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Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

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

2018; UNIVERSIDADE DE SÃO PAULO; Volume: 26; Linguagem: Inglês

10.1590/1518-8345.2305.3019

ISSN

1518-8345

Autores

Camila Padovani, Rosana Rosseto de Oliveira, Sandra Marisa Pelloso,

Tópico(s)

Global Maternal and Child Health

Resumo

To analyze the prevalence of syphilis in during pregnancy and its association with socioeconomic characteristics, reproductive history, prenatal and labor care, and newborn characteristics.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).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.The results signify a long way until reaching the World Health Organization's goal of eradicating congenital syphilis.

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