{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T15:10:15Z","timestamp":1776265815205,"version":"3.50.1"},"reference-count":25,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJTLD Open"],"accepted":{"date-parts":[[2025,10,23]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Globally, TB disproportionately impacts people of childbearing age. However, the impact of pregnancy among people with TB in California is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Women aged 15\u201349 years with TB in California during 1993\u20132019 were matched to California birth records to identify those whose pregnancies or postpartum periods overlapped with TB treatment. Demographic and clinical variables were compared by pregnancy status, which included \u2018peri-pregnant\u2019 (all pregnant categories), \u2018pre-pregnant\u2019 (treatment started before and continued during pregnancy), \u2018pregnant\u2019 (treatment started during pregnancy), and \u2018postpartum\u2019 (treatment started within 3 months of a live birth).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Pregnancy and TB co-occurred among 7% of 15,092 individuals. Peri-pregnant people were more likely to be under 30 years old (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), have recently immigrated (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), and have pulmonary TB (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) than nonpregnant people. Pregnant and postpartum people were 2.3 times more likely to have a TB diagnosis lacking microbiological confirmation than pre-pregnant people (95% confidence interval [1.7\u20133.2]). Pyrazinamide was used for &gt;90% of pre-pregnant and postpartum groups, but 41% (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) for people started on TB treatment while pregnant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Pregnancy occurs commonly among people of childbearing age with TB in California. Current TB screening practices among pregnant patients might prevent or detect early TB disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5588\/ijtldopen.25.0381","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T14:13:21Z","timestamp":1776262401000},"page":"262-268","source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy among people with TB disease"],"prefix":"10.5588","volume":"3","author":[{"given":"K.","family":"Wendorf","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Dollinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Barry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Readhead","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3554","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"2026041507131676000_3.4.262.1","unstructured":"World Health Organization . 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Microbiol Spectr. 2016;4(6):TNMI7-0016-2016.","DOI":"10.1128\/microbiolspec.TNMI7-0016-2016"},{"key":"2026041507131676000_3.4.262.8","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201106-1083OC"},{"key":"2026041507131676000_3.4.262.9","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1096-4"},{"key":"2026041507131676000_3.4.262.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.07.025"},{"key":"2026041507131676000_3.4.262.11","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.55.2.129"},{"issue":"1","key":"2026041507131676000_3.4.262.12","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1186\/s12879-020-05416-6","article-title":"Tuberculosis clinical presentation and treatment outcomes in pregnancy: a prospective cohort study","volume":"20","author":"Van de Water","year":"2020","journal-title":"BMC Infect Dis"},{"key":"2026041507131676000_3.4.262.13","unstructured":"Centers for Disease Control and Prevention . TB and pregnancy fact sheet. 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Atlanta, Georgia: CDC, 2025. https:\/\/wonder.cdc.gov\/natality.html."},{"issue":"12","key":"2026041507131676000_3.4.262.15","doi-asserted-by":"crossref","first-page":"2100949","DOI":"10.2807\/1560-7917.ES.2022.27.12.2100949","article-title":"Pregnancy and postpartum tuberculosis; a nationwide register-based case-control study, Denmark, 1990 to 2018","volume":"27","author":"Nordholm","year":"2022","journal-title":"Euro Surveill"},{"key":"2026041507131676000_3.4.262.16","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(02)00393-4"},{"key":"2026041507131676000_3.4.262.17","doi-asserted-by":"crossref","first-page":"100377","DOI":"10.1016\/j.jctube.2023.100377","article-title":"Epidemiology and factors associated with extra-pulmonary TB in a low-prevalence area","volume":"32","author":"Rolo","year":"2023","journal-title":"J Clin Tuberc Other Mycobact Dis"},{"issue":"4","key":"2026041507131676000_3.4.262.18","doi-asserted-by":"crossref","first-page":"432","DOI":"10.5588\/ijtld.12.0743","article-title":"The benefits to communities and individuals of screening for active tuberculosis disease: a systematic review","volume":"17","author":"Kranzer","year":"2013","journal-title":"IJTLD"},{"key":"2026041507131676000_3.4.262.19","doi-asserted-by":"crossref","unstructured":"Chiang SS , The impact of pregnancy on tuberculosis treatment outcomes: an analysis of Brazilian national surveillance data 2016\u20132022. 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