부산대학교 도서관

aimed to describe the fetal heart rate patterns of patients undergoing electroconvulsive therapy. Design: This study is a prospective case series of pregnant patients undergoing electroconvulsive therapy with continuous fetal heart rate monitoring. Setting: University-based hospital. Population: Pregnant patients with a psychiatric indication for electroconvulsive therapy. Methods: Patients underwent fetal heart rate monitoring immediately prior, during and immediately after ECT therapy. Main Outcome Measures: Characterization of the fetal heart rate tracing. Results: Five subjects underwent 44 electroconvulsive therapy sessions. Continuous fetal monitoring was performed on 34 of the sessions. Transient fetal heart rate decelerations occurred in 4 sessions, all self-resolved and none required intervention. Conclusion: This case series is the first to report the results of continuous FHR monitoring during electroconvulsive therapy. The most common finding was a transient, self-resolving bradycardia that was not associated with adverse perinatal outcomes. This supports the opinion that electroconvulsive therapy is a safe treatment option in pregnancy in women with severe mental disease. [ABSTRACT FROM AUTHOR]