Resumen

MONTALVO PASTO, Laritza  y  LEVANO CASTRO, José Antonio. Incidence of tuberculosis in pregnant women at Hospital Nacional. Rev Per Ginecol obstet. [online]. 2013, vol.59, n.2, pp.101-106. ISSN 2304-5132.

Objectives: To determine incidence of tuberculosis (TBC) in mothers and perinatal adverse outcomes at our hospital from 2001 to 2009. Design: Descriptive observational transversal retrospective type study. Setting: Hospital Nacional Cayetano Heredia. Participants: Pregnant women with diagnosis of tuberculosis. Interventions: All pregnant women with diagnosis of tuberculosis were included. Main outcome measures: Pregnant women characteristics and perinatal results. Results: TBC frequency at our hospital was 5.1 cases per each 10 000 deliveries. Average mother’s age was 25.3 years; in 43.5% diagnosis was done during gestation, 43.5% out of gestation and 3 (13%) post partum. Delivery was vaginal in 65.2% and abdominal in 30.4%. No cases of endometritis occurred; 17.4% had sepsis and there was one maternal death due to severe preeclampsia. There were five cases of multidrug-resistant tuberculosis (MDR-TBC). Of all newborns 69.6% had adequate weight for gestational age and 30.4% were small for gestational age; 17.4% were premature and 21.7% had low weight. Only one newborn presented neonatal sepsis and none TBC. Conclusions: In our study tuberculosis affected pregnancy, childbirth and puerperium as well as perinatal outcome with more cases of low birth weight, intrauterine growth retardation and low weight for gestational age.

Palabras clave : Tuberculosis; pregnancy; puerperium; newborn.

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