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Keywords:

  • bacille Calmette–Guérin;
  • breastfeeding;
  • ethnic minority;
  • infection control;
  • perinatal outcome

Key content

  • The UK has one of the highest incidence rates of tuberculosis (TB) in Western Europe.
  • Tuberculosis in pregnancy appears to be limited exclusively to ethnic minority women.
  • Timely investigation and diagnosis of TB are essential to initiate treatment and prevent maternal and neonatal morbidity and mortality.
  • Diagnosis is difficult as symptoms can mimic physiological changes of pregnancy.

Learning objectives

  • To understand the various presentations and identify those at risk of infection or of developing the disease in pregnancy.
  • To learn about various anti-TB treatment regimens and their adverse effects.
  • To understand the issues of infection control and the multidisciplinary approach to care.

Ethical issues

  • Do newborn infants need to be separated from their mother if the mother has TB?
  • Can breastfeeding still be recommended if the mother is being treated for TB?

Please cite this article as: Mahendru A, Gajjar K, Eddy J. Diagnosis and management of tuberculosis in pregnancy. The Obstetrician & Gynaecologist 2010;12:163–171.