China has a large population, many women of childbearing age and many TB patients, accounting for about 2-7% of pregnant women. Nowadays, Chinese people have a strong concept of eugenics, but what if TB infection is found during pregnancy? This is really a difficult problem.
If a woman who has close contact with a TB patient is pregnant, she should routinely have a chest X-ray to see if she has TB, because early TB patients may not have any special discomfort, but if the TB disease worsens during pregnancy or after delivery.
2, TB can cause pregnancy complications such as gestational toxicity, vaginal bleeding, significantly increased incidence of obstructed labor, and a miscarriage rate 9 times higher than normal pregnant women.
Early symptoms are similar to certain physiological reactions during pregnancy, such as increased respiratory rate, drowsiness, lethargy and fatigue, and are easily ignored.
4.How to diagnose early TB in pregnancy? If there are respiratory symptoms and discomfort such as fever and fatigue, tuberculin test, chest X-ray and sputum examination are feasible to find antacid bacilli. If the patient has no clinical symptoms, chest X-ray can be taken after 12 weeks of pregnancy, and if necessary, attention should be paid to the protection of the fetus in the abdomen by x-ray.
5. Treatment points for active TB in pregnancy.
1) Rifles should not be used during the initial 3 months of pregnancy, and can be used after 3 months.
2)Avoid the use of aminoglycoside antibiotics.
3)Avoid the use of TH1314 and TH1321.
4)Fluoroquinolones are prohibited.
6) Indications for retained pregnancy.
1)Simple tuberculosis without extrapulmonary tuberculosis.
2)Those who have no or only mild pregnancy reaction.
3)Those with primary or re-treated tuberculosis, but without significant drug resistance.
4) Older primigravida who have not yet had a child may have their pregnancy preserved under close monitoring by a respiratory and obstetrician-gynecologist and strong chemotherapy.
5) Those who have no serious heart, liver or kidney complications and can tolerate pregnancy, natural delivery or cesarean section.
7. Indications for termination of pregnancy.
1) Tuberculosis combined with extrapulmonary tuberculosis, and need long-term treatment.
2) Severe active tuberculosis with extensive lesions.
3) multidrug-resistant tuberculosis infection.
4)Severe pregnancy reaction and ineffective treatment.
5)Tuberculosis with cardiac, hepatic and renal insufficiency, unable to tolerate pregnancy, natural childbirth or cesarean delivery.
6)Tuberculosis combined with recurrent hemoptysis.
7) Pregnancy with HIV/AIDS complicated by tuberculosis.
8)Diabetes mellitus pregnancy combined with tuberculosis.