Maternal and perinatal outcomes of pregnancies associated with tuberculosis in eastern Sudan

Ali, AbdelAziem A.; Abdallah, Tajeldin M.; Rayis, Duria A.

doi:10.1016/j.ijgo.2011.02.023

Cited by 9 publications

(7 citation statements)

References 4 publications

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“… 41 One case series and four cohort studies had similar findings: there were higher numbers of preterm births among women with TB versus those who did not. 21 30 36 40 42 A large retrospective cohort study (n=24 149 664) found that pregnant women with TB were more likely to experience preterm labour (13.0% vs 6.8%, p=0.004), 37 and this trend of higher preterm labour rates persisted with other smaller case series and cohort studies. 21 30 40 42 …”

Section: Resultsmentioning

confidence: 93%

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Examining family planning and adverse pregnancy outcomes for women with active tuberculosis disease: a systematic review

et al. 2022

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Objectives(1) Summarise and evaluate the current evidence of tuberculosis (TB)-associated pregnancy outcomes, (2) evaluate the state of the science of family planning during TB treatment and (3) provide recommendations to move forward to improve care and outcomes during TB disease.DesignSystematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.Data sourcesPubMed, Embase, CINAHL, Cochrane, Web of Science and Scopus were searched from September 2009 to November 2021.Eligibility criteriaStudies were included if they assessed pregnant women with active TB, drug-resistant TB (DR-TB) or TB/HIV coinfection and examined pregnancy, maternal, fetal/birth and TB or TB/HIV coinfection outcomes. Studies were also included if they examined family planning services among women initiating TB treatment.Data extraction and synthesisTwo independent reviewers extracted data using PRISMA guidelines and conducted quality assessment using the Joanna-Briggs Institute Critical Appraisal Tools. The level of evidence was reported using the Johns Hopkins Evidence-Based Practice guidelines.Results69 studies were included in this review. Case reports, case series, case controls, cohort studies, secondary data analyses and a service delivery improvement project conducted in 26 countries made up the totality of the evidence. Most studies reported pregnancy complications for mothers (anaemia, postpartum haemorrhage, deaths) and fetuses or newborns (low birth weight, premature birth, and spontaneous or induced abortions). Few studies discussed the value of offering family planning to prevent adverse pregnancy outcomes. One study examined the effect of a provider training on contraceptive use with reported increased contraceptive use.ConclusionsIntegrating family planning services within a TB treatment programme is essential to reduce adverse TB-associated maternal-child outcomes. Despite well-established adverse pregnancy outcomes, little attention has been paid to family planning to prevent poor pregnancy outcomes for women with TB/DR-TB. Recommendations for clinicians, TB programmes and researchers are provided and reflect evidence presented in this review.

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Section: Resultsmentioning

confidence: 93%

“… 21 30 36 40 42 A large retrospective cohort study (n=24 149 664) found that pregnant women with TB were more likely to experience preterm labour (13.0% vs 6.8%, p=0.004), 37 and this trend of higher preterm labour rates persisted with other smaller case series and cohort studies. 21 30 40 42 …”

Section: Resultsmentioning

confidence: 93%

Examining family planning and adverse pregnancy outcomes for women with active tuberculosis disease: a systematic review

et al. 2022

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“…Sudan is characterized by a high TB prevalence rate, with 275 cases per 100 000 pregnant women; however, few data exist concerning FGTB [8–10]. The aim of the present study was to describe the epidemiology and different clinical presentations of FGTB among women requesting gynecologic care in Kassala, eastern Sudan.…”

Section: Introductionmentioning

confidence: 96%

Clinical presentation and epidemiology of female genital tuberculosis in eastern Sudan

Ali

Abdallah

2012

Intl J Gynecology & Obste

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“…El Hospital Universitario "Dr. José E. González" es un Nosocomio de Tercer nivel de Atención y de referencia para todo el Noreste de la República Mexicana, encontrando en él una p rev alen cia de p acien tes g estan tes con tuberculosis del 0.26%, siendo mayor a lo publicado por otros autores. (8,9) Lo cual resulta preocupante al notar la falta de conciencia que e x iste en n u e stra p o b la ció n a ce rca de patologías tan graves y con tanto impacto como es la tuberculosis, y que esta situación sea muy común en nuestros tiempos, siendo que esta enfermedad es prevenible y curable con un manejo adecuado. En el 74% (n=19) de las pacientes con tuberculosis se observó una falta de apego al tratamiento.…”

Section: Discussionunclassified

Compromiso perinatal en gestantes con tuberculosis, Hospital Universitario "Dr. José Eleuterio González", en Monterrey, Nuevo León, México 2004-2012

Macedo

Acosta

Rodríguez

et al. 2013

RFS

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El objetivo de este estudio es investigar los resultados perinatales adversos en gestantes con tuberculosis y compararlos con gestantes sin tuberculosis. Material y métodos: Se realizó un estudio retrospectivo, observacional,comparativo, de prevalencia, en el Hospital Universitario “Dr. José Eleuterio González”, en Monterrey, Nuevo León, México, en el cual se revisaron los expedientes clínicos de pacientes gestantes con tuberculosis en un periodo de tiempo de 8 años de Diciembre 2004 a Octubre del 2012; Los resultados tanto maternos y perinatales obtenidos fueron comparados con mujeres gestantes sin tuberculosis que tenían la misma paridad y edad. Resultados: La prevalencia de gestantes con tuberculosis fue del 0.26%. Observamos una correlación estadísticamente significativa entre la presencia de tuberculosis y parto pretérmino(Rho= -0.395, p=0.034), disminución en el peso de los productos (Rho= -0.301, p=0.007) y una tendencia a presentar una disminución del APGAR al minuto, con pobre recuperación a los 5 minutos (Rho= -0.233, p=0.04); lo anterior con el método de Spearman (IC95%). La mortalidad materna en el grupo de pacientes con tuberculosis fue del 11.5% (Fisher=0.032). Conclusiones: La tuberculosis durante el embarazo se asocia con resultados perinatales adversos, en nuestro estudio se asoció con parto pretérmino, retraso en el crecimiento intrauterino, APGAR bajo e incremento en la mortalidad materna.

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Maternal and perinatal outcomes of pregnancies associated with tuberculosis in eastern Sudan

Cited by 9 publications

References 4 publications

Examining family planning and adverse pregnancy outcomes for women with active tuberculosis disease: a systematic review

Examining family planning and adverse pregnancy outcomes for women with active tuberculosis disease: a systematic review

Clinical presentation and epidemiology of female genital tuberculosis in eastern Sudan

Compromiso perinatal en gestantes con tuberculosis, Hospital Universitario "Dr. José Eleuterio González", en Monterrey, Nuevo León, México 2004-2012

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