Pregnancy and Neuromodulation

3 important questions on Pregnancy and Neuromodulation

Clinical Indication for ECT in Pregnancy

  • Severe Depression: Particularly with catatonia, psychosis, or active suicidal intent.
  • Treatment-Resistant Mania: When mood stabilizers (like Valproate) are contraindicated or ineffective.
  • Postpartum Psychosis: Especially if the onset occurs late in the third trimester.
  • Safety of ECT in pregnancy

    ECT is generally considered safe and effective across all trimesters. It does not have the same teratogenic profile as many psychotropic medications

    Challenges in Giving ECT for pregnant lady

    1. Risk of Premature Labor
    2. Long-term Neonatal Outcomes.
    3. Gastric Emptying Time

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