DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20164312

Need for increased clinical awareness of tuberculosis during pregnancy and puerperium in India

Kavita P. Jain, Pratishtha B. Chaudhari

Abstract


TB is leading cause of morbidity and mortality in women of reproductive age in India. TB is under-diagnosed among women due to a number of barriers to care. The timely diagnosis of tuberculosis (TB) during pregnancy is of utmost importance to both the mother and the fetus. Strategic efforts to identify and document active Tb disease in pregnant and post-partum cases are key steps to successful treatment and program execution. To stay on track with the Sustainable Development Goal 2030 by WHO to end Tb by 2030 and reduce tuberculosis-related morbidity and mortality, more concentrated efforts on tuberculosis in pregnant and postpartum women is critical and innovative approaches to case detection are needed. Intensified research and innovation are the important pillars and components of sustainable Development Goals 2030 and discovery, development and rapid uptake of new tools, interventions and strategies are called for. This systematic review aimed to gather and evaluate evidence based studies on TB diagnosis in pregnancy, as per WHO standard guidelines for TB care - RNTCP, in order to recommend proposals for better practices to improve active TB diagnosis for pregnant women, aligned with the End Tb Strategy of SDG2030. The data search for studies on TB care in pregnancy the authors intended to select those addressing screening/diagnosis, prevention of mother-to-child transmission for women in pregnancy. The authors put forth evidence that there should be special provision made for screening, timely diagnosis and management of pregnant women with TB.

Keywords


Early case detection, Mother and child health, Pregnancy, Postpartum, Tb goals, Tuberculosis

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