Obstetrics outcome in pulmonary tuberculosis.

Area of Science:

• Obstetrics and Gynecology
• Pulmonology
• Neonatology

Background:

• Pulmonary tuberculosis (TB) poses unique challenges during pregnancy.
• Evaluating maternal and perinatal outcomes in TB-affected pregnancies is crucial for clinical management.

Purpose of the Study:

• To compare maternal and perinatal outcomes in pregnant individuals with pulmonary TB versus low-risk pregnancies.
• To identify specific risks and complications associated with pulmonary TB during gestation.

Main Methods:

• A retrospective study comparing 15 pregnant individuals with pulmonary TB to 191 low-risk pregnancies.
• Outcomes assessed included preterm labor, membrane rupture, gestational age, birth weight, and Apgar scores.

Main Results:

• Pulmonary TB pregnancies showed significantly higher rates of preterm labor (53.33% vs 8.9%) and premature rupture of membranes (53.33% vs 8.9%).
• Mean gestational age was lower (36.2 vs 38.6 weeks), and mean birth weight was reduced (2308.6g vs 2707.56g) in the TB group.
• Higher incidences of fetal growth restriction, respiratory distress syndrome, and low Apgar scores were observed in infants of mothers with pulmonary TB.

Conclusions:

• Pulmonary tuberculosis in pregnancy is linked to substantial perinatal morbidity.
• Increased rates of low birth weight, poor Apgar scores, and respiratory distress are significant concerns.