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

ABSTRACT 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.

Bibliographic Details

Main Authors:	Padovani,Camila, Oliveira,Rosana Rosseto de, Pelloso,Sandra Marisa
Format:	Digital revista
Language:	English
Published:	Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2018
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692018000100335
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