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[Tuberculosis and pregnancy].

B Dautzenberg1, J Grosset

  • 1G.H. Pitié-Salpêtrière, Paris.

Revue Des Maladies Respiratoires
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

Tuberculosis treatment during pregnancy is safe with a specific drug regimen. Careful management minimizes risks to both mother and child, allowing for breastfeeding.

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Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Pharmacology

Context:

  • Tuberculosis (TB) incidence and severity are similar in pregnant and non-pregnant women.
  • Pregnancy presents unique risks for TB: increased maternal mortality if untreated, drug toxicity, and perinatal infection.
  • Maternal TB poses significant risks to the fetus and newborn.

Purpose:

  • To outline safe and effective tuberculosis treatment protocols for pregnant women.
  • To detail drug choices, dosages, and treatment durations during pregnancy.
  • To provide guidelines for newborn care, including chemoprophylaxis and BCG vaccination.

Summary:

  • Tuberculosis in pregnancy requires a tailored approach, utilizing isoniazid, ethambutol, and rifampicin.
  • Isoniazid and ethambutol have low toxicity; rifampicin is used cautiously, especially in the first trimester.

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  • Pyrazinamide is contraindicated in pregnancy due to insufficient safety data.
  • Treatment involves a 9-month regimen of rifampicin and isoniazid, with ethambutol for two months.
  • Newborns require isoniazid chemoprophylaxis until maternal smear microscopy is negative, followed by BCG vaccination.
  • Breastfeeding is permissible with appropriate maternal treatment, as minimal drug transfer occurs in breast milk.
  • Impact:

    • Ensures optimal maternal health outcomes for pregnant women with tuberculosis.
    • Reduces the risk of congenital tuberculosis and neonatal mortality.
    • Facilitates safe mother-infant bonding and continued breastfeeding.
    • Provides evidence-based guidance for clinicians managing tuberculosis in pregnancy.