ELECTROCONVULSIVE THERAPY FOR MENTAL DISORDERS DURING PREGNANCY AND THE POSTPARTUM PERIOD

F. Orlov
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Abstract

Electroconvulsive therapy is a method of treating mental disorders that is still used today. It is thanks to electroconvulsive therapy that high rates of remission are achieved in patients. The main clinical indications for electroconvulsive therapy are severe depression with a high risk of suicide, life-threatening somatic conditions due to depression. Electroconvulsive therapy is usually used in the first and second trimesters of pregnancy as a last-line method of choice if there are convincing indications for its administration, to quickly eliminate the symptoms. When performing electroconvulsive therapy, the risks of using anesthesia, side effects, severity of the somatic condition, as well as the risks of not using this therapy are evaluated. Although electroconvulsive therapy is considered to be a safe and effective method for treating mental patients if necessary measures are taken to reduce potential risks, it is extremely rarely used to treat women with mental disorders during pregnancy and the postpartum period.
妊娠期及产后精神障碍的电休克治疗
电休克疗法是一种治疗精神疾病的方法,至今仍在使用。正是由于电休克疗法,患者的缓解率很高。电休克治疗的主要临床适应症是有自杀高风险的严重抑郁症,以及由抑郁症引起的危及生命的躯体疾病。如果有令人信服的适应症,电惊厥疗法通常用于妊娠的前三个月和中期,作为最后的选择方法,以迅速消除症状。在进行电休克治疗时,评估使用麻醉的风险、副作用、躯体状况的严重程度以及不使用这种治疗的风险。虽然电惊厥疗法被认为是一种安全有效的治疗精神病人的方法,但如果采取必要的措施来降低潜在的风险,它很少用于治疗怀孕期间和产后的精神障碍妇女。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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