Tuberculosis in Pregnancy Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. The main route of infection is airborne, therefore, most often with this disease, the respiratory organs are affected.
Most people are carriers of mycobacterium tuberculosis, and only under the influence of unfavorable factors, the disease can manifest its vivid symptoms. As a result of changes in hormonal levels and a physiological decrease in immunity, pregnant women are no exception from the risk group for developing this infectious disease. Symptoms of tuberculosis often appear in the first, less often in the second half.
Additional risk factors for developing tuberculosis in pregnant women are:
- Alcoholism and drug addiction.
Unfavorable housing and social conditions.
Violation of the quality composition of food.
The presence in the environment of patients with tuberculosis.
Symptoms of tuberculosis during pregnancy
In the first half of pregnancy, women often mistake the symptoms of tuberculosis for manifestations of toxicosis and a mild cold. , general malaise, a slight increase in temperature, constant coughing do not cause any concern in a pregnant woman, at a time when inflammatory and destructive processes are actively developing in the lungs.
In the second half of pregnancy, the symptoms of tuberculosis in most cases are less pronounced as a result of a decrease in the inflammatory process and the replacement of sites of destruction with connective tissue. However, in rare cases, when the body fails to overcome the infection, mycobacteria can spread throughout the body, affecting the abdominal organs, bone and lymphatic systems.
Diagnosis of tuberculosis in pregnant women
The presence of a high risk of developing tuberculosis and persistent coughing may be a reason for suspicion of pulmonary tuberculosis. In this case, the pregnant woman undergoes the Mantoux test, which is absolutely harmless to the mother and the fetus. The identification of mycobacteria in sputum and lesions on the roentgenogram allows the final diagnosis of tuberculosis. To reduce the dose of radiation to the fetus, when carrying a pregnant woman, a protective apron must be worn on the stomach.
Danger to the fetus
Pulmonary tuberculosis is not harmful to the fetus in the womb. When diagnosing extrapulmonary tuberculosis, the risk of fetal infection increases. It is believed that the placental barrier is impenetrable for mycobacteria, therefore, more often the infection of the child occurs in. In some cases, a child may still be born with tuberculous lesions of the internal organs.
Because of the high risk of infection of a child after birth, he is isolated from a mother with active tuberculosis.
Treatment of tuberculosis during pregnancy
Prescribing anti-tuberculosis therapy increases the likelihood of having a healthy baby, although it can have an adverse effect on the fetus.
Treatment with antimycobacterial drugs is prescribed immediately after laboratory confirmation of the disease, regardless of the duration of pregnancy. The doctor prescribes the schemes independently and individually for each patient.
Childbirth and tuberculosis
Tuberculosis is not a pathology that requires a specific approach to the delivery of a pregnant woman. When choosing a method of childbirth, the doctor decides only on obstetric indications. An exception is severe tuberculosis with severe cardiovascular and / or multiple organ failure.
Tuberculosis is an extremely contagious infectious disease from which no one is immune, so it is not surprising that it is sometimes diagnosed in pregnant women. Many are afraid of such a diagnosis and rush to get rid of the fetus in order to avoid any complications, however, is it worth it, and is it really so dangerous to become pregnant during tuberculosis?
Danger of tuberculosis during pregnancy
Tuberculosis infection during pregnancy is dangerous not only for the life of the mother, but also for the fetus, since the mycobacteria of the pathogen can penetrate the placental barrier, affecting the child. In addition, tuberculosis during pregnancy causes certain complications:
- Anemia with an acute shortage of both nutrients and substances that serve as building materials for a new organism.
- Severe toxicosis.
- Gestosis is a general complicated course of pregnancy with edema, hypertension, increased tone or even seizures, the appearance of protein in the urine, etc.
- Placental insufficiency is a structural change in the placenta, which ensures the vital activity of the fetus, with a violation of its functions.
- Chronic hypoxia is oxygen starvation, which primarily affects the child's nervous system, which can lead to very sad consequences, since in a person the number of nerve cells is initially laid down, and during life they are only wasted without being able to recover. The death of too many neurons can lead to congenital disability or a tendency to neurological diseases in the future.
- Pathology amniotic fluid, expressed in their lack or excess, which also leads to an increased risk of congenital defects.
- Delayed development of the embryo, due to the above factors.
- Heavy or premature labor.
