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Syphilis in pregnancy and congenital syphilis in Palmas, Tocantins State, Brazil, 2007-2014* * This article is part of the Final Project of the Multiprofessional Residency in Public Health with emphasis in Health Surveillance, by Patrícia Alves de Mendonça Cavalcante, presented to the Fundação Escola de Saúde Pública e Centro Universitário Luterano de Palmas, in 2015. This study was funded by the Fundação Escola de Saúde Pública/Fundo Municipal de Saúde: Report No. 413017193.

ABSTRACT

OBJECTIVE:

to describe the epidemiological profile of reported cases of syphilis in pregnant women and congenital syphilis in the period 2007-2014 in Palmas-TO, Brazil.

METHODS:

this is a descriptive study with data from the Information System for Notifiable Diseases (Sinan).

RESULTS:

171 pregnant women with syphilis (4.7/1,000 live births [LB]) and 204 cases of congenital syphilis (5.6/1,000 LB) were identified; most women were brown-skinned (71.3%), had low education level (48.0%) and received late diagnosis during prenatal care (71.9%); the incidence of congenital syphilis varied from 2.9 to 8.1/1,000 LB in the period; the predominant maternal characteristics were age from 20 to 34 years (73.5%), having up to complete high school (85.3%), attending prenatal care (81.4%), diagnosis of syphilis during prenatal care (48.0%), and untreated partners of mothers who attended prenatal care (83.0%), reaching almost 80% of live births with congenital syphilis.

CONCLUSION:

it is necessary to adopt new strategies for the effectiveness of the prenatal care provided, and, consequently, to reduce the incidence of congenital syphilis.

Keywords:
Pregnant Women; Prenatal Care; Congenital Syphilis; Syphilis; Epidemiology, Descriptive

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