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All Journal International Journal of Public Health Science (IJPHS) Psikologika : Jurnal Pemikiran dan Penelitian Psikologi Jurnal Kedokteran Brawijaya Jurnal Kesehatan Masyarakat Biomedical Journal of Indonesia Jurnal Biomedika dan Kesehatan Bioscientia Medicina : Journal of Biomedicine and Translational Research Scientia Psychiatrica Journal of Community Empowerment for Health Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Archives of The Medicine and Case Reports Bioscientia Medicina : Journal of Biomedicine and Translational Research
Andrian Fajar Kusumadewi
Departemen Psikiatri, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Successful Management of Schizoaffective Disorder (Manic Type) in a Pregnant Woman with Electroconvulsive Therapy: A Case Report Kusumadewi, Andrian Fajar; Anindita Fabiola Rahma; Dyah Utami Nugraheni; Karina Safira Gozali; Kevin Thenedi; Milleninda Pasca Yushinta; Nabilah El Husna; Noka Yogahutama
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 1 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i1.1181

Abstract

Background: Schizoaffective disorder is a chronic mental health condition characterized by the presence of both psychotic and mood symptoms. Managing schizoaffective disorder during pregnancy presents unique challenges due to the potential risks of pharmacotherapy to the developing fetus. This case report describes the successful management of a pregnant woman with schizoaffective disorder (manic type) using electroconvulsive therapy (ECT). Case presentation: A 31-year-old woman, G2P1A0 with a gestational age of 26 weeks, was admitted to the psychiatric ward with symptoms of mania and psychosis, including disorganized behavior, threats of violence, suspicious delusions, auditory hallucinations, and visual illusions. Her symptoms had worsened after discontinuation of her antipsychotic medication due to pregnancy. She was diagnosed with schizoaffective disorder, manic type. Due to the potential risks of antipsychotic medication to the fetus, ECT was initiated. The patient responded well to ECT, with a significant reduction in her manic and psychotic symptoms. She was able to continue her pregnancy safely, and delivered a healthy baby at term. Conclusion: This case report highlights the effectiveness and safety of ECT in managing schizoaffective disorder during pregnancy. ECT can be considered a valuable treatment option for pregnant women with severe mental illness when the risks of pharmacotherapy outweigh the benefits.
Co-Authors Adi, Winengku Basuki Aditya Humar Pradipta Afkar Aulia Afkar Aulia Afkar Aulia Andina, Jennifer Anindita Fabiola Rahma Aulia, Afkar Bambang Hastha Yoga Carissa Aulia Firliany Carissa Aulia Firliany Carla Raymondalexas Marchira, Carla Raymondalexas Cecep Sugeng Kristanto Cecep Sugeng Kristanto Daniswara, Pambayung Caesaria Tiara Dwi Dwi Dwidjoyono, Bernadeta Dinda Larasati Dyah Utami Nugraheni Edith Humris Pleyte Hermanuaji Sihageng Inu Wicaksana Ismanto, Silas Henry Jennifer Andida Karina Safira Gozali Kevin Thenedi Milleninda Pasca Yushinta Muhammad Alif Seswandhana Muhammad Dicky Hertanto Muhammad Jordan Diandraputra Mulia Kharis Nabilah El Husna Naldi, Najla Humairah Nanda Kusumaningrum Nanda Kusumaningrum Noka Yogahutama Phillabertha, Paulin Surya Putra, Muhammad Jordan Diandra Raihan Hananto Santi Yuliani Setiani Silvi Nurhidayah Sihageng, Hermanuaji Silas Henry Ismanto Silas Henry Ismanto Sumarni Sumarni Sumarni Sumarni Sumarni Sumarni Syifa Nabiel Hadera Triwirasto Triwirasto Widanti, Nabila Syifa Marta Widyandana Widyandana Wirasto, Ronny Tri