• J. Matern. Fetal. Neonatal. Med. · Aug 2019

    Review Case Reports

    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.

    • Chunli Liu, Wenqing Sun, Chunting Wang, Fenglin Liu, and Mingxiang Zhou.
    • a Shandong Provincial Hospital affiliated to Shandong University , Jinan , China.
    • J. Matern. Fetal. Neonatal. Med. 2019 Aug 1; 32 (15): 2570-2574.

    ObjectiveTo 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.MethodsCase report and the literature search of all English articles on delivery while on ECMO in patients with ARDS caused by influenza.ResultsA 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.ConclusionsMaternal 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.

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