scholarly journals Prenatal quality and clinical conditions of newborns exposed to syphilis

2019 ◽  
Vol 29 (2) ◽  
pp. 249-256
Author(s):  
Déboranh De Oliveira Togneri Pastro ◽  
Bruna Pereira Farias ◽  
Otávio Augusto Gurgel Garcia ◽  
Bianca Da Silva Gambichler ◽  
Dionatas Ulises De Oliveira Meneguetti ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Congenital Syphilis ◽  
Transmitted Disease ◽  
Previous Treatment ◽  
Postpartum Woman ◽  
Ministry Of Health ◽  
Normal Delivery ◽  
Clinical Conditions

Introduction: Syphilis is a sexually transmitted disease caused by Treponema pallidum, and results in considerable morbidity and mortality. Congenital syphilis can lead to miscarriage, prematurity, bone deformities, hearing loss and other important clinical changes. Objective: To analyze prenatal quality and clinical conditions of newborns exposed to syphilis in a public maternity hospital in Rio Branco-Acre. Method: This is a cross-sectional study that included 92 mothers diagnosed with syphilis during pregnancy, attended from July to December 2017. Two pregnant women had fetal death, and the final sample consisted of 90 newborns exposed to syphilis. An interview with the postpartum woman was used, analysis of the pregnant woman's card and search for information from the pregnant woman's records and newborns. It was considered confirmed case of syphilis in pregnant woman: a) All pregnant women who presented non-treponemal reagent test with any titration and reagent treponemal test performed during prenatal care; b) Pregnant woman with reagent treponemal test and nonreactive or unreacted nontreponemal test, without previous treatment record. To characterize congenital syphilis we considered: a) newborn whose mother was not diagnosed with syphilis during pregnancy and who presented a nontreponemal test reactive with any titration at the time of delivery; b) child whose mother was not diagnosed with syphilis during pregnancy and had a non-treponemal test reagent at the time of delivery; c) newborns whose mother presented a reactive treponemal test and a nonreactive non-treponemal test at the moment of delivery, without previous treatment record. Results: Most newborns were born in normal delivery (65.5%), 17.8% had acute fetal distress and 11.2% required resuscitation maneuvers. Prematurity occurred in 10% of births and 12.2% of them were small for gestational age. Complete prenatal care was performed by 29.5% of the mothers, following the recommendations of the Ministry of Health of seven visits to the Health Unit and or Health Professional. From the 90 pregnant women, 79 had a reactive treponemal test when admitted to the maternity ward. 29.3% of them performed the treatment properly. In the analysis about the treatment of the sexual partner, it was reported that 58% did not adhere to syphilis treatment. Conclusion: The prenatal quality of pregnant women with syphilis was lower than that recommended by the Brazilian Ministry of Health, although there are few cases of syphilis as the primary outcome in newborns with childbirth with mothers diagnosed with syphilis. Prenatal, newborn, syphilis in pregnancy, congenital syphilis.

scholarly journals EXPERIENCES OF PREGNANT WOMEN AT THE PROCESS OF LABOR: SCOPING REVIEW

2021 ◽  
Vol 2 (3) ◽  
pp. 87-98
Author(s):  
Ria Harnita Sari ◽  
Farida Kartini ◽  
Menik Sridaryanti
Keyword(s):  
Pregnant Woman ◽  
Literature Review ◽  
Pregnant Women ◽  
Health Worker ◽  
Scoping Review ◽  
Labor Process ◽  
Normal Delivery ◽  
Research Questions

Background: Each pregnant woman desires normal labor and the trust from health staffs and the support from other people. This literature review is to determine the experiences of pregnant women at labor process. Aim: Knowing  the psychological and support of pregnant women. Methods: Five stages were used to conduct a scoping review. The stages include identifying research questions, identifying relevant studies, selecting studies, charting data and compiling, summarizing and reporting the results.  Result: the experience of giving birth in pregnant women includes experiences related to the knowledge and information received by them, adjustment, fears, hopes, readiness for childbirth, support from family and husbands. The information given can become the answer on the question and assist women in managing their mind, better understanding, and the support from other people. Conclucion: Interestingly, it was found that the women wanted a normal delivery and the trust of a health worker (midwife) where they also needed empowerment and support from others.

