A case report about a fetal adverse effect after electroconvulsive therapy (ECT) for pregnant woman
What is it about?
Electroconvulsive therapy (ECT) is an effective treatment for depression. ECT can be used for depression in pregnancy, however, clinicians should be cautious about the adverse effects in the fetus, such as fetal cardiac arrhythmia. This is a case report of fetal tachycardia after maternal ECT-induced convulsions. We considered the fetal tachycardia might be caused by a fetal hypoxia due to maternal apnea and uterine contractions after ECT.
Why is it important?
As far as we know, this is the first case report of fetal tachycardia caused by maternal ECT. Clinicians are not interested in fetal tachycardia because it is usually less troublesome. Nevertheless, it is still important to be aware of tachycardia because sustained fetal tachycardia might lead to fetal heart failure, hydrops, and polyhydramnios.
The following have contributed to this page: Teruyuki Matsuoka and Nobutaka AYANI