The incidence of tuberculosis complicating pregnancy at the New York Lying-In Hospital has remained between 1.5 and 2.0% of all antepartum admissions and is similar to previous studies covering 1933-1951. Modified bed rest is advised during pregnancy and complete bed rest is no longer used as the sole treatment for pregnant patients with tuberculosis. Definitive therapy for tuberculosis has been given; antimicrobial drugs were used in 37% of pregnant patients and major thoracic surgery in 11%, compared to 1 % and 2%, respectively, in our previous series. The management of delivery in the patient with tuberculosis should be individualized. The labor and delivery should be made as easy as possible and heavy sedation and unnecessary operative interference should be avoided. Preference is for regional anesthesia for delivery in the tuberculous patient.
Schaefer G, Birnbaum SJ, Douglas RG. PRESENT-DAY TREATMENT OF TUBERCULOSIS AND PREGNANCY. JAMA. 1957;165(17):2163–2167. doi:10.1001/jama.1957.02980350021005