Continuous Fetal Monitoring During Electroconvulsive Therapy
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Concerns regarding the effects on foetal well-being have limited the use of electroconvulsive therapy in pregnancy. The aim of the researchers was to explain the foetal heart rate patterns of electroconvulsive therapy on pregnant patients.

This study is a prospective case series of pregnant patients undergoing electroconvulsive therapy with continuous fetal heart rate monitoring. Pregnant patients with a psychiatric indication for electroconvulsive therapy were involved. Patients underwent fetal heart rate monitoring immediately prior, during and immediately after ECT therapy.

Results:
5 subjects underwent 44 electroconvulsive therapy sessions. Continuous fetal monitoring was performed on 34 of the sessions.
-Transient fetal heart rate decelerations occurred in 4 sessions, all self-resolved and none required intervention.

This case series is the first to report the results of continuous FHR monitoring during electroconvulsive therapy. The most common finding was a transient, self-resolving bradycardia that was not associated with adverse perinatal outcomes. This supports the opinion that electroconvulsive therapy is a safe treatment option in pregnancy in women with severe mental disease.

Source: https://www.dovepress.com/continuous-fetal-monitoring-during-electroconvulsive-therapy-a-prospec-peer-reviewed-article-IJWH
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