Factors related to the loss of follow-up in pregnant women with syphilis: an integrative review

Abstract

Objective: to analyze factors related to the loss of follow-up in pregnant women with syphilis. Methods: Integrative review developed in six databases. The PICo strategy was used to elaborate the guiding question and select the descriptors and keywords through Boolean operators. 20 articles were included in the final sample. Results: the factors related to the loss of follow-up in pregnant women with syphilis were: age; schooling; diagnosis and late onset of treatment; prenatal failure and low adherence of the partner to treatment. In addition, the lack of knowledge of professionals about the management of syphilis and the failures in counseling were found to be factors inherent to the loss of follow-up. Conclusion: pregnant women under 20, low schooling, stigma, fear, non-treatment of partnership, inadequate treatment and lack of professional training and guidance to pregnant women were associated with the loss of follow-up of pregnant women with syphilis.

Incidence of syphilis in pregnant women in the countryside of são paulo from 2018 to 2020

“…It is important to highlight the research of Cavalcante et al [10] in his study, 171 cases of syphilis were identified in pregnant women in the city of Palmas/TO from 2007 to 2014, that is, 171 cases in 8 years, and the city of Palmas has 306,296 inhabitants in 2020 and Fernandopolis 69,402 inhabitants and the years studied by each city, and Fernandopolis had a significant number of cases in these 3 years studied. The explanation for this increase suggests that the prognosis of the disease is not being effective, because of this, the authors Silva et al [11] report that it is essential to improve the quality of care, with increased inventory of materials, professional qualification and articulation between the different points of support networks for diagnosis, treatment and follow-up to significantly reduce cases of the disease. Legend: n 1 (number of pregnant women with syphilis); n 2 (each column represents the year studied).…”

“…It is notepoint that the age of pregnant women with syphilis draws attention, due to 41.7% of women being at least 15 years old and at most 25. This age group is due to pregnant women with little cognition about STIs, limited knowledge about the disease, fear and non-treatment of the sexual partner, inadequate treatment, besides the lack of understanding and training in the management of syphilis by health professionals and the lack of guidance to pregnant women [11] . Legend: n 1 (number of pregnant women).…”