scholarly journals Congenital Syphilis Like Many Years Ago

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Giulia Brighi ◽  
Giorgia Farneti ◽  
Antonella Marangoni ◽  
Elisabetta Tridapalli ◽  
Iria Neri ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Premature Infant ◽  
21St Century ◽  
Congenital Syphilis ◽  
Neonatal Infection ◽  
Adequate Therapy ◽  
Syphilis Screening

This case concerns a premature infant with typical signs of congenital syphilis born to an untreated foreign mother. Syphilis prevalence in pregnant women has been rising in Italy since the beginning of the 21st century, mainly due to immigration. A correct antenatal syphilis screening and consequent adequate therapy of pregnant woman are fundamental to prevent the neonatal infection.

scholarly journals HUBUNGAN MALARIA DENGAN TNF-α DAN KADAR HEMOGLOBIN PADA IBU HAMIL DI KABUPATEN BOLAANG MONGONDOW UTARA

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Vincente L. Pranata ◽  
Joice N. A. Engka ◽  
Nelly Mayulu
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Transmitted Disease ◽  
Rapid Test ◽  
Hemoglobin Level ◽  
Chi Square ◽  
Purposive Sampling ◽  
Tnf Α ◽  
The World ◽  
Α Level

Abstract: As an infectious transmitted disease, malaria has been a tremendous health problem around the world. Indonesia is determined as one of the 104 malaria-endemic countries in the world. Pregnant women are easier infected by malaria compared with the general population. People suffered from malaria may have low haemoglobin and high TNF-α levels. The increased TNF α level may cause bad complication or mortality in malaria patient. This study aimed to determine the levels of hemoglobin and TNF-α among pregnant woman with malaria in Kabupaten Bolaang Mongondow Utara. This was a cross-sectional study. Samples were obtained by using purposive sampling method. Besides using questionnaire, there were three laboratory tests conducted in this study: peripheral blood smear with Giemsa staining for detection of plasmodia; hemoglobin level with rapid test hemoglobin; and TNF-α level with ELISA. The bivariate analysis showed that of 72 pregnant women there was only one (1.4%) with positive malaria and increased TNF-α level. There was no pregnant woman with malaria had low hemoglobin level. The chi square test showed a P value 1,00 (α = 0,05). Conclusion: There was no relation between plasmodium infection and the levels of TNF α and hemoglobin among pregnant women in Kabupaten Bolaang Mongondow Utara.Keywords: hemoglobin, TNF-α, malaria, pregnant womanAbstrak: Malaria merupakan penyakit menular yang menjadi masalah kesehatan masyarakat di dunia. Indonesia merupakan salah satu dari 104 negara yang termasuk negara endemis malaria. Wanita hamil lebih mudah terinfeksi malaria dibandingkan populasi umumnya. Malaria dapat menyebabkan penurunan kadar hemoglobin dan peningkatan kadar TNF-α. Peningkatan kadar TNF-α dapat mengakibatkan komplikasi berat bahkan kematian pada penderita malaria. Penelitian ini bertujuan untuk mengetahui kadar TNF-α dan hemoglobin pada ibu hamil dengan malaria di Kabupaten Bolaang Mongondow Utara. Penelitian ini menggunakan desain potong lintang. Sampel diperoleh dengan metode purposive sampling. Selain kuesioner juga digunakan pemeriksaan laboratorium yaitu hapusan darah tepi dengan pengecatan Giemsa untuk deteksi plasmodium, kadar hemoglobin dengan rapid test hemoglobin, dan kadar TNF-α dengan teknik ELISA. Hasil analisis bivariat menunjukkan dari 72 ibu hamil hanya 1 orang (1,4%) yang positif malaria dengan kadar TNF-α tinggi sedangkan kadar TNF-α yang normal dan positif malaria tidak ada (0,00%). Analisis bivariat memperlihatkan dari 72 sampel ibu hamil ditemukan 1 sampel dengan kadar TNF-α meningkat dan positif malaria. Tidak ditemukan ibu hamil yang terinfeksi malaria dengan kadar hemoglobin rendah. Hasil uji chi square (α = 0,05) menunjukkan nilai P = 1,00. Simpulan: Tidak terdapat hubungan infeksi parasit plasmodium dengan kadar TNF-α dan hemoglobin pada ibu hamil di Kabupaten Bolaang Mongondow Utara.Kata kunci: hemoglobin, TNF-α, malaria, ibu hamil

scholarly journals Missed opportunities for congenital syphilis and HIV perinatal transmission prevention

