Beruflich Dokumente
Kultur Dokumente
in
pregnancy
Dr.V.Ravimohan
Historical perspective
Hippocratic view
1850 - 1920s
tuberculosis was harmful
during pregnancy, and
termination of pregnancy -
recommended
? Therapeutic abortion
Tuberculosis during pregnancy -rarely
an indication for a therapeutic
abortion
But
pregnant woman with MDRTB, should be
offered abortion counseling medications
used are known to cause fetal abnormalities
Diagnosing tuberculosis in
pregnancy
Symptoms like malaise & fatigue may be
ignored in pregnancylate diagnosis
INAH prophylaxis
mother can use a mask
Neonate….
• INAH prophylaxis is given for 3 months
• Check Mantoux
• oral contracepives:effectiveness
is reduced
HIV,TB and pregnancy
If a pregnant women is
diagnosed to have active TB
should we screen for HIV?
Internet resources
• www.nyc.gov/html/doh/html/tb/tb.html
• www.sanger.ac.uk/Projects/M_tuberculosis/
• Pregnancy in
tubrculosis:www.nyc.gov/html/doh/html/tb/
tbpreg.html
• www.cdc.gov/nchstp/tb/pubs/sl
idesets/Treatment_Guidelines/
2003/default.htm
• My web :www.mrcogexam.net
• My blog
http://mrcogfacts.blogspot.com