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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Updated: Apr 13, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
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Postpartum electroconvulsive therapy: a systematic review and case report.

Florence Gressier1, Samuel Rotenberg1, Odile Cazas2

  • 1Inserm UMR 1178 Team "Depression and Antidepressants", Univ Paris Sud, Bicêtre University Hospital, Le Kremlin Bicêtre, France; Department of Psychiatry, Bicêtre University Hospital, Le Kremlin Bicêtre, France.

General Hospital Psychiatry
|May 2, 2015
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Summary

Electroconvulsive therapy (ECT) is an effective treatment for postpartum depression, offering rapid improvement and allowing breastfeeding. Combining ECT with joint mother-baby hospitalization can enhance maternal-infant bonding and treat depressive symptoms.

Keywords:
Electroconvulsive therapyMother–baby unitMother–infant relationshipPostpartumPostpartum depression

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Area of Science:

  • Perinatal mental health
  • Neuroscience
  • Psychiatry

Background:

  • Postpartum depression (PPD) poses significant risks to mothers and infants.
  • Effective and timely PPD treatment remains a clinical challenge.
  • Electroconvulsive therapy (ECT) is a proven rapid-acting treatment for severe depression, but its use in the postpartum period is not well-documented.

Observation:

  • A systematic literature review identified 8 case reports and 8 studies on postpartum ECT.
  • All reviewed studies indicated ECT's efficacy in treating postpartum depression.
  • ECT was generally well-tolerated, facilitated rapid symptom improvement, and permitted breastfeeding.

Findings:

  • The review found electroconvulsive therapy (ECT) to be effective for postpartum depression.
  • ECT offers a rapid response and is compatible with breastfeeding.
  • Joint mother-baby hospitalization alongside ECT demonstrated benefits for the mother-infant dyad.

Implications:

  • Combined ECT and mother-baby hospitalization presents a promising therapeutic approach for severe postpartum depression.
  • This integrated treatment strategy addresses both maternal mental health and the crucial mother-infant relationship.
  • Further research into this combined approach could optimize perinatal mental healthcare.