Pregnancy in patients with tuberculosis: a TBNET cross-sectional survey.

BACKGROUND

Objectives

To determine whether the incidence of tuberculosis with pregnancy is more common than would be expected from the crude birth rate; to see whether there is significant delay in the diagnosis of tuberculosis during pregnancy.

METHOD:

Design

A cross-sectional survey.

SETTING

13 tuberculosis clinics within different European countries and the USA.

POPULATION/SAMPLE: All patients with tuberculosis seen at these clinics for a period > 1 year.

INSTRUMENT: Questionnaire survey based on continuous data collection.

MAIN OUTCOME MEASURES: number and proportion of women with tuberculosis who were pregnant; timing of diagnosis in relation to pregnancy, including those who were pregnant or delivered in the 3 months prior to the diagnosis of TB and those who developed TB within 3 months after delivery.

RESULTS

Pregnancy occurred in 224 (1.5 %) of 15,217 TB patients and followed the expected rate predicted from the crude birth rate for the clinic populations. TB was diagnosed more commonly in the 3 months after delivery (n = 103) than during pregnancy (n = 68; χ 2 = 25.1, P < 0.001).

CONCLUSIONS

TB is diagnosed more frequently after delivery, despite variations in local TB incidence and healthcare systems.