Can Women Who Are On TB Treatment Be Pregnant?
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Someone who underwent treatment for tuberculosis in general there are no contraindications for pregnancy. However, what needs to be considered is the type of anti-tuberculosis drugs (OAT) that you consume. Category 1 OAT used in the treatment of tuberculosis is generally safe to use for pregnant women. Which belongs to the type of OAT category 1, namely: Isoniazid (INH), ethambutol, rifampicin, and pyrazinamide. Or if you use FDC / KDT (fixed-dose combination) the ingredients are 4 types of drug. The four types of drugs are generally safe to use for pregnant women.
But there are some drugs that need to be considered for use, for example pyrazinamide in pregnant women is not recommended to be given because the effects on the fetus are unknown. In addition, isoniazid can also increase the risk of inflammation in the liver or hepatitis in pregnancy. But the incidence is very low. Although this incident is very low, supervision of the use of OAT in pregnant women needs to be carried out by doctors strictly.
In addition there are several drugs such as streptomycin, kanamycin, amikacin, florokuinolon categorized as unsafe for pregnant women, because of their nature which can interfere with fetal development and growth especially in trimester 1 can cause fetal defects.
OAT to be given to pregnant women is usually ruifampicin, isoniazid and etambutol for 2 months then continued with isoniazid and rifampicin for 7 months. However, administration of drugs or regimens can be different for each person depending on the condition of the infection.
Drugs that will be given by a doctor are drugs that have greater benefits for your health than the risk to the fetus. Therefore you should consult with your lung specialist if you want to do a pregnant program or want to have a baby immediately. So that doctors can provide appropriate and safe treatment for you and your baby. In addition you also need regular control according to the doctor's order to monitor the side effects of the treatment.
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