Communication & Counseling Station | Tuberculosis in Pregnancy – Protecting the Newborn | اردو میں مشاورت
⏱️ Station timer
08:00
🫁 Mother on ATT (1 month)👶 Newborn TB prevention🗣️ Urdu counseling💊 INH prophylaxis + BCG
📌 STATION 14: Mother with Tuberculosis – Protecting Baby from TB Infection
Candidate role: empathetic counselor · اردو میں جواب دیں
🤱 Mother's query (in Urdu / اردو)
❝ ڈاکٹر صاحب، میرے antenatal checkup میں ٹی بی (Tuberculosis) کی تشخیص ہوئی ہے۔ مجھے ایک ماہ سے دوائیں (ATT) چل رہی ہیں۔ میں بہت پریشان ہوں کہ میرا نیا پیدا ہونے والا بچہ بھی ٹی بی کا شکار ہو جائے گا۔ کیا میں بچے کو دودھ پلا سکتی ہوں؟ کیا بچے کو بچانے کا کوئی علاج ہے؟ براہ کرم مجھے بتائیں کہ میں کیا کروں۔ ❞
Translation: "Doctor, I was diagnosed with Tuberculosis during my antenatal checkup. I have been taking ATT for one month. I am very worried that my newborn baby will also get TB. Can I breastfeed my baby? Is there any treatment to protect my baby? Please tell me what to do."
🧑⚕️ EXAMINER (after counseling)The examiner observed your interaction and now asks the following questions:
📝 Self-assessment & examiner scoring — Tick boxes for counseling skills + examiner Q&A. Calculate total score.
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💡 High-yield medical points: Tuberculosis in Pregnancy & Neonatal Prophylaxis
• Transmission risk: Congenital TB is rare (<1%). Postnatal transmission occurs via respiratory droplets from mother with active pulmonary TB.
• Mother on ATT for ≥2 weeks → non-infectious (smear/culture negative). At 1 month of ATT, mother is usually non-infectious.
• Infant management: If mother is non-infectious and adherent to ATT → give BCG at birth, no separation needed, no INH prophylaxis.
• If mother is infectious (smear positive, early treatment): Separate from mother for first 2 weeks of ATT; give infant INH prophylaxis (10 mg/kg/day) for 6 months; BCG delayed until INH completed.
• Breastfeeding: Safe if mother is on ATT. Drugs (isoniazid, rifampin, ethambutol, pyrazinamide) excreted in minimal amounts, not harmful. WHO recommends breastfeeding. No TB transmission via breastmilk.
• Investigate infant: Chest X-ray, TST/IGRA, physical exam at birth and 1-2 months.
• If infant develops TB: Treat with 4-drug regimen (HRZE) followed by 2 drugs (HR).
• BCG: Given to HIV-unexposed infants at birth. Delay if infant is on INH prophylaxis.