Obstetric anesthesia

Challenges and pitfalls of extracorporeal membrane oxygenation in critically-ill pregnant and peripartum women with COVID-19: a retrospective case series

Int J Obstet AnesthPublished Retrospective case series

Authors' conclusion

ECMO is feasible in the third trimester but not devoid of complications. The severity of respiratory failure during COVID-19 and extracorporeal support may not adversely impact neonatal outcomes.

Study context

Population
Pregnant and peripartum women with COVID-19 ARDS supported with extracorporeal membrane oxygenation (ECMO) and anticoagulated with anti-Xa-guided nadroparin
Participants
5 participants
Outcome
Maternal and neonatal outcomes
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Newborns surviving to hospital discharge

4 of 5

Mothers surviving to hospital discharge

2 of 5

ARDS due to COVID-19 in third trimester

5 of 5

Termination of pregnancy, gestational weeks

28–36

Observational data: associations, not effects.

Original publication

Challenges and pitfalls of extracorporeal membrane oxygenation in critically-ill pregnant and peripartum women with COVID-19: a retrospective case series. Int J Obstet Anesth. Published 4 January 2023. doi:10.1016/j.ijoa.2023.103625

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