ECT Service, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
J ECT. 2010 Sep;26(3):228-30. doi: 10.1097/YCT.0b013e3181c3aef3.
Electroconvulsive therapy (ECT) is recommended by the American Psychiatric Association Task Force on ECT as a safe and effective treatment of depression throughout pregnancy. We report here administration of ECT in the third trimester of pregnancy in a 33-year-old patient with severe bipolar depression. The patient had a good antidepressant response to ECT. She experienced, however, delayed onset premature uterine contractions at home after her sixth session of ECT (10 hours post-ECT administration). After receiving tocolytics, the patient's contractions did not progress to premature labor. In consultation with the obstetrics team, it was decided to terminate the ECT course earlier than planned. The patient is delivered of a healthy female newborn infant spontaneously at 37 weeks' gestational age. Four months after delivery, the baby's development is progressing normally. This case illustrates that premature contractions in association with ECT during the third trimester of pregnancy may be delayed in onset. Patients and treatment team need to be aware of this possibility, particularly when ECT is conducted on an outpatient basis.
电抽搐治疗（ECT）被美国精神病学协会 ECT 工作组推荐为一种安全有效的治疗整个孕期抑郁症的方法。我们在此报告一例在妊娠晚期（怀孕 33 周）对一位严重双相情感障碍患者实施 ECT 的病例。该患者对 ECT 有良好的抗抑郁反应。然而，在第六次 ECT 治疗（ECT 治疗后 10 小时）后，她在家中出现了延迟发作的早产子宫收缩。接受宫缩抑制剂治疗后，患者的宫缩并未进展为早产。在与妇产科团队协商后，决定提前终止 ECT 疗程。患者在 37 周妊娠龄时自然分娩出一名健康的女婴。分娩后 4 个月，婴儿的发育正常。这个病例说明，妊娠晚期与 ECT 相关的早产子宫收缩可能会延迟发作。患者和治疗团队需要意识到这种可能性，特别是当 ECT 在门诊进行时。
