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Orlov F.V.
Electroconvulsive therapy for mental disorders during pregnancy and the postpartum period
Keywords: mental disorders, electroconvulsive therapy, pregnancy, postpartum period
Electroconvulsive therapy is a method of treating mental disorders that is still used today. It is thanks to electroconvulsive therapy that high rates of remission are achieved in patients. The main clinical indications for electroconvulsive therapy are severe depression with a high risk of suicide, life-threatening somatic conditions due to depression. Electroconvulsive therapy is usually used in the first and second trimesters of pregnancy as a last-line method of choice if there are convincing indications for its administration, to quickly eliminate the symptoms. When performing electroconvulsive therapy, the risks of using anesthesia, side effects, severity of the somatic condition, as well as the risks of not using this therapy are evaluated. 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.
References
- Golenkov A.V. Otnoshenie raznykh grupp naseleniya k elektro-sudorozhnoi terapii [Attitudes of different population groups towards electro-seizure therapy]. Meditsinskaya psikhologiya v Rossii, 2011, no. 5(10), p. 19.
- Dokukina T.V., Bud’ko D.A., Emel’yantseva T.A., Pinchuk A.S., Khlebokazov F.P., Makhrov M.V., Korolevich P.P., Misyuk N.N. Metod lecheniya rezistentnykh form psikhicheskikh rasstroistv s ispol’zovaniem elektrosudorozhnoi terapii v ambulatornykh usloviyakh: instruktsiya po primeneniyu [Method for the treatment of resistant forms of mental disorders using electroconvulsive therapy in an outpatient setting: instructions for use]. Minsk, 2016, 14 p.
- Kekelidze Z.I., Mosolov S.I., Tsukarzi E.E., Oleneva E.V. Primenenie elektrosudorozhnoi terapii v psikhiatricheskoi praktike: Posobie dlya vrachei [The use of electroconvulsive therapy in psychiatric practice: A manual for physicians]. Moscow, 2019, 21 p.
- Kuliev R.T., Ruzhenkov V.A. Psikhicheskie rasstroistva pri normal’no protekayushchei beremennosti (klinicheskaya struktura i lechenie) [Mental disorders in normal pregnancy (clinical structure and treatment)]. Tyumenskii meditsinskii zhurnal, 2012, no. 1, pp. 27–28.
- Ovchinnikov A.V., Vazagaeva T.I. Sovremennye podkhody k farma-koterapii poslerodovoi depressii [Modern approaches to pharmacotherapy for postpartum depression]. Meditsinskii sovet, 2020, no. 11, pp. 70–81.
- Olekseev A.A. Prakticheskie rekomendatsii provedeniya elektrosudorozhnoi terapii [Practical guidelines for electroconvulsive therapy]. Khar’kov, Oberig Publ., 2014, 40 p.
- Nel’son A.I. Elektrosudorozhnaya terapiya v psikhiatrii, narkologii i nevrologii [Electroconvulsive therapy in psychiatry, narcology and neurology]. Moscow, Binom Publ., 2005, 368 p.
- Filonenko A.V., Golenkov A.V. Refleksoterapiya zhenshchin s poslerodovymi depressiyami [Reflexology for women with postpartum depression]. Refleksoterapiya, 2007, no. 2, pp. 55–59.
- Anderson E.L., Reti I.M. ECT in Pregnancy: A Review of the Literature from 1941 to 2007. Med., 2009, vol. 71(2), pp. 235–242. DOI: 10.1097/PSY.0b013e318190d7ca.
- Coshal S., Jones K., Coverdale J., Livingston R. An Overview of Reviews on the Safety of Electroconvulsive Therapy Administered During Pregnancy. Psychiatr. Pract., 2019, vol. 25(1), pp. 2–6. DOI: 10.1097/PRA.0000000000000359.
- Golenkov A., Ungvari G.S., Gazdag G. ECT practice and psychiatrists’ attitudes towards ECT in the Chuvash Republic of the Russian Federation. European Psychiatry, 2010, vol. 25(2), pp. 126–128. DOI: 10.1016/j.eurpsy.2009.02.011.
- Golenkov A., Ungvari G.S., Gazdag G. Public attitudes towards electroconvulsive therapy in the Chuvash Republic. Intern. Social Psychiatry, 2012, vol. 58(3), pp. 289–294. DOI: 10.1177/0020764010394282.
