Maternal-Neonatal Dyad Outcomes of Maternal COVID-19 Requiring Extracorporeal Membrane Support: A Case Series
American Journal of Perinatology · 2021
Two pregnant women with severe COVID-19 were supported with ECMO and delivered safely; both mothers recovered.
Research question
What are the maternal and neonatal outcomes when pregnant women with COVID-19 ARDS require ECMO?
Clinical & scientific significance
ECMO is a feasible option in pregnancy and the postpartum period, and delivery can be performed on ECMO.
Key findings reported in the paper
- Both women recovered without clinical sequelae.
- Neonatal outcomes were as expected for prematurity, except for coagulopathy; there was no vertical transmission.
Objectives
To describe two cases of COVID-19 ARDS in pregnancy requiring ECMO and resulting in preterm delivery.
Methods
Case series of two consenting patients treated in an intensive care unit.
This summary is based only on the published abstract.
Read the publication
Authors
Douglass KM, Strobel KM, Richley M, Mok T, de St Maurice A, Fajardo V, Young AT, Rao R, Lee L, Benharash P, Chu A, Afshar Y
Citation
Maternal-Neonatal Dyad Outcomes of Maternal COVID-19 Requiring Extracorporeal Membrane Support: A Case Series. Am J Perinatol. 2021; 38(1):82-87. doi:10.1055/s-0040-1718694. PMID: 33069171.
Related publications
- 2025Co-author
Association Between Severity of COVID-19 and Social Determinants of Health with Adverse Pregnancy Outcomes in a Study of Mother-Infant Pairs in Los Angeles, California
Women
In a Los Angeles cohort of pregnant women with COVID-19, living in lower-income areas was associated with more severe COVID-19 and more pregnancy complications.
- 2023Co-author
Can prenatal ultrasound predict adverse neonatal outcomes in SARS-CoV-2-affected pregnancies?
American Journal of Obstetrics & Gynecology MFM
After COVID-19 in pregnancy, fetal growth restriction seen on ultrasound was linked to a much higher rate of adverse newborn outcomes.
- 2020Co-author
Perinatal Maternal-Fetal/Neonatal Transmission of COVID-19: A Guide to Safe Maternal and Neonatal Care in the Era of COVID-19 and Physical Distancing
NeoReviews
An early-pandemic clinical guide to COVID-19 in pregnant women and newborns, including what was known about transmission.