Our anesthesia management in a bipolar pregnant case in third trimester

Bipolar disorder is one of the most common psychiatric disorders during pregnancy. Electroconvulsive therapy (ECT) is a potent treatment option for pregnant bipolar cases who do not respond to medical treatment and have a high risk of suicide. In this report, we aimed to present the anesthesia management of a 34-week pregnant woman with bipolar disorder who underwent ECT due to the increase in the frequency of manic episodes despite medical treatment. Induction of labor remains an important risk in the application of ECT in third-trimester pregnant women. Further large-scale randomized controlled studies using different anesthetic agents are needed.