Construction of regional extracorporeal membrane oxygenation treatment system for pregnant and postpartum women in China: current situation, challenges and strategies
10.3760/cma.j.cn431274-20250721-00964
- VernacularTitle:中国孕产妇ECMO区域性救治体系的构建：现状、挑战与策略
- Author:
Youmei CHEN
1
;
Jianxin ZHEN
;
Quanfu ZHANG
Author Information
1. 香港中文大学妇女儿童医学中心(深圳)妇产科，深圳 518100
- Publication Type:Journal Article
- Keywords:
Extracorporeal membrane oxygenation;
Obstetric critical illness;
Regional network;
Patient transport
- From:
Journal of Chinese Physician
2025;27(9):1281-1287
- CountryChina
- Language:Chinese
-
Abstract:
With the increasing proportion of critically ill pregnant and postpartum women, extracorporeal membrane oxygenation (ECMO) has become the ultimate treatment for severe obstetric diseases. However, the application of ECMO for pregnant and postpartum women in China is facing the prominent contradiction of " unbalanced growth between quantity and quality system construction", which is manifested as systemic challenges such as uneven regional development, inconsistent treatment capabilities, and lack of unified standards. To address the above issues, this paper proposes the construction of a regional ECMO treatment system for pregnant and postpartum women based on the " Hub-and-Spoke" model. This system aims to achieve early identification, rapid transportation, and homogeneous and efficient treatment of critically ill pregnant and postpartum women by concentrating high-quality medical resources, establishing standardized multidisciplinary team (MDT) diagnosis and treatment processes, and setting up professional mobile ECMO transportation teams. The construction of this regional treatment system is a key measure to improve the success rate of treating critically ill pregnant and postpartum women and reduce maternal mortality in China, and is of great significance for ensuring maternal and infant safety.