- Grover S., Sikka P., Saini S.S., Sahni N., Chakrabarti S., Dua D., Aggarwal A., Thakur A., Dhiman S., Jolly A., Sahoo S., Mehra A., Somani A. Use of modified bilateral electroconvulsive therapy during pregnancy: A case series. Indian Psychiatry, 2017, vol. 59(4), pp. 487–492. DOI: 10.4103/psychiatry.IndianJ Psychiatry_50_17.
- Kibret B., Premaratne M., Sullivan С., Thomson R.H., Fitzgerald P.B. Electroconvulsive therapy during pregnancy: quantifying and assessing the electric field strength inside the foetal brain. Rep., 2018, vol. 7, no. 8(1), p. 4128. DOI: 10.1038/s41598-018-22528-x.
- Leiknes K.A., Cooke M.J., Jarosch-von Schweder L., Harboe I., Høie B. Electroconvulsive therapy during pregnancy: a systematic review of case studies. Arch. Womens Ment. Health, 2015, vol. 18(1), pp. 1–39. DOI: 10.1007/s00737-013-0389-0.
- Molins C., Fortea A., Bioque M., Solé E., Parellada E. Clozapine and Electroconvulsive Therapy Is an Effective and Safe Treatment During Pregnancy: A Case Report. ECT., 2019, vol. 35(3), p. e30-e32. DOI: 10.1097/YCT.0000000000000617.
- Muzik M., Thelen K., Rosenblum K.L. Perinatal depression: detection and treatment: Review. Neuropsychiatry, 2011, vol. 1(2), pp. 179–195. DOI: 10.2217/NPY.10.8.
- Nayak A., Kulkarni P., Kedare J., Kaushal P. Safety of modified electroconvulsive therapy in the third trimester of pregnancy: Case Report. Indian Mental Health., 2015, vol. 2(3), pp. 338–341.
- Pompili M., Dominici G., Giordano G., Longo L., Serafini G., Lester D., Amore M., Girardi P. Electroconvulsive treatment during pregnancy: a systematic review. Rev. Neurother., 2014, vol. 14(12), pp. 1377–1390. DOI: 10.1586/14737175.2014.972373.
- Ray-Griffith S.L., Coker J.L., Rabie. N., Eads L.A., Golden K.J., Stowe Z.N. Pregnancy and Electroconvulsive Therapy: A Multidisciplinary Approach. ECT, 2016, vol. 32(2), pp. 104–112. DOI: 10.1097/yct.0000000000000297.
- Saatcioglu O., Tomruk N.B. The use of electroconvulsive therapy in pregnancy: a review. Isr. Psychiatry Relat. Sci., 2011, vol. 48(1), pp. 6–11.
- Sinha P., Goyal P., Andrade C. A Meta-review of the Safety of Electroconvulsive Therapy in Pregnancy. ECT, 2017, vol. 33(2), pp. 81–88. DOI: 10.1097/YCT.0000000000000362.
- Ward H.B., Fromson J.A., Cooper J.J., De Oliveira G., Almeida M. Recommendations for the use of ECT in pregnancy: literature review and proposed clinical protocol. Womens Ment. Health, 2018, vol. 21(6), pp. 715–722. DOI: 10.1007/s00737-018-0851-0.
- Wajima Z. Anesthesia Management of Special Patient Populations Undergoing Electroconvulsive Therapy: A Review. Nippon Med. Sch., 2019, vol. 86(2), pp. 70–80. DOI: 10.1272/jnms.JNMS.2019_86-202.
About authors
- Orlov Fedor V.
- Candidate of Medical Sciences, Associate Prodessor, Department of Psychiatry, Medical Psychology and Neurology, Chuvash State University, Russia, Cheboksary (orlovf@yandex.ru; ORCID: https://orcid.org/0000-0002-8772-4428)
Article link
Orlov F.V. Electroconvulsive therapy for mental disorders during pregnancy and the postpartum period [Electronic resource] // Acta medica Eurasica. – 2020. – №4. P. 44-52. – URL: https://acta-medica-eurasica.ru/en/single/2020/4/6/. DOI: 10.47026/2413-4864-2020-4-44-52.