2008 ◽  
Vol 42 (5) ◽  
pp. 851-858 ◽  
Author(s):  
Celeste Souza Rodrigues ◽  
Mark Drew Crosland Guimarães ◽  
Cibele Comini César
Keyword(s):  
Prenatal Care ◽  
Marital Status ◽  
Pregnant Women ◽  
Hiv Testing ◽  
Congenital Syphilis ◽  
Third Trimester ◽  
Missed Opportunities ◽  
Prenatal Visit ◽  
The Third ◽  
Anti Hiv

OBJECTIVE: To estimate the prevalence of missed opportunities for congenital syphilis and HIV prevention in pregnant women who had access to prenatal care and to assess factors associated to non-testing of these infections. METHODS: Cross-sectional study comprising a randomly selected sample of 2,145 puerperal women who were admitted in maternity hospitals for delivery or curettage and had attended at least one prenatal care visit, in Brazil between 1999 and 2000. No syphilis and/or anti-HIV testing during pregnancy was a marker for missed prevention opportunity. Women who were not tested for either or both were compared to those who had at least one syphilis and one anti-HIV testing performed during pregnancy (reference category). The prevalence of missed prevention opportunity was estimated for each category with 95% confidence intervals. Factors independently associated with missed prevention opportunity were assessed through multinomial logistic regression. RESULTS: The prevalence of missed prevention opportunity for syphilis or anti-HIV was 41.2% and 56.0%, respectively. The multivariate analysis showed that race/skin color (non-white), schooling (<8 years), marital status (single), income (<3 monthly minimum wages), having sex during pregnancy, history of syphilis prior to the current pregnancy, number of prenatal care visits (<6), and last prenatal visit before the third trimester of gestation were associated with an increased risk of missed prevention opportunity. A negative association with missed prevention opportunity was found between marital status (single), prenatal care site (hospital) and first prenatal visit in the third trimester of gestation. CONCLUSIONS: High rates of non-tested women indicate failures in preventive and control actions for HIV infection and congenital syphilis. Pregnant women have been discontinuing prenatal care at an early stage and are failing to undergo prenatal screening for HIV and syphilis.

scholarly journals IDENTIFYING THE PERINATAL EDUCATION OFFERED TO PREGNANT WOMEN BY THE NURSING TEAM

2021 ◽  
Keyword(s):  
Pregnant Woman ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Learning Experience ◽  
Well Being ◽  
Specific Approach ◽  
Knowing That ◽  
The Family ◽  
Nursing Team ◽  
Health And Well Being

Perinatal education aims to prepare women through scientific based evidence information about their options, providing knowledge that allows them to make conscious choices that favor the improvement in health and well-being of the mother and baby. Knowing that in the female universe, one of the most important phases in the life of some women is motherhood. This study aims to identify perinatal education actions performed by pregnant women by the nursing team during prenatal care, avoiding possible complications. This is an integrative literature review, using documents already prepared by other authors, including scientific articles and documents published on an electronic basis, addressing the theme of perinatal education offered to pregnant women by the nursing team. The results presented without a doubt demonstrate that pregnancy is always marked by different, objective and subjective aspects, for each woman. For many, being a mother can change their plans and transform their lives. Thus, for the pregnancy to proceed safely, prenatal care is necessary and essential. It concluded, therefore, that the nurse is a professional qualified to monitor pregnancies. In this context, prenatal care is a process of monitoring the pregnant woman, serving as a learning experience for the woman and the family. In addition, during this period, abnormalities can be detected with the mother and the child. During nursing consultations, guidelines for favorable measures should be provided for a specific approach to the specific needs of pregnant women with whom nurses interact in health units during prenatal consultations.

scholarly journals The reality of 13 years of prenatal care to pregnant women with syphilis in Sergipe state (2007-2019)