However, these pathologies of pregnancy are characteristic of all infectious diseases during pregnancy, including even the common cold, and do not always manifest themselves. The likelihood of this type of violation depends on general condition the mother's body, the nature of the course of the disease, as well as the quality of her life.
The potential consequences for the child in case of illness in the mother will be as follows:
- Lack of mass.
- Development lag.
- The risk of congenital abnormalities in complicated pregnancy.
- Birth trauma.
- Congenital tuberculosis is not more common than in 20% of cases, but thanks to advances in modern medicine, this risk has now been reduced to almost zero.
If pregnancy occurs with tuberculosis in her husband, then, provided the mother is healthy, the risk for the child is minimal and is mainly represented by possible infection after birth, although most often in this case, innate immunity to MBT develops, but for the sake of insurance, communication can be limited during periods with bacterial excretion.
Symptoms of tuberculosis during pregnancy
Tuberculosis in pregnant women is even less pronounced than just tuberculosis in women. His already subtle symptoms, such as:
- weakness;
- chronic fatigue;
- fatigue;
- loss of appetite;
- easy cough;
- pallor;
- anemia, etc.
The symptoms of tuberculosis during pregnancy are easily lost against the background of toxicosis or general malaise associated with an interesting situation. Therefore, during the planning period for pregnancy, it is very important to undergo an examination with the most informative methods, such as diaskintest or blood tests for the pathogen.
Diagnosis of tuberculosis during pregnancy
Diagnosis of infection during pregnancy is carried out using conventional methods: tuberculin tests and blood tests. The only difference is the ban on fluorography or X-rays. Tuberculin tests are absolutely harmless and react in the same way as in non-pregnant patients, however, with the risk of developing a hyperrergic or general allergic reaction, it is better to opt for less accessible, but safer and equally effective blood tests for tuberculosis.
Congenital tuberculosis
Congenital tuberculosis is the main danger to the fetus. This pathology is very rare, but dangerous. Most often it occurs when the mother's urinary tract is affected, the disease is disseminated, or due to infection during childbirth. Moreover, this phenomenon is observed in sick women who were not vaccinated with BCG in childhood. A child with a congenital disease has multiple bilateral lesions of the lung tissue, rarely - lesions of the nervous system with focal symptoms. You can notice a congenital lesion of the office by the following signs:
- Elevated temperature.
- Poor appetite.
- Breast refusal.
- Cyanosis.
- Sluggish reflexes.
- The child is inactive, apathetic.
- He has shortness of breath.
- Enlarged liver, spleen and lymph nodes.
Since the symptoms are rather nonspecific and it is difficult to notice them, most often the doctor prescribes treatment when the mother is infected in any case, without waiting for the test results. This is due to the fact that it is even more difficult to detect congenital tuberculosis in the early stages than usual, since in this case tuberculin tests do not work, and the risk of death for the child is extremely high.
Treatment
Pregnancy with pulmonary tuberculosis is not a reason to interrupt or refuse treatment. Antimycotics, despite all the toxicity to the mother, do not penetrate the placental barrier, and therefore do not harm the child. On the other hand, the therapy started on time prevents the spread of bacilli from the focus of inflammation throughout the body, and most importantly, their penetration to the fetus, which negates the possibility of its infection and birth with congenital tuberculosis.
Childbirth and the postpartum period
A completely logical consequence of pregnancy is childbirth. In itself, MBT infection does not affect the process of their implementation and imposes only increased precautions due to the likelihood of infection of the fetus or doctor through the blood. Birth trauma or premature birth is possible only in the case of a severe or acute form of the disease and is almost always caused by the general oppression of the mother's body.
Pregnancy after tuberculosis
Most fAQthat worry young patients: is pregnancy possible after tuberculosis, and how long it takes to become pregnant. Pulmonary tuberculosis does not affect the reproductive functions of patients in any way, and therefore you can become pregnant after it as much as you like, based on physical or material capabilities.
But how long you can get pregnant after tuberculosis depends again on the mother's condition and the results of her tests. Pregnancy after pulmonary tuberculosis must be carefully planned, undergo all possible types of examinations for possible residual infection and possible relapse. The same applies to those women who have sick family members, so that tuberculosis and pregnancy do not appear at the same time.
