Year : 2017  |  Volume : 59  |  Issue : 4  |  Page : 487--492

Use of modified bilateral electroconvulsive therapy during pregnancy: A case series


Sandeep Grover1, Pooja Sikka2, Shiv Sajan Saini3, Neeru Sahni4, Subho Chakrabarti1, Devakshi Dua1, Anisha Aggarwal1, Anita Thakur1, Shallu Dhiman1, Amal Jolly1, Swapnajeet Sahoo1, Aseem Mehra1, Aditya Somani1 
1 Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Obstertrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Neonatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
4 Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Sandeep Grover
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India

There is limited literature on the use of electroconvulsive therapy (ECT) during pregnancy. ECT is considered as a treatment of last resort during pregnancy. In this case series, we present the data of five patients who were administered ECT during pregnancy. The use of ECT required multidisciplinary approach involving psychiatrist, gynecologist, anesthetist and neonatologist. Two patients received ECT during the second trimester and three patients received ECT during the third trimester. In all the patients, ECT was administered by placing the patients in the left lateral position, glycopyrrolate was used for premedication, thiopentone was used for induction, and succinylcholine was used for muscle relaxation. Patients who were administered ECT close to the full-term were given injection betamethasone 12 mg intramuscularly on two consecutive days before starting of first ECT to promote fetal lung maturity. In all the five cases, no adverse maternal and fetal outcomes were encountered except for possible precipitation of labor in one case.


How to cite this article:
Grover S, Sikka P, Saini SS, 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 J Psychiatry 2017;59:487-492


How to cite this URL:
Grover S, Sikka P, Saini SS, 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 J Psychiatry [serial online] 2017 [cited 2019 Dec 6 ];59:487-492
Available from: http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=2017;volume=59;issue=4;spage=487;epage=492;aulast=Grover;type=0