Background: The incidence of Tuberculosis during Pregnancy has increased markedly in the present-day consultations of a Pulmonologist. The clinical features of Miliary tuberculosis in pregnant patients were analyzed in this study. Aim of the study: To observe, analyze the clinical presentation and laboratory diagnosis of Miliary tuberculosis in pregnancy as per guidelines of WHO to recommend better practices of treatment in the Hospital. Methods: A Prospective study to analyze the clinical presentations and laboratory diagnosis of Miliary tuberculosis occurring in various semesters of pregnancy was conducted. Demography, epidemiology, investigative procedures adopted, treatment executed, and prognosis were studied. Results: There were 37 pregnant women with Miliary tuberculosis registered for the study. 23 (62.16%) were primi-Para, 14 (37.83%) women were multi-Para. The mean age of gestation was 28.54±2.65 weeks. The mean duration of clinical presentation was 39.50±4.32 days. Symptoms were cough, loss of appetite, fever, pain in the abdomen and pain in the chest. Acute respiratory failure was observed in 08 (21.62%) women and ARDS was observed in 06 (16.21%) women. X-Ray chest showing diffuse, small, multiple nodules in all patients. 08 patients treated with ventilator support; 02 patients underwent extracorporeal membrane oxygenation. Conclusions: Tuberculosis of Miliary type could occur in pregnant patients; Symptoms appeared in all the trimesters of pregnancy. The common clinical symptoms were fever, breathlessness and cough. Sputum for AFB, TBNAT test, sputum for culture of TB bacilli, Monteux test, arterial blood gas analysis, pulmonary function tests, complete blood picture were significant statistically to help the diagnosis.

Background: The incidence of Tuberculosis during Pregnancy has increased markedly in the present-day consultations of a Pulmonologist. The clinical features of Miliary tuberculosis in pregnant patients were analyzed in this study. Aim of the study: To observe, analyze the clinical presentation and laboratory diagnosis of Miliary tuberculosis in pregnancy as per guidelines of WHO to recommend better practices of treatment in the Hospital. Methods: A Prospective study to analyze the clinical presentations and laboratory diagnosis of Miliary tuberculosis occurring in various semesters of pregnancy was conducted. Demography, epidemiology, investigative procedures adopted, treatment executed, and prognosis were studied. Results: There were 37 pregnant women with Miliary tuberculosis registered for the study. 23 (62.16%) were primi-Para, 14 (37.83%) women were multi-Para. The mean age of gestation was 28.54±2.65 weeks. The mean duration of clinical presentation was 39.50±4.32 days. Symptoms were cough, loss of appetite, fever, pain in the abdomen and pain in the chest. Acute respiratory failure was observed in 08 (21.62%) women and ARDS was observed in 06 (16.21%) women. X-Ray chest showing diffuse, small, multiple nodules in all patients. 08 patients treated with ventilator support; 02 patients underwent extracorporeal membrane oxygenation. Conclusions: Tuberculosis of Miliary type could occur in pregnant patients; Symptoms appeared in all the trimesters of pregnancy. The common clinical symptoms were fever, breathlessness and cough. Sputum for AFB, TBNAT test, sputum for culture of TB bacilli, Monteux test, arterial blood gas analysis, pulmonary function tests, complete blood picture were significant statistically to help the diagnosis.