Since this disease greatly depletes the strength of the body and is able to affect hormonal background, and also due to the fact that the office multiplies extremely slowly, it is advisable to plan a pregnancy after pulmonary tuberculosis no earlier than 2 years later in order to fully restore your body, and at the same time make sure that there is no likelihood of relapse.
The consequences and possible complications of tuberculosis during pregnancy, of course, can scare the expectant mother, however, it is worth repeating that if all the doctor's prescriptions are followed, in the vast majority of cases, absolutely healthy babies are born, and the pregnancy itself goes smoothly. The risks of congenital defects often do not greatly exceed the average, even in healthy women and are justified only in women who lead an asocial lifestyle, therefore, identifying infection is not a reason to interrupt a child's life.
Tuberculosis is an infectious disease spread by airborne droplets. It is a common ailment that entails very unpleasant consequences.
The disease is especially dangerous if it occurs during pregnancy. During this period, the threat hangs not only over the mother, but also over the unborn child.
In most cases, tuberculosis during pregnancy is more difficult than under normal conditions, since you cannot use a number of those medicines that are used in treatment.
Tuberculosis is caused by the bacillus or bacillus of Koch. It is also called “Mycobacterium tuberculosis complex”. The main source of the disease is carriers of open tuberculosis.
These are people who carry the disease. In all countries of the Commonwealth of Independent States, approximately the same statistics of sick and vectors.
On average, it is eighty-two people per hundred thousand people. Other sources of infection are less common. For example, there is evidence that pigeon droppings can infect humans with this disease.
Despite the fact that there is a strong opinion that tuberculosis settles only in the lungs, it can even develop in the bones.
If a woman becomes pregnant, then doctors first of all check this particular disease, as well as diabetes mellitus and human immunodeficiency virus.
Symptoms
Tuberculosis and pregnancy hardly affect each other. The first and second phenomenon proceeds as usual. That is why the symptoms practically do not differ from the "standard" ones.
The only difference is that some are almost imperceptible. There is no significant deterioration in health or loss of strength.
For a long time, the stick can be inside the body and not cause any discomfort. However, there are some factors that give away the disease.
- Pale appearance. Tuberculosis tends to make your appearance painful. You feel good, do not feel any discomfort and are full of energy, but your face is monstrously pale. Insignificant weight loss can also occur. At the same time, tuberculosis in pregnant women may not manifest itself in this form, since many women have edema.
- Temperature. With tuberculosis, an unexplained temperature in the region of thirty-eight degrees. However, there is no reason to increase it. She can hold on for a month or even two without straying. Antipyretics will not work. Natural sweating will also not lower the temperature, as the bacillus will provoke it over and over again. In the most advanced stages of tuberculosis, temperatures of up to forty degrees are observed.
- Cough. This phenomenon can only be observed with pulmonary tuberculosis. From the very beginning of the disease, you can notice a rare dry cough, which practically does not cause any inconvenience. As it develops, it becomes wet and almost constant. Means for expectoration and excretion of phlegm do not help. If among your environment there are people who cough for about a month for no reason, you should immediately contact a phthisiatrician.
- Coughing up blood. A rather inaccurate symptom, since, in addition to tuberculosis, it can be with lung cancer or acute heart failure. In some cases, the blood can be released profusely or even pour out "fountain". This suggests that the patient had a ruptured cavity. In this case, you need to urgently go to the hospital, as it is necessary to provide surgical treatment.
- Pain under the ribs. Pain under the ribs usually indicates extreme chronic form diseases. It is especially dangerous during pregnancy, as it can be confused with fetal movement. Also, pain between the shoulder blades can indicate the presence of a disease, but many attribute this to the natural severity of carrying a child.
In some cases, symptoms may not appear at all or may not be noticeable. In this case, you just need to undergo a preventive course, but before that, diagnose the disease.
Clinical picture
Tuberculosis during and before pregnancy is practically not dangerous to the fetus. All thanks to a dense membrane that does not allow even the smallest bacteria to enter the placenta.
In eighty percent of cases, tuberculosis does not affect the natural course of labor. The child is born healthy and does not have any abnormalities. Even traces of the disease are not noted.
The only thing that can happen is the low weight of the fetus. Since the infection wears out the mother's body, the child does not receive the proper amount of nutrients.
Slow growth is sometimes observed. However, this is completely eliminated with the subsequent feeding of the child.
Premature births are observed in six percent. Late childbirth, on the contrary, is very rare. Even in this case, the infection does not affect the course of the birth process in any way, and it proceeds as usual.
