{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:13:27Z","timestamp":1780319607706,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,4,9]],"date-time":"2015-04-09T00:00:00Z","timestamp":1428537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bipolar Disorders"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Electroconvulsive therapy (<jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content>) is an appropriate, albeit often neglected, option for managing severe or life\u2010threatening psychiatric symptoms during pregnancy. We report on the rapid effectiveness and safety of <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content> during the first trimester of pregnancy in a 28\u2010year\u2010old woman with severe catatonia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Catatonic symptoms were assessed using the Catatonia Rating Scale (<jats:styled-content style=\"fixed-case\">CRS<\/jats:styled-content>). The patient was treated with unilateral <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content> using left anterior right temporal (<jats:styled-content style=\"fixed-case\">LART<\/jats:styled-content>) placement. Seizure quality and duration were monitored by a two\u2010lead electroencephalograph (<jats:styled-content style=\"fixed-case\">EEG<\/jats:styled-content>) and by one\u2010lead electromyography (<jats:styled-content style=\"fixed-case\">EMG<\/jats:styled-content>). During each <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content> session, the fetal heart rate was monitored with electrocardiogram (<jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After the second <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content> treatment (day 13 of hospitalization), we observed remission of the catatonic symptoms, as shown by the drop in the <jats:styled-content style=\"fixed-case\">CRS<\/jats:styled-content> score from 22 to 0. No cognitive abnormalities were reported and no gynecological complications were detected (e.g. vaginal bleeding, abdominal pain, or uterine contraction). The patient delivered at term a healthy male neonate who presented normal growth as well as normal psychomotor development.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This case highlights the effectiveness of <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content> in treating severe catatonic mania during the first 3\u00a0months of pregnancy. In addition, <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content> proved to be a safe therapeutic option, since neither mother nor infant experienced any adverse event. We suggest that <jats:styled-content style=\"fixed-case\">ECT<\/jats:styled-content> might be considered as a valid and safe option in the therapeutic decision\u2010making process when catatonic symptoms manifest during pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/bdi.12297","type":"journal-article","created":{"date-parts":[[2015,4,9]],"date-time":"2015-04-09T07:24:26Z","timestamp":1428564266000},"page":"567-571","source":"Crossref","is-referenced-by-count":12,"title":["Efficacy and safety of electroconvulsive therapy in the first trimester of pregnancy: a case of severe manic catatonia"],"prefix":"10.1111","volume":"17","author":[{"given":"Martina","family":"Pinna","sequence":"first","affiliation":[{"name":"Psychiatry Unit San Martino Hospital \u2013 Health Agency N. 5 Oristano 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