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Updated: Jul 13, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
Electroconvulsive therapy in pregnancy
Michael G Pinette1, Camille Santarpio, Joseph R Wax
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Maine Medical Center, Portland, Maine 04102, USA. cartia@mmc.org
Background:
Electroconvulsive therapy for the treatment of depressive and bipolar disorders has been advocated as being safe and effective in pregnancy.
Case:
A primigravida underwent multiple electroconvulsive treatments during pregnancy for the diagnosis of major depression. The infant was subsequently born with multiple deep interhemispheric infarcts.
Conclusion:
Despite reassuring statements regarding the safety of electroconvulsive therapy, this case report and a review of the literature suggests that electroconvulsive therapy during pregnancy should be performed with caution.
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