Pulmonary Tuberculosis in
often aggravated by pregnancy, especially when no adequate care and nutrition
is given. The woman appears to be improved in pregnancy, because the growing
fundus presses on the diaphragm and splint the lung as a pneumothorax.
- Loss of weight, night sweat, coughing and X-ray confirms the diagnosis.
detection and treatment is very important.
treatment till 36weeks.
chest for all expectant mothers.
very little effect on pregnancy, nor is the baby usually infected in utero.
supervision is necessary.
advanced cases, especially if the home conditions are poor, a therapeutic
abortion may be performed before the 12th week.
Sedation producing the maximum amount of rest.
Short 2nd stage; strenuous pushing must be avoided.
Give episiotomy, and forceps or inhalation of nitrous oxide.
Bleeding must be minimized.
Isolation in the hospital or send her to a
sanatorium in active Stage.
Collapse therapy to be continued.
Fresh air good nutrition and prolonged rest. Baby
should be isolated from the mother.
Give BCG vaccination.
Mantoux test is not positive in three months, BCG must be repeated or given
according to the schedule.
TB is a social and economic problem. Although woman may give birth to two or
three children without deterioration in her condition, but the hard work
involved in child-rearing may prove to be even more detrimental than
child-bearing. So it maybe desirable that she avoids many pregnancies.