Saatcioglu Omer, Tomruk Nesrin B
Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, Istanbul, Turkey.
Isr J Psychiatry Relat Sci. 2011;48(1):6-11.
Treating psychiatric disorders during pregnancy poses a challenge. Both medication and maternal illness may have adverse effect on the fetus and balancing the risks and benefits of symptoms and treatments is crucial. Medications may affect the fetus adversely, especially in the first trimester. Electroconvulsive therapy (ECT) is not known to have adverse fetal effects and therefore may be preferred. A review of the literature and our clinical experience highlight the role of ECT during pregnancy, sometimes offering advantages over pharmacotherapy.
孕期治疗精神疾病颇具挑战。药物治疗和母亲疾病都可能对胎儿产生不良影响，权衡症状及治疗的风险与益处至关重要。药物可能会对胎儿产生不利影响，尤其是在孕早期。目前尚无证据表明电休克疗法（ECT）会对胎儿产生不良影响，因此可能更受青睐。文献综述及我们的临床经验凸显了ECT在孕期的作用，有时它比药物治疗更具优势。
