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This review explores the efficacy of Electroconvulsive Therapy (ECT) as a rapid treatment for severe postpartum illness, based on a systematic search of 42 studies across 18 countries up to September 2026. Findings indicate a response/remission rate of 70-100% with improvements noted within 1-6 sessions, and no adverse effects on infants, allowing for the resumption of feeding when the mother is alert. The guidance encourages the confident use of ECT while emphasizing the need for larger...