Resumen

FRANCIS MIRANDA-FLORES, Alan. Clinical and epidemiological characteristics of pregnant women with tuberculosis in the National Maternal and Perinatal Institute. Acta méd. peruana [online]. 2015, vol.32, n.3, pp.140-145. ISSN 1728-5917.

Objective. To know the clinical and epidemiological characteristics of pregnant women with tuberculosis in the National Maternal and Perinatal Institute (INMP) in 2010-2014. Patients and methOd. This is an observational, retrospective, cross-sectional study, developed in the INMP. The population is made up of pregnant women with tuberculosis. Data recorded in the medical records were collected. Results. 49 cases were presented (incidence: 6 cases per 10 000 births); of them, 38 cases were pulmonary tuberculosis (77,55%) and 11 cases were extrapulmonary tuberculosis (22,45%). The disease was more common during pregnancy (61,22%). The main symptom was cough (46,95%). They were more frequent abnormal chest radiograph (83.67%) and positive sputum BK (57,14%). The average age was 24.35 ± 7.65 years and the mean gestational age, 38,08 ± 2,11 weeks. The gilts were more frequent (55,1%). The average number of prenatal visits was 5,35 ± 2,93. Complete secondary education (63,27%) and concubinage (65,31%) were more frequent. The most common site of origin was San Juan de Lurigancho (24,49%). Three cases with a history of TB were presented; twelve with TB, one with diabetes mellitus, one HIV positive and most had anemia (75,10%). The 69,39% of pregnant women completed the vaginal childbirth. They were more frequent preterm birth (18,37%) and male newborns. Most were good score on the Apgar test at birth. The average birth weight was 3097,98 ± 528,89 grams. 89,79% of live births had adequate weight for gestational age, but 10,21% were small for their gestational age; 12,24% had low birth weight and 18,37% were premature. cOnclusiOns. Tuberculosis is an infectious disease that can alter the course of pregnancy; preterm birth is one of the adverse outcomes.

Palabras clave : tuberculosis; pregnancy; epidemiology; clinical.

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