Syphilis and pregnancy

a two-period (2006 and 2011) comparative study of a puerperal women population

Abstract

Introduction: in 2005, syphilis in pregnant women was included in the list of diseases of compulsory notification, in an attempt to control the vertical transmission Objective: to compare two periods in a population of mothers for verification of congenital syphilis as a factor of prenatal care. Methods: this is a retrospective and prospective comparative cross-sectional observational study of CS cases occurred in two distinct periods, with a total of 1,024 mothers, 512 each period (2006 and 2011), in four hospitals in the city of Campo Grande, State of Mato Grosso do Sul. The diagnosis was based on the criteria proposed by the Ministry of Health. An interview with bed was carried out and test verified during prenatal period or time of hospitalization. Results: the prevalence of congenital syphilis in the first period (2006) was of 2.3%, and in the second (2011), 0.58%. A significant association was observed between the two periods, and also an increased frequency of infectious and sexually transmitted diseases from 3.5% (2006) to 10.1% (2011). No significant association was observed between the periods studied with the variables related to maternal-fetal syphilis infection, partner treatment, and treatment of other children. Conclusion: the unawareness about the importance of syphilis prevention, in addition to the necessary attention when a pregnant’s card is completed, and the increased identification of other infectious diseases during prenatal care in 2011 compared to 2006 was observed. There was no appropriate treatment of patients and partners, nor tracing of children in neither period.