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폐결핵과 임신

Tuberculosis and Pregnancy

경희의대논문집 1976년 1권 1호 p.69 ~ 74
이찬세,
소속 상세정보
이찬세 (  ) - 경희대학교 의과대학 내과학교실

Abstract


The anthor reviewed the literatures on this subjects and made some of his opinions on the practical -policies concerning some related problems.
1) Since the prevalence of pulmonary tuberculosis in Korea is still very hight, 3.3% in 1975 National survey, it is thought to be necersary to have 3 routine chest X-ray examinations for the general pre and postnatal health care; between the period of 3 to 4 months of pregnancy and in 1 month and at 6 months after the delivery respectably.
2) The indication of interuption of pregnancy would be not necessary. in general but it could be practicable to make some exceptional rules for such cases as who can not coutinue chemotherapy because of severe morning sickness or other toxic symptomes of the pregnancy and who could anticipate the economical, physical and psycholisical heavy burdens in caring her baby.
3) The chemothery must be regulary continued during the pregnancy and after. the labor as usual. There is no proved evidence of any particullar side effects of chemotherapy of tuberculosis on foetus. However 1321 and cycloserine is usually contraindicated during the pregnancy for it´s side effects.
4) As a rule the sputum positive mother must be separated from her, child, however the economic situation and the poor medical facility of this nation, this is impracticable in most cases. The effective individual health education for the protection of the baby in daily life and immediate BCG vaccination must be more useful instead.
5) Athough there would be no hazard to have a baby when she has an inactive disease with an adauate chemotherapy, the policy of having three routine chest X-rays 6 monthly for 3 years after the delivery woud be advisable for them in present situation of Korea.

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