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Revista Brasileira de Saúde Materno Infantil

versão impressa ISSN 1519-3829versão On-line ISSN 1806-9304

Resumo

ARAUJO, Maria Alix Leite; ANDRADE, Roumayne Fernandes Vieira; BARROS, Valéria Lima de  e  BERTONCINI, Paula Manuela Rodrigues Pinheiro. Factors associated with unfavorable outcomes caused by Syphilis infection in pregnancy. Rev. Bras. Saude Mater. Infant. [online]. 2019, vol.19, n.2, pp.411-419.  Epub 22-Jul-2019. ISSN 1519-3829.  http://dx.doi.org/10.1590/1806-93042019000200009.

Objective:

to analyze factors associated with unfavorable outcomes caused by syphilis infection in pregnancy.

Methods:

descriptive study carried out from May to August 2014, in public maternity hospitals. A questionnaire was administered to all women with a reactive Venereal Disease Research Laboratory (VDRL) test result and the data were supplemented with information from medical records and prenatal files. The bivariate analysis was performed using Pearson's chi-square or Fisher's exact test. For the multivariate analysis, was used through the logistic regression model.

Results:

a total of 137 puerperal women participated in the study, of which 14.3% had an unfavorable outcome, namely: stillbirth (2.9%), preterm birth (8.8%) and low birth weight (2.9%). In the multivariate analysis the odds ratio for the prevalence of an unfavorable outcome was three-fold higher in women who did not undergo a second VDRL test (OR=3,54; IC95% 1,04-15,33) and two-fold higher in women with a VDRL titer >1:8 (OR=2,15; IC95% 1,11-11,2).

Conclusions:

The unfavorable outcomes occurred in women who did not undergo the second VDRL test and those whose VDRL titer was >1:8 performed in the maternity hospital.

Palavras-chave : Syphilis, congenital; Syphilis; Pregnant Woman; Outcome.

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