title: Electroconvulsive therapy in a twin pregnancy: a case report.
abstract: We present a case of twin gestation complicated by severe depression and psychotic behavior; the mother was treated with electroconvulsive therapy (ECT). She had received multiple medications for treatment of her depression earlier during the first part of the pregnancy. However, frequent use of ECT later in the course of pregnancy did not result in adverse fetal outcome as is evident from normal fetal surveillance tests. We conclude that, when indicated, ECT during pregnancy improves maternal condition and does not adversely affect fetal well-being.
authors.affiliation: Department of Obstetrics and Gynecology, East Carolina University School of Medicine, Greenville, NC 27858.
authors.forename: J C
authors.initials: JC
authors.lastname: Livingston
authors.forename: W M
authors.initials: WM
authors.lastname: Johnstone
authors.forename: H A
authors.initials: HA
authors.lastname: Hadi
mesh_terms: D000328:Adult; D003866:Depressive Disorder / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005260:Female; D005333:Fetus; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011272:Pregnancy, Multiple; D014427:Twins