Huang K.-Y.Li Y.-P.SHIN-YU LINJIN-CHUNG SHIHYIH-SHARNG CHENCHIEN-NAN LEE2021-02-042021-02-0420171341-8076https://www.scopus.com/inward/record.uri?eid=2-s2.0-85023639408&doi=10.1111%2fjog.13426&partnerID=40&md5=ab08a482dc0bbf50a83626626b198d8fhttps://scholars.lib.ntu.edu.tw/handle/123456789/547723Extracorporeal membrane oxygenation (ECMO) is commonly used in patients who experience circulatory arrest or significant cardiac dysfunction and is associated with improved clinical outcomes. We conducted a retrospective observational study on ECMO application at a single tertiary center over a five-year period. Five patients who suffered post-partum hemorrhage resulting from uterine atony were treated with ECMO. The mean age was 36.8?±?3.9?years; the mean gestational age was 37.8?±?2.2?weeks; the initial mean maternal hemoglobin level was 5.0?±?2.4?mg/dL; and the mean estimated blood loss was 3260?±?1545?mL before treatment. All patients were treated with venoarterial ECMO and one was treated with both venoarterial and venovenous ECMO. The mean ECMO usage duration was 32.6?±?18.8 h (range 10–54). Four (80%) patients survived until discharge without experiencing neurological sequela. ECMO should not be a contraindication for treatment of post-partum hemorrhage and such patients should be weaned as soon as possible to ensure the early recovery of cardiac function. ? 2017 Japan Society of Obstetrics and Gynecology[SDGs]SDG3hemoglobin; adult; Article; case report; cesarean section; clinical article; critical illness; disseminated intravascular clotting; extracorporeal oxygenation; female; fetus distress; gestational age; hospital discharge; human; observational study; placenta previa; postpartum hemorrhage; resuscitation; retrospective study; solutio placentae; survival; tertiary care center; uterine atony; vaginal delivery; extracorporeal oxygenation; postpartum hemorrhage; procedures; treatment outcome; Adult; Extracorporeal Membrane Oxygenation; Female; Humans; Outcome and Process Assessment (Health Care); Postpartum Hemorrhage; Retrospective Studiesjournal article10.1111/jog.13426287077192-s2.0-85023639408