In some cases, pathologies are still observed. Some children have problems with the central nervous system and deviations in the development of the respiratory system. Otherwise, tuberculosis during pregnancy can in no way affect the unborn child.
Diagnosis of tuberculosis
First of all, if you have a planned pregnancy, an x-ray of the lungs of all your loved ones is required. It is imperative that all your relatives and sexual partners do this.
For future mother it is required to do:
- X-ray and bacteriological examination;
- Test for tuberculosis.
In order to completely protect yourself and the fetus, it is better to make an invasive diagnosis.
As practice shows, in patients with tuberculosis, the blood has the same chemical compositionas in healthy women. General analysis practically does not show any deviations.
And those that are, are in the normal area. But the amount of protein in the blood is several times greater. This is due to hyperglobulinemia, which develops against the background of the disease.
However, patients have a significant shortage of T-lymphocytes, which are responsible for the adaptive properties of immunity, neutrophils in the blood have a reduced functionality.
A significant decline in the activity of immunoglobulins A and M, while the circulation of various immune complexes is on the rise.
Living conditions
If such a disease is detected, a comprehensive check of the patient's living conditions is carried out. In many cases, the disease can develop not due to contact with an infected person, but from working and living conditions.
There is a possibility that the disease appeared against the background of silicosis, which is an occupational disease. A search for the carrier of the infection is also carried out among the closest people.
The conditions in which a pregnant woman is found makes it possible to draw up a more detailed treatment plan and eliminate the focus of infection.
Treatment
Treatment for pregnant women is slightly different, as some drugs can adversely affect the fetus.
A number of anti-tuberculosis drugs are used:
- Isoniazid; It is used with great caution, as it can adversely affect the psychomotor functions of the child after birth. It is also used with great care when feeding, since there is a possibility of developing hepatitis and neuritis in an infant;
- Ethambutol. There is no data on the development of any anomalies and pathologies after administration. In this regard, it is rarely used. When feeding, it tends to penetrate into milk, but there is also no data on a negative effect. The same applies to pyrazinamide and prothionamide. The drugs have teratogenic effects. That is, they slow down embryonic development. As evidenced by a number of animal studies. No such anomalies were found in humans.
A number of anti-tuberculosis drugs are strictly prohibited. These include:
- Cycloserine;
- Aminosalicylic acid and several similar drugs.
In some cases, treatment without medication is used. In the event that the patient has a closed form of tuberculosis and the child is not in danger.
Then the woman is sent to a sanatorium, where she takes preventive health resort treatment, various herbal preparations and eats protein-rich foods.
In some cases, they may be sent to a mountain resort for treatment. As you know, mycobacteria do not like a high amount of oxygen and settle in those parts of the lungs where it gets the least (apical parts).
In this case, a place with a high concentration of oxygen and oxygen cocktails are perfect for productive treatment of the disease.
In some cases, surgical treatment is used. These are extreme measures and they are shown to people with:
- Cavern rupture;
- The last stage of bone and articular tuberculosis;
- Kidney disease.
Average drug treatment is six months. The process of getting rid of bacteria and a complete cleansing of the body takes two months.
The remaining four months are sterilization and recovery.
In addition to medications, you also need to monitor your lifestyle. First of all, doctors pay attention to nutrition. It should be rich in vitamins, since hypovitaminosis develops against the background of the disease.
Twenty-four percent develop anemia that needs to be replenished. Patients who have this ailment are given food rich in iron and protein, B12 vitamins.
Pregnancy after an illness
As for pregnancy after pulmonary tuberculosis, this is relatively acceptable. However, it is worth remembering that tuberculosis of the lungs, bones, kidneys, etc., is very exhausting for the body.
Treatment after it is quite long, not to mention the recovery process. First of all, if you were deregistered as not subject to relapse, you should consult a phthisiatrician.
He should take tests and check your condition at the moment. If a relapse is not planned and the doctor admits the possibility of fertilization, then you can not worry.
During pregnancy, you should still see a doctor regularly to exclude the possibility of further complications.
In this case, there is a 100% chance of absence of pathologies in the child and you. Pregnancy after tuberculosis, if there are no complications, is completely safe and does not differ from the standard.
Feeding
If you have this disease, then the child will not be given to you immediately after childbirth. On average, children are returned after six weeks, depending on the situation.
