Gestational syphilis in the moment of childbirth

Abstract

Background: In the context of a worldwide syphilis increment, the worst scenario is during pregnancy: if the correct treatment is not realized on time, the conception's product will be affected, amplifying this infection dimension.General Objective: Determine why pregnant women with syphilis did not receive the correct therapy.Specific Objectives: Determine absolute and relative frequency of pregnant women without treatment, inadequate one, or with reinfections, and their reasons.Stablish conception products (abortion, stillbirth, newborn) frequencies and describe the lastone's clinical situation.Methods & Materials: Methodology: observational retrospective study, based on clinical files revision.Period: Between January 1st 2015 and September 30th 2017 Inclusion Criteria: Pregnant women who finalize pregnancy in our hospital with acute syphilis.Results: During the study, 224 gestational syphilis were diagnosed, 165(73%) had the delivery in our hospital, hence were included in the study.Seroprevalence among pregnant women in our hospital during 2015 and 2016 was 1.27% and 2.24% respectively. The median age each year was 24 years in 2015 and 22 in 2016 and 2017 (p: 0.164). 76 (46%) out of 165 gestational syphilis included did not receive treatment, or it was inadequate, hence their children were assumed as congenital syphilis: 66 as suspicious (20 dead fetuses or abortion) and 10 as confirmed. The reasons why this situation could not be avoided are described below: