Electroconvulsive Therapy in Pregnancy: Safety, Best Practices, and Barriers to Care

Conclusions and Relevance Electroconvulsive therapy is a highly effective and safe treatment modality for unipolar depression, bipolar disorder, schizophrenia, and other psychiatric illnesses. Electroconvulsive therapy treatment in pregnancy requires a multidisciplinary team approach with obstetrics, maternal-fetal medicine, psychiatry, and anesthesiology, but is overall felt to be safe and effective. Target Audience Obstetricians and gynecologist, family medicine physicians. Learning Objectives After completing this activity, the learner should be better able to assess the current evidence and best practices regarding ECT use in pregnant patients; describe risks, benefits, and contraindications to ECT use in pregnant patients; and explain the potential for practice gaps in the utilization of ECT in pregnancy.
Source: Obstetrical and Gynecological Survey - Category: OBGYN Tags: CME ARTICLES Source Type: research

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CONCLUSIONS: Gaps in memory and various memory types were common after ICU admission, whose prevalence waned over time. Compared with nightmares and fearful memories, gaps in memories were most strongly associated with poor mental health and quality of life. Identifying patients with gaps in memories might be an objective way of planning interventions to improve their long-term outcomes.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
OBJECTIVES: It is not known how lung injury progression during mechanical ventilation modifies pulmonary responses to prone positioning. We compared the effects of prone positioning on regional lung aeration in late versus early stages of lung injury. DESIGN: Prospective, longitudinal imaging study. SETTING: Research imaging facility at The University of Pennsylvania (Philadelphia, PA) and Medical and Surgical ICUs at Massachusetts General Hospital (Boston, MA). SUBJECTS: Anesthetized swine and patients with acute respiratory distress syndrome (acute respiratory distress syndrome). INTERVENTIONS...
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Laboratory Investigation Source Type: research
I'll be honest, I've been thinking about this for a bit. Anesthesia gets paid.... too much? You intubate, push some meds, sit down till the case ends. The other side of the drape, there's chaos. Yet, the side of the drape that's -I would say- around 3x easier a job compared to being a general surgeon, on average gets paid MORE than the actual surgeon. How is this allowed. This is craziness. What world is it okay for a general surgeon to get paid less than an anesthesiologist lol. It's not... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Pioneering psychiatrist and psychoanalyst who specialised in studying the effects of stillbirth on women ’s mental healthThe psychiatrist and psychoanalyst Stanford Bourne, who has died aged 92 of congestive cardiac failure, broke the silence in the 1960s surrounding the anguish of stillbirth. His work opened up discussion, addressed medical bias, and guided doctors and midwives towards a more compassionate approach.In the 60s, 18,000 women a year had a stillborn baby, but it was cloaked in secrecy. Well-meaning staff quickly removed babies before parents could see, name or hold them, and they were “disposed of...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Psychiatry Medical research Pregnancy Mental health Doctors London Books Source Type: news
AbstractSeries of grafting functionalization on silica microspheres were achieved to mono and bi-functionalized polymers for uranium recovery. Bi-functionalization sorbent is the most effective through improving the sorption capacity and other physico-chemical properties. Completed sorption time reached within 25  min for PAO-MAc/SiO2 at pH 4 with loading capacity 0.98  mmol U g−1, while the PFORE and Langmuir fitting the kinetics and isotherm plateaus respectively with completely desorption through 15  min using 0.5 M HCl. The sorbent shows high stability in sorption and desorption through minimu...
Source: Journal of Radioanalytical and Nuclear Chemistry - Category: Nuclear Medicine Source Type: research
As we orient our brand-new, fresh-faced CA-1 residents to the operating room each year, I ask this question. Has anyone explained to them that much of what they ’ll need to learn in the first couple of months is how to be a nurse? We watch them struggle to draw up propofol into a syringe withoutRead more …It ’s time to redesign anesthesia care delivery originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Anesthesiology Source Type: blogs
The new law prohibits abortions after about six weeks, a very early stage of pregnancy. Many women are now traveling out of state for...
Source: Reuters: Health - Category: Consumer Health News Source Type: news
We investigated the relationships between individual and occupational demographic variables, professional quality of life (i.e., compassion satisfaction, burnout, and secondary traumatic stress), and affective distress (i.e., depression, anxiety, and stress) in a sample of 524 prelicensed counselors. Using structural equation analysis, we found statistically significant relationships between the professional quality of life and affective distress latent variables. Implications for supporting the needs of prelicensed counselors in supervision are discussed. Study limitations and suggestions for future research are offered.
Source: Journal of Counseling and Development - Category: Psychiatry & Psychology Authors: Tags: Research Source Type: research
This study seeks to identify the shared genes and biological pathways between MDD and insomnia based on their shared genetic variants. First, we performed a meta-analysis based on the GWAS summary statistics of MDD and insomnia obtained from Psychiatric Genomics Consortium and UK Biobank, respectively. Next, we associated shared genetic variants to genes using two gene mapping strategies: (a) positional mapping based on genomic proximity and (b) expression quantitative trait loci (eQTL) mapping based on gene expression linkage across multiple tissues. As a result, a total of 719 shared genes were identified. Over half (51%...
Source: Genes - Category: Genetics & Stem Cells Authors: Tags: Article Source Type: research
Montag Molecular mechanisms underlying neuropsychiatric and neurodegenerative diseases are insufficiently elucidated. A detailed understanding of these mechanisms may help to further improve medical intervention. Recently, intellectual abilities, creativity, and amnesia have been associated with neuroplastin, a cell recognition glycoprotein of the immunoglobulin superfamily that participates in synapse formation and function and calcium signaling. Data from animal models suggest a role for neuroplastin in pathways affected in neuropsychiatric and neurodegenerative diseases. Neuroplastin loss or disruption of molecular...
Source: Genes - Category: Genetics & Stem Cells Authors: Tags: Review Source Type: research
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