双極性障害で医療保護入院となった妊婦に対し，多科多職種の連携により安全な分娩に至った1症例

Uneventful Delivery Through a Multimodal Healthcare Approach in a Pregnant Woman with Severe Bipolar Disorder：A Case Report

要旨

　症例は36歳，女性，双極性障害のため妊娠29週で医療保護入院となった。精神科から妊娠中の電気痙攣療法（electroconvulsive therapy：ECT）が提案され，関係診療科で合同カンファレンスを行った。有害事象を懸念してECTは施行せず，全身麻酔下に予定帝王切開を行う方針とした。多科多職種で連携することで，安全に分娩を終えることができた。

　A 36-year-old pregnant woman with bipolar disorder was admitted to our hospital at 29 weeks gestation for medical care. Following consultation with the relevant departments, the psychiatrist proposed electroconvulsive therapy；however, this was not implemented because of the risk of adverse events. The patient underwent a scheduled caesarean section at 37 weeks under general anesthesia, and the delivery was completed safely. The relevant departments must collaborate and share patient information to ensure satisfactory medical care.