Vol 1 No 1 (2018): Current Issue
Case Report

Saving the Fetus in Maternal Schizophrenia: The Role and Safety of Electroconvulsive Therapy (ECT) in Pregnancy

Othman AK
Faculty of Medicine, Universiti Sultan Zainal Abidin, Malaysia
Noraslawati R
Department of Anaesthesia and Intensive Care, Hospital Sultanah Nurzahirah,Malaysia
Anisah J
Faculty of Medicine, Universiti Sultan Zainal Abidin, Malaysia
Syaratul Emma H
Faculty of Medicine, Universiti Sultan Zainal Abidin, Malaysia
Published May 28, 2018
Keywords
  • Pregnancy,
  • Electroconvulsive therapy,
  • SchizophreniaCase

Abstract

Introduction: Managing schizophrenia during pregnancy often presents a clinical dilemma. Although pharmacological interventions are mostly effective for these disorders during pregnancy, there are few drawbacks for this approach. The potential teratogenicity and long duration of interventions required to control the symptoms somehow limits its usage during pregnancy. Here we described a case report of treatment-resistant schizophrenia successfully treated with ECT without obvious complication to the mother and her baby.
Conclusion: Electroconvulsive therapy is an ideal alternative treatment for a patient with schizophrenia during pregnancy. ECT also will eliminate the potential side effects of antipsychotic medications on the mother and teratogenicity effect to the fetus, especially during the first trimester.