25-Year-Old Woman Successfully Battles TB During Pregnancy, Gives Birth To 2.2kg Healthy Baby At Zynova Shalby Hospitals

· The patient was having complaints of breathlessness, chronic cough, and fatigue and was detected with tuberculosis (TB)

· TB during pregnancy leads to adverse outcomes causing maternal morbidity, anaemia, preterm labour, postpartum haemorrhage (PPH), low birth weight, and perinatal death

· India contributes to nearly 21% of the global burden of TB among pregnant women and the estimated prevalence of TB stands at 2.3 per 1000 pregnant women, which translates to about 44,500 patients annually.

· The patient was also known to have pregnancy complications oligohydramnios (too little amniotic fluid for your baby’s gestational age), intrauterine growth restriction or IUGR (poor growth of a baby while in the mother’s womb during pregnancy, preterm labour, and postpartum haemorrhage (PPH) that is excessive bleeding after childbirth

Mumbai: Dr Swetha Lalgudi, a Consultant Obstetrician and Gynaecologist, Zynova Shalby Multi-Speciality Hospitals, led a team that helped a 25-year-old woman battle tuberculosis (TB) and its complications during pregnancy. Thanks to prompt diagnosis and appropriate treatment for active pulmonary TB, the woman successfully delivered a healthy baby girl weighing 2.2 kg. This case showcases the hospital’s dedication to providing exceptional patient care, advanced facilities, and expertise to handle any emergencies effectively.

Patient Mrs Saloni Murudkar was joyous due to her first pregnancy with 8 months of gestation However, Murudkar’s happiness was short-lived when she started experiencing breathlessness, chronic cough, and fatigue at 34 weeks of gestation. The patient visited Zynova Shalby Multi-Speciality Hospitals wherein the patient’s life was saved and she delivered a healthy baby on 19th May 2024.

Dr Swetha Lalgudi, a Consultant Obstetrician and Gynaecologist, Zynova Shalby Multi-Speciality Hospitals said, “On arrival at casualty at night, she had breathlessness and continuous cough. Her chest x-ray was suggestive of active pulmonary TB. It is a contagious bacterial infection involving the lungs and can spread to other body parts. India contributes to nearly 21% of the global burden of TB among pregnant women and the estimated prevalence of TB stands at 2.3 per 1000 pregnant women, which translates to about 44,500 patients annually. TB during pregnancy leads to adverse outcomes causing maternal morbidity, anemaia, preterm labor, postpartum hemorrhage (PPH), low birth weight, and perinatal death. Anti-TB medication was immediately started after chest X-ray report. Her ultrasound was done revealed SLIUP- single live intrauterine pregnancy with 34 weeks gestation oligohydramnios (too little amniotic fluid for your baby’s gestational age) and intrauterine growth restriction (IUGR) means poor growth of a baby while in the mother’s womb during pregnancy. She went into preterm labor and was shifted to the maternity ward.”

Dr Lalgudi added, “After 18 hours of labour, she was posted for emergency lower (uterine) segment caesarean section (LSCS) due to non-progress of labour. The patient delivered a healthy baby girl weighing 2.2 kg who didn’t require neonatal intensive care unit (NICU) care. Post-operatively, a High-resolution computed tomography (HRCT) test was done and a diagnosis of active TB was confirmed. She also developed postpartum haemorrhage (PPH) which is excessive bleeding after childbirth for which medical management was done and 2 pints of PCV were issued. Please explain this. The mother and baby were discharged in stable condition. All symptoms were controlled in the mother. Not treating the mother at the right time could have led to further distress and issues such as death of mother or fetus. The baby is achieving developmental milestones as per her age. Precautions advised were to wear mask always specially while breast feeding, to take timely medicines and have a balanced diet for a speedy recovery. Prompt diagnosis is essential to initiate appropriate treatment for active pulmonary TB and prevent its complications.”

“Upon discovering I had TB during pregnancy, fear gripped us as the condition could have harmed our baby. Despite facing multiple pregnancy complications, the dedicated team of experts managed to safely deliver a healthy baby girl. Our gratitude knows no bounds towards Zynova Shalby Hospitals for saving both mine and my child’s life,” concluded Patient Mrs Saloni Murudkar.