Management of syphilis in pregnant women and their newborns: is it still a problem?

Rev. Latino-Am. Enfermagem

Pelloso

2018

Objective:To analyze the prevalence of syphilis in during pregnancy and its association with socioeconomic characteristics, reproductive history, prenatal and labor care, and newborn characteristics. Method:A retrospective, cross-sectional study based on gestational and congenital syphilis reports. A (records) linkage was performed in the Brazilian databases: “Information System for Notifiable Diseases” (Sistema de Informação de Agravos de Notificação - SINAN); “Live Births Information System” (Sistema de Informação sobre Nascidos Vivos - SINASC); and “Mortality Information System” (Sistema de Informação sobre Mortalidade - SIM). Results:The prevalence of gestational syphilis was 0.57%. The following associations of syphilis in pregnancy were found: non-white skin color/ethnicity (PR=4.6, CI=3.62-5.76); low educational level (PR=15.4; CI=12.60-18.86); and absence of prenatal care (PR=7.4, CI=3.68-14.9). The perinatal outcomes associated with gestational syphilis were prematurity (PR=1.6 CI=1.17-2.21) and low birth weight (PR=1.6; CI=1.14-2.28). Two deaths from congenital syphilis, one death from another cause and five stillbirths were reported. Conclusion:The results signify a long way until reaching the World Health Organization’s goal of eradicating congenital syphilis.

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Syphilis in during pregnancy: association of maternal and perinatal characteristics in a region of southern Brazil

Padovani

Rev. Latino-Am. Enfermagem

Pelloso

2018

“…The low adherence of partners contributed to the inadequate treatment for pregnant women, 46,48 exposing them to reinfection and an increased risk of congenital syphilis. 10,49 Adherence to treatment by partners permeates a multifactorial scenario that involves aspects related to socioeconomic, cultural, educational and lack of knowledge about the disease. These factors go beyond their understanding on the diagnosis given to them, as most of the time they are asymptomatic or have a negative test result, in addition to not being able to understand the consequences that can occur to the baby.…”

Section: Authors' Contributionmentioning

confidence: 99%

“…These factors go beyond their understanding on the diagnosis given to them, as most of the time they are asymptomatic or have a negative test result, in addition to not being able to understand the consequences that can occur to the baby. [49][50][51][52] A study by García et al 26 in Peru, identified that the low therapeutic adherence of pregnant women's partners with syphilis was also associated with a low demand from partners to treat and did not want to provide personal information in fear of being "registered" in the system. Other studies 9,53,54 point out the break-up of the relationship between the pregnant women and their partners and the non-attendance or refusal from the partners to perform a serology test as reasons not to be treated.…”

Section: Authors' Contributionmentioning

confidence: 99%

Missed opportunities in treating pregnant women’s sexual partners with syphilis: a systematic review

Fernandes

Souza

Rev. Bras. Saude Mater. Infant.

2021

Objectives: to compile studies in the literature that deal with missed opportunities related in treating pregnant women’s partners with syphilis Methods: this is a systematic review from SciELO, PUBMED, Lilacs and BVS databases, using articles published between 2008 and 2018. The research was carried out between April and August 2019 and followed PRISMA guideline recommendation Results: 56,686 titles were identified and 53 were extracted in which addressed aspects related intreating pregnant women’s partners with syphilis. Most studies were National, representing 60.7% of the researched articles. 51% of them used the Sistemas de Informação de Agravos Notificados (SINAN) (Notified Diseases Information System) as a database, followed by the use of Questionnaires / Interviews (33.9%) and consulted patients’ files (15.1%). The factors most associated with the non-treatment of the pregnant women’s partners with syphilis were: structuring /quality in the services from the aspect related to failures in prenatal care, characteristics of pregnant women that interfere in their treatment and aspects related to the cultural particularities that involvemen's healthcare. Conclusion: in all continents, the main aspect related to failures in the treatment of the partners/pregnant women with syphilis is associated with low quality in prenatal care.

Assistance and educational factors associated to congenital syphilis in a referral maternity: a case-control study

Rigo

Romanelli

Rev. Bras. Saude Mater. Infant.

et al. 2021

Objectives: to investigate the information received by pregnant women considering assistance care and educational factors on syphilis and its association with the diagnostic of congenital syphilis in a referral maternity. Methods: a case-control study conducted in a referral maternity in Minas Gerais, Brazil, from 2017 to 2018. A case group included newborns’ mothers with presumptive congenital syphilis and A control group was considered healthy newborns ’ mothers. Clinical, obstetrics variables and information about maternal educational approach on syphilis during prenatal care were obtained through interviews and medical records. Descriptive and comparative analyses were performed. Chi-square or Fisher's exact test and odds ratio were calculated followed by multivariate logistic regression. Results: sixty mothers were included in the case group and 120 mothers in the control group. Mothers in the case group presented lower schooling level and they were 24 times more likely to have information about the risks of congenital syphilis and five times more likely to had received previous treatment for syphilis and mothers in the control group were 10 times more likely to receive information about Sexually Transmitted Infections during prenatal care. Conclusion: adequate health assistance identifying previous history of syphilis and health education improving its information about Sexually Transmitted Infections can help prevent congenital syphilis, which indicates the necessity of a better approach by the professionals during prenatal care.