Observational studyScientific reports2021
Use of extracorporeal membrane oxygenation in postpartum patients with refractory shock or respiratory failure.
Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Extracorporeal membrane oxygenation in obstetrical patients: a meta-analysis.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025Pooled it
- Use of Extracorporeal Membrane Oxygenation for Management of Hemostasis After Complex Cardiac Surgery.Annals of thoracic surgery short reports · 2026Article
- Extracorporeal membrane oxygenation for main airway rupture secondary to severe thoracic trauma: A case report.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- The application of mechanical circulatory support in special conditions.European heart journal supplements : journal of the European Society of Cardiology · 2025Article
- Novel concepts and improvisation for treating postpartum haemorrhage: a narrative review of emerging techniques.Reproductive health · 2023Review
- Peripartum Cardiogenic Shock and Mechanical Circulatory Support.Interventional cardiology (London, England) · 2023Review
- Determinants of Survival in obstetric Sepsis: Retrospective Observational Study.Journal of obstetrics and gynaecology of India · 2022Article
- Critical care management of pulmonary arterial hypertension in pregnancy: the pre-, peri- and post-partum stages.Acute and critical care · 2021Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although extracorporeal membrane oxygenation (ECMO) is increasingly utilized, only a limited level of experience has been reported in postpartum cardiopulmonary failure. Ten critically ill postpartum patients who received ECMO were included between January 2010 and December 2018 in this retrospective observational study. The main indication for ECMO support was peripartum cardiomyopathy (n = 5), followed by postpartum hemorrhage (n = 2). Nine patients initially received veno-arterial ECMO, and one patient received veno-venous ECMO. Major bleeding occurred in six patients. The median number of units of red blood cells (RBC) transfused during ECMO was 14.5 units (interquartile range 6.8-37.8 units), and most RBC transfusions occurred on the first day of ECMO. The survival-to-discharge rate was 80%. Compared to the survival outcomes in female patients of similar age who received ECMO, the survival outcomes were significantly better in the study population (56% versus 80%, P = 0.0004). Despite the high risk of major bleeding, ECMO for patients with postpartum cardiac or respiratory failure showed excellent survival outcomes. ECMO is feasible in these patients and can be carried out with good outcomes in an experienced centre.
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