Extracorporeal Membrane Oxygenation for Pregnant and Postpartum Patients
Michael J. Wong, Shobana Bharadwaj, Jessica L. Galey, Allison S. Lankford, Samuel Galvagno, Bhavani Shankar Kodali
Abstract
Extracorporeal membrane oxygenation (ECMO) has seen increasing use for critically ill pregnant and postpartum patients over the past decade. Growing experience continues to demonstrate the feasibility of ECMO in obstetric patients and attest to its favorable outcomes. However, the interaction of pregnancy physiology with ECMO life support requires careful planning and adaptation for success. Additionally, the maintenance of fetal oxygenation and perfusion is essential for safely continuing pregnancy during ECMO support. This review summarizes the considerations for use of ECMO in obstetric patients and how to address these concerns.