation of abnormal uterine contraction. Two courses of m-ECT markedly diminished her symptoms, and she delivered a healthy infant without complications. M-ECT can be an alternative treatment for pregnant patients with OCD.

Estudio primario

No clasificado

Fetal heart rate decelerations during ECT-induced seizures: is it important?

Revista Acta anaesthesiologica Scandinavica
Año 2003
Enlaces Pubmed

Este artículo está incluido en 3 Revisiones sistemáticas Revisiones sistemáticas (3 referencias) 1 Síntesis amplia Síntesis amplias (1 referencia)

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Electroconvulsive therapy (ECT) is sometimes indicated during pregnancy and may offer advantages over pharmacotherapy for the patient and the fetus (1,2). However, very little data is available on the impact of epileptic or ECT-induced seizures on the fetus. We report a case of brief fetal heart rate decelerations in a fetus associated with maternal ECT-induced convulsions.