A few days after birth, the child will be vaccinated with Bacillus Calmette-Guerin (BCG), which is aimed at countering the tubercle bacillus.
If the postpartum woman has a closed, inactive form of the disease, then breastfeeding is allowed. During this period, no antibacterial treatment is carried out so that the drug does not enter milk.
In some cases, women with an active form are allowed to feed on a natural diet, if the phthisiatrician allows it.
Natural feeding is strictly prohibited if the postpartum woman secretes mycobacteria (Koch's sticks) in environment... In this case, the patient is isolated and antibacterial treatment is carried out.
In this case, breastfeeding is almost impossible, since in breast milk preparations will be present.
Prevention
In order to avoid any complications during pregnancy, it is better to carry out prevention.
To do this, you need every year, and preferably six months, to undergo an x-ray at the clinic. This is the surest way to quickly identify the disease.
If the pregnancy turned out to be accidental and not planned, then at early dates it is also worth undergoing fluorography.
The same should be done by all members of your family and, preferably, those with whom you are in constant contact.
If you are completely healthy, then try to minimize the time spent in public transport, since it is he who is the main congestion of infected patients. Also, try not to interact with people who have symptoms.
Tuberculosis in the countries of the Commonwealth of Independent States is ill with one fifth. Not all have an open, active form, but this does not take away the fact that you can get infected anywhere.
Judging by your diet, immunity and your body, you absolutely do not care. You are very susceptible to diseases of the lungs and other organs! It's time to love yourself and start improving. You urgently need to adjust your diet, to minimize fatty, flour, sweet and alcohol. Eat more vegetables and fruits, dairy products. To nourish the body by taking vitamins, drink more water (precisely purified, mineral). Strengthen your body and reduce the amount of stress in your life.
You are moderately prone to lung disease.
So far in good, but if you do not start taking care of her more carefully, then diseases of the lungs and other organs will not keep you waiting (if there were no prerequisites yet). And frequent colds, bowel problems and other "delights" of life and accompany weak immunity. You should think about your diet, minimize fatty, flour, sweet and alcohol. Eat more vegetables and fruits, dairy products. To nourish the body by taking vitamins, do not forget that you need to drink a lot of water (precisely purified, mineral). Strengthen your body, reduce stress in life, think more positively and your immune system will be strong for many years to come.
Congratulations! Keep it up!
You take care of your nutrition, health and the immune system... Keep up the good work and problems with your lungs and health in general will not bother you for many years to come. Remember, this is mainly due to the fact that you are eating and leading properly. healthy image life. Eat healthy and healthy foods (fruits, vegetables, fermented milk products), do not forget to consume a large amount of purified water, temper your body, think positively. Just love yourself and your body, take care of it and it will definitely reciprocate with you.
Tuberculosis is an infectious disease of bacterial origin. The causative agent is the so-called Koch's bacillus. Like any infection, it is especially dangerous for pregnant women, as it can affect the development of the fetus. At the same time, the likelihood of intrauterine infection is very small, since the placenta acts as a protective barrier, but taking potent anti-tuberculosis drugs can greatly complicate pregnancy. At risk are women with weak immunity, with a dysfunctional social status and with ongoing infections that can contribute to the development of tuberculosis.
It is almost impossible to diagnose tuberculosis during pregnancy, since pregnant women do not undergo fluorography or X-ray examination due to the teratogenic effect of X-rays on the fetus. But if the diagnosis is still carried out according to health indications, then in 78% of cases, unilateral tuberculosis is recorded in expectant mothers, that is, Koch's bacillus affects only one lung. At the same time, the symptoms of infection can easily be confused with the usual toxicosis: weight loss, fatigue, loss of appetite, cough.
In more than half of cases, a sick woman sheds germs herself and is able to infect people around her. When planning motherhood, it is especially important to take into account the risk of this disease, since the health of the child depends on the health of the mother. Now tuberculosis is well treated, so it is important to diagnose the infection on time. It is necessary to contact a specialist to identify the disease at an early stage and stop it.
Complications of pregnancy
Tuberculosis practically does not affect the process of childbirth. Complications are extremely rare. In chronic tuberculosis, consequences such as fetal hypoxia, toxicosis, placental insufficiency, developmental delay and pathology of amniotic fluid are possible. It is important to be under the supervision of the attending physician in order to take appropriate measures in time.
