Bush J J
J Obstet Gynecol Neonatal Nurs. 1986 May-Jun;15(3):225-30. doi: 10.1111/j.1552-6909.1986.tb01389.x.
Screening for tuberculosis in pregnancy should be considered in clinics where the incidence of the disease is high. With early diagnosis and adequate chemotherapy, available literature suggests that the disease should not adversely affect the outcome of pregnancy. Current research is needed in this area. Much of the literature is dated. Because the disease is still prevalent in many large cities, studies could be initiated to examine the complications of tuberculosis in pregnancy, treatment regimens, and drug resistance, as well as the fetal and neonatal effects of the disease. Nurses involved in providing prenatal care are in a unique position to screen for tuberculosis. Pregnancy may be the first condition for which many young women seek medical attention. Also, prenatal nurses have access to many segments of the population at particular risk for tuberculosis infection: the indigent, people living in crowded urban areas, foreign-born people, and non-white races. In these segments, preventive health care and medical screening may be inaccessible or nonexistent. Therefore, prenatal care provides an excellent opportunity for screening for tuberculosis infection.
在结核病发病率高的诊所，应考虑对孕妇进行结核病筛查。现有文献表明，通过早期诊断和充分化疗，该病不应对妊娠结局产生不利影响。目前该领域需要开展研究。许多文献年代久远。由于该病在许多大城市仍然流行，可启动研究来检查妊娠合并结核病的并发症、治疗方案和耐药情况，以及该病对胎儿和新生儿的影响。参与提供产前护理的护士处于筛查结核病的独特位置。怀孕可能是许多年轻女性首次寻求医疗护理的情况。此外，产前护理护士能够接触到许多特别容易感染结核病的人群：贫困人口、居住在拥挤城市地区的人、外国出生的人以及非白人种族。在这些人群中，预防性医疗保健和医学筛查可能无法获得或根本不存在。因此，产前护理为筛查结核病感染提供了绝佳机会。
