eletroconvulsoterapia no tratamento da psicose puerperal

Abstract

Puerperal psychosis (PP) is an exuberant clinical syndrome with an estimated frequency of 1 case per 1,000 childbirths that has been most consistently associated with the bipolar disorders spectrum. Available evidence is scarce, namely regarding management and treatment. The authors present the clinical case of a 28 year-old frst-time mother, with no psychiatric history, who developed a forid psychotic syndrome in the frst weeks of puerperium. Due to lack of improvement following pharmacological treatment, electro-convulsive therapy (ECT) was applied, with substantial and quick response. In this context, the authors reviewed current literature on the use of ECT for the treatment of puerperal psychosis.