Consequences for the fetus
In very rare cases, tuberculosis affects fetal development. With a probability of 80%, there will be no deviations. Even hypoxia, anemia and pathology of amniotic fluid often develop against the background of other infectious diseases of the mother: HIV or syphilis. As a consequence, the child may develop underweight and growth retardation. But this is easily fixable in a maternity hospital or perinatal center. After giving birth, the baby will be blood drawn and the question of the appropriateness of treatment or preventive measures will be resolved.
Congenital tuberculosis
The likelihood of infection of the fetus is higher if the woman becomes ill shortly before pregnancy, rather than being pregnant. Infection occurs through the mother's blood. However, this disease is extremely rare in newborns. The manifestations of the disease are observed in the form of lethargy of the child, lack of appetite, fever. In this case, he is taken under supervision and treatment with anti-tuberculosis drugs is prescribed. Several specialists are connected to the therapy at once: a phthisiologist, an otolaryngologist, a gastroenterologist, and a neurologist. With respiratory failure, oxygen therapy is also prescribed. The treatment is carried out in several stages.
Diagnostics
During pregnancy, an X-ray examination is contraindicated, therefore the doctor asks to bring the results of the last examination, as well as, without fail, X-rays of the future father and relatives living with the pregnant woman in the same territory. The images determine the degree of danger of tuberculosis, the presence of foci of infection, decide on the management of pregnancy. If there is a wet cough, sputum is checked for the pathogen. Also, blood is taken for analysis.
Phthisiology in most cases advocates the preservation of pregnancy and the specialist prescribes a special gentle course for the patient. At the same time, obstetricians and pediatricians are opposed to maintaining pregnancy in severe forms of tuberculosis, fearing damage to the skeleton and brain.
Treatment methods
The treatment uses drugs aimed exclusively at Mycobacterium tuberculosis (the causative agent of tuberculosis is Koch's bacillus). Virtually none of the drugs harm the fetus. Exceptions are streptomycin, kanamycin, ethambutol, since they affect the development of the baby in the womb and there is a risk of complications and side effects. Therefore, therapy should be constantly regulated by phthisiologists. Treatment takes quite a long time and takes place in two stages in the second or third trimester.
However, termination of pregnancy is completely optional. It is prescribed only in three cases: with fibrous-cavernous pulmonary tuberculosis, active form bone and articular tuberculosis and with bilateral kidney damage, since the mother's body simply cannot cope with the load. In other cases, the issue is decided on an individual basis, and doctors try to keep the pregnancy.
After the baby is born, therapy becomes more intensive. Large doses of drugs and drugs are prescribed, which were previously abandoned due to the risk of developing congenital pathologies. The order to change the course of treatment is given only by the attending physician in a special sanatorium, where the young mother should be sent.
Childbirth and the postpartum period
If precautions are taken during childbirth, the risk of harm to the mother and baby is minimal. It is better to give birth in a special perinatal center under the supervision of specialists. Of course, an infected woman will endure childbirth a little harder than a healthy one. Decision to use forceps, other instruments, and surgery caesarean section takes a doctor, assessing the situation directly during childbirth. The hospital staff should be warned about the admission of a patient with tuberculosis. Starting from the admission department, a woman is treated according to a special program that excludes infection of doctors and patients.
After giving birth, the child is taken for examination and, if he is healthy, returned to the mother. Otherwise, it is separately placed for treatment, and therapy is prescribed and carried out. All examinations are carried out in a perinatal or special center for tuberculosis patients, where the mother was to be referred.
Prevention
The main means of prevention is vaccination and revaccination. The development of immunity is the most reliable protector against a spreading infection. The main source of the disease is people who are already infected and excreting microbes. Screening for infection is also very effective method disease prevention. The state has developed a special program for the management and treatment of pregnant women infected with Koch's bacillus. However, only responsible attitude to yourself, your health, the health of your family and friends can become the best prevention of tuberculosis in pregnant women.
Pregnancy after tuberculosis
After a woman has suffered this serious illness, she needs to be under the supervision of a doctor. When tuberculosis is completely cured, you need to wait two years and only then plan a pregnancy. This is exactly how much the body needs to finally recover and again find the ability to bear and give birth to a healthy baby. At the same time, there is a possibility of a relapse of the disease. For this reason, a woman should protect herself, undergo examinations and take tests.
