Key result
Continuous fetal heart rate monitoring during 34 electroconvulsive therapy sessions in 5 pregnant women showed transient, self-resolving decelerations in 4 sessions with no adverse outcomes.
Why the study?
Electroconvulsive therapy use in pregnancy has been limited by concerns regarding fetal well-being, and no studies had utilized continuous fetal heart rate monitoring during sessions.
Does electroconvulsive therapy cause adverse fetal heart rate patterns in pregnant patients with severe mental disease?
Comparison
Continuous fetal heart rate monitoring during electroconvulsive therapy sessions
Design
Prospective case series
Authors
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Supports ECT with fetal monitoring in severe maternal mental illness; hypothesis-generating and requires validation in larger prospective studies.
Observational (n=5)
No
Does electroconvulsive therapy cause adverse fetal heart rate patterns in pregnant patients with severe mental disease?
Continuous fetal monitoring during ECT in pregnant women demonstrated only transient, self-resolving bradycardia, supporting its safety.
Rabie et al. (2021) conducted an observational in Psychiatric indication for electroconvulsive therapy in pregnancy (n=5). Electroconvulsive therapy with continuous fetal heart rate monitoring was evaluated on Characterization of the fetal heart rate tracing. Continuous fetal heart rate monitoring during 34 electroconvulsive therapy sessions in 5 pregnant women showed transient, self-resolving decelerations in 4 sessions with no adverse outcomes.
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