Maternal Health and Tuberculosis Management

Summary

Tuberculosis remains a significant challenge in maternal health, particularly in regions with high disease burden and overlapping HIV prevalence. Pregnant women face an elevated risk of progressing from latent infection to active disease owing to immune modulation during gestation and the postpartum period. Untreated or poorly managed tuberculosis in pregnancy contributes to adverse outcomes including preterm birth, low birth weight, perinatal mortality and increased maternal morbidity. Effective management requires timely screening for both latent and active infection, careful selection of antituberculosis regimens compatible with pregnancy and breastfeeding, and coordination with antenatal services to mitigate risks to mother and child. Integration of tuberculosis interventions within routine prenatal and postnatal care underpins efforts to reduce transmission, improve obstetric outcomes and safeguard infant development.

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Maternal Health and Tuberculosis Management publication trend

The graph below shows the total number of articles in maternal health and tuberculosis management across all publications each year (not limited to Nature Index journals).

Technical terms

Isoniazid Preventive Therapy (IPT): Administration of isoniazid to individuals with latent tuberculosis infection to prevent progression to active disease.

Latent Tuberculosis Infection (LTBI): A state in which Mycobacterium tuberculosis persists in host tissues without causing clinical symptoms or transmissible disease.

Interferon Gamma Release Assay (IGRA): A blood-based immunological test that measures interferon-γ release in response to M. tuberculosis-specific antigens to detect LTBI.

Low Birth Weight (LBW): A birth weight below 2,500 grams, associated with increased risk of neonatal morbidity and mortality.

Humoral Immunity: The component of adaptive immunity mediated by antibodies produced by B lymphocytes, essential for protection against extracellular pathogens including mycobacteria.

References

  1. Effect of pregnancy versus postpartum maternal isoniazid preventive therapy on infant growth in HIV-exposed uninfected infants: a post-hoc analysis of the TB APPRISE trial. EClinicalMedicine (2023).
  2. Impact of in-utero exposure to HIV and latent TB on infant humoral responses. Frontiers in Immunology (2024).
  3. Infant Exposure to Antituberculosis Drugs via Breast Milk and Assessment of Potential Adverse Effects in Breastfed Infants: Critical Review of Data. Pharmaceutics (2023).
  4. Tuberculosis in Pregnancy: A Review. Journal of Pregnancy (2011).
  5. Tuberculosis care for pregnant women: a systematic review. BMC Infectious Diseases (2014).
  6. Increased risk of active tuberculosis during pregnancy and postpartum: a register-based cohort study in Sweden. European Respiratory Journal (2019).

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