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Pregnancy in patients with tuberculosis: a TBNET cross-sectional survey
Graham H Bothamley1, Cordula Ehlers2, Irina Salonka3
1Department of Respiratory Medicine, Homerton University Hospital, London, E9 6SR, UK. graham.bothamley@homerton.nhs.uk.
BMC Pregnancy and Childbirth
|October 13, 2016
Summary
Tuberculosis (TB) diagnosis in pregnant women occurs at the expected rate. However, TB is diagnosed more frequently in the three months following delivery compared to during pregnancy.
Area of Science:
- Public Health
- Infectious Diseases
- Obstetrics & Gynecology
Background:
- Investigating the incidence of tuberculosis (TB) during pregnancy relative to the general population.
- Assessing potential delays in TB diagnosis among pregnant individuals.
Purpose of the Study:
- To determine if tuberculosis incidence during pregnancy exceeds expected rates.
- To evaluate diagnostic delays for tuberculosis in pregnant women.
Main Methods:
- A cross-sectional survey was conducted across 13 tuberculosis clinics in Europe and the USA.
- Data were collected via questionnaire from over 15,000 TB patients over one year.
- Analysis focused on the proportion of pregnant women with TB and the timing of diagnosis relative to pregnancy and delivery.
Main Results:
- Pregnancy occurred in 1.5% (224/15,217) of TB patients, aligning with expected rates based on crude birth rates.
- Tuberculosis was diagnosed more frequently in the 3 months postpartum (103 cases) than during pregnancy (68 cases).
Conclusions:
- Tuberculosis diagnosis is more common in the postpartum period than during pregnancy.
- Diagnostic timing for TB in relation to childbirth warrants attention across diverse healthcare settings.
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