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J Matern Fetal Neonatal Med. 2018 Feb 22:1-5. doi: 10.1080/14767058.2018.1439471. [Epub ahead of print]
Delivery during extracorporeal membrane oxygenation (ECMO) support of pregnant woman with severe respiratory distress syndrome caused by influenza: a case report and review of the literature.
Liu C1,2, Sun W2, Wang C1, Liu F2, Zhou M2.
Author information
Abstract
OBJECTIVE:
To report a case of labour induction during extracorporeal membrane oxygenation (ECMO) support in a patient with acute respiratory distress syndrome (ARDS) caused by influenza and review of the literature.
METHODS:
Case report and the literature search of all English articles on delivery while on ECMO in patients with ARDS caused by influenza.
RESULTS:
A 25-year-old pregnant woman was initiated with ECMO due to severe ARDS caused by influenza A (H1N1) virus. When the patient had symptoms of colporrhagia and uterine contractions, the medical team decided to start labour induction while on ECMO. There were in total five case reports identified. Maternal oxygenation was improved after delivery and ECMO was successfully discontinued.
CONCLUSIONS:
Maternal oxygenation was improved after delivery, which may be beneficial to reduce the duration of ECMO. Caesarean section (CS) may be the most used mode and labour induction could be another option. The procedure should be performed by an experienced ECMO team, cooperating with the obstetrician, anaesthesiologist, and ICU doctors.
KEYWORDS:
Influenza; acute respiratory distress syndrome; delivery; extracorporeal membrane oxygenation; mechanical ventilation
PMID: 29471707 DOI: 10.1080/14767058.2018.1439471
Delivery during extracorporeal membrane oxygenation (ECMO) support of pregnant woman with severe respiratory distress syndrome caused by influenza: a case report and review of the literature.
Liu C1,2, Sun W2, Wang C1, Liu F2, Zhou M2.
Author information
Abstract
OBJECTIVE:
To report a case of labour induction during extracorporeal membrane oxygenation (ECMO) support in a patient with acute respiratory distress syndrome (ARDS) caused by influenza and review of the literature.
METHODS:
Case report and the literature search of all English articles on delivery while on ECMO in patients with ARDS caused by influenza.
RESULTS:
A 25-year-old pregnant woman was initiated with ECMO due to severe ARDS caused by influenza A (H1N1) virus. When the patient had symptoms of colporrhagia and uterine contractions, the medical team decided to start labour induction while on ECMO. There were in total five case reports identified. Maternal oxygenation was improved after delivery and ECMO was successfully discontinued.
CONCLUSIONS:
Maternal oxygenation was improved after delivery, which may be beneficial to reduce the duration of ECMO. Caesarean section (CS) may be the most used mode and labour induction could be another option. The procedure should be performed by an experienced ECMO team, cooperating with the obstetrician, anaesthesiologist, and ICU doctors.
KEYWORDS:
Influenza; acute respiratory distress syndrome; delivery; extracorporeal membrane oxygenation; mechanical ventilation
PMID: 29471707 DOI: 10.1080/14767058.2018.1439471