Abstract
Catatonia is a potentially devastating psychomotor disorder characterized by either immobility and stupor or agitated excitement and is caused by psychiatric, medical, and neurologic conditions. Standard treatment for this disorder is high-dose benzodiazepines or electroconvulsive therapy (ECT), with efficacy rates of up to 85%. Very little research has explored the prevalence or treatment of catatonia in pregnant women, a population in whom benzodiazepines are generally contraindicated owing to possible teratogenesis and other potential complications to the fetus. We describe here a case of perinatal catatonia due to major depressive disorder, which was treated with ECT, and review the literature on catatonia in pregnancy and the postpartum period.
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