ECT in Pregnancy and Postnatally

Grégoire, Alain; Spoors, Joanne

doi:10.1017/9781911623175.008

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…The authors of the other four systematic reviews ( Anderson and Reti, 2009 ; Calaway et al, 2016 ; Miller, 1994 ; Pompili et al, 2014 ) – while acknowledging the difficulties with interpreting case literature – concluded that ECT is an effective treatment for severe mental illness during pregnancy and that the risks to mother and foetus are relatively low. This view is shared by publications of the Royal College of Psychiatrists ( Gregoire and Spoors, 2019 ), the APA ( American Psychiatric Association Committee on Electroconvulsive Therapy, 2001 ), and the Royal Australian and New Zealand College of Psychiatrists ( Weiss et al, 2019 ).…”

Section: Considerations In Special Groups and Situationsmentioning

confidence: 99%

Evidence-based consensus guidelines for the management of catatonia: Recommendations from the British Association for Psychopharmacology

et al. 2023

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The British Association for Psychopharmacology developed an evidence-based consensus guideline on the management of catatonia. A group of international experts from a wide range of disciplines was assembled. Evidence was gathered from existing systematic reviews and the primary literature. Recommendations were made on the basis of this evidence and were graded in terms of their strength. The guideline initially covers the diagnosis, aetiology, clinical features and descriptive epidemiology of catatonia. Clinical assessments, including history, physical examination and investigations are then considered. Treatment with benzodiazepines, electroconvulsive therapy and other pharmacological and neuromodulatory therapies is covered. Special regard is given to periodic catatonia, malignant catatonia, neuroleptic malignant syndrome and antipsychotic-induced catatonia. There is attention to the needs of particular groups, namely children and adolescents, older adults, women in the perinatal period, people with autism spectrum disorder and those with certain medical conditions. Clinical trials were uncommon, and the recommendations in this guideline are mainly informed by small observational studies, case series and case reports, which highlights the need for randomised controlled trials and prospective cohort studies in this area.

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