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. 2018 Aug 9:26:e3019.
doi: 10.1590/1518-8345.2305.3019.

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

[Article in English, Portuguese, Spanish]
Camila Padovani  1 , Rosana Rosseto de Oliveira  2 , Sandra Marisa Pelloso  3
Affiliations

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

[Article in English, Portuguese, Spanish]
Camila Padovani et al. Rev Lat Am Enfermagem. .

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.

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Figures

Figure 1
Figure 1. Prevalence and detection rate of gestational syphilis (A), Incidence and detection rate of congenital syphilis (B), according to the year. 15th Health Region, Maringá, PR, Brazil, 2016
See this image and copyright information in PMC

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