2019 ◽  
Vol 31 (4) ◽  
pp. 123-130 ◽  
Author(s):  
Rute de Oliveira Farias ◽  
Izailza Matos Dantas Lopes ◽  
Letícia Goes Santos ◽  
Amanda Silveira de Carvalho Dantas
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Considerable Increase ◽  
Congenital Syphilis ◽  
Treponema Pallidum ◽  
Serological Screening ◽  
Cross Sectional ◽  
Infant Deaths ◽  
Clinical Phase ◽  
High Prevalence

Introduction: Syphilis is an infectious disease caused by Treponema pallidum, its two main routes of transmission are sexual and transplacental (vertical). The latter is of particular worrisome, since it can generate congenital syphilis and can be avoided by early maternal serological screening. Objective: To analyze the conditions of prenatal care for syphilitic pregnant women in Sergipe State between 2007 and 2019. Methods: A cross-sectional, retrospective, and descriptive study was carried out, with the collection of notified cases of gestational and congenital syphilis in the Brazilian Notifiable Diseases Information System (Sistema de Informação de Agravos de Notificação - SINAN). Results: There was a considerable increase in the number of reported cases of gestational syphilis in the last 13 years. About 36% of pregnant women were identified in the 3rd trimester of pregnancy, 68.1% were brown, 56.8% had studied for up to 8 years, and 50.1% were between 20 and 29 years old. The clinical phase latent to the diagnosis was responsible for 70.3% of the cases, followed by the primary (11%) and tertiary (7.3%) phases. Of the total number of pregnant women, 20.2% did not perform the non-treponemal test, and 97.2% were treated with penicillin. Regarding the numbers of congenital syphilis, although 75% of the mothers performed prenatal care, 37.8% received the diagnosis at the time of delivery/curettage, resulting in 72.9% of infant deaths from the disease. Moreover, there was a predominance of untreated partners (77.7%) in relation to those treated (10.8%). Conclusion: Although most of them performed prenatal care, there was a predominance of diagnoses performed only in the 3rd trimester of pregnancy, mainly at the time of delivery or curettage, not respecting the minimum therapeutic interval of 30 days before delivery. Thus, in Sergipe State, the most important factor in the high prevalence of vertical transmission of syphilis is the ineffectiveness of prenatal care provided to infected pregnant women, which remains.

SYPHILIS CASES AMONG NEWBORNS CLIMB WITH THE RISE IN CRACK USE

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. A32-A32
Author(s):  
J. F. L.
Keyword(s):  
New York ◽  
New York City ◽  
Pregnant Woman ◽  
Prenatal Care ◽  
Disease Control ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Sexually Transmitted ◽  
Crack Use ◽  
Control And Prevention

According to the Federal Centers for Disease Control and Prevention, medical authorities reported the births of 4,322 babies with syphilis last year, 3,272 in 1990, and 1,807 in 1989. In the early 1980's, there were fewer than 200 cases recorded annually nationwide... "The overriding issue is that although every obstetrician is required to take blood to check whether the pregnant woman has syphilis, 60 percent of the mothers who have babies with syphilis have had no prenatal care," said Steven Rubin, acting director of the New York City Health Department's bureau of sexually transmitted disease control. "That's what we need to change."

Eclampsia: problems, successes, predictions

1985 ◽  
Vol 66 (1) ◽  
pp. 1-4
Author(s):  
L. A. Kozlov
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Postpartum Woman

Eclampsia is a serious condition of a pregnant woman, a woman in labor or a postpartum woman, which is the end of the late toxicosis of pregnant women.

scholarly journals Sífilis materna: Análise de evidências referentes à falha no tratamento de gestantes

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Leiliane Cristina de Aguiar ◽  
Gisele Bezerra da Silva ◽  
Joel Araujo dos Santos ◽  
Cleison Bruno Machado Lima ◽  
Ludmila Oliveira Gonçalves ◽  
...  
Keyword(s):  
Data Collection ◽  
Prenatal Care ◽  
Treatment Failure ◽  
Pregnant Women ◽  
State Hospital ◽  
Congenital Syphilis ◽  
Descriptive Statistics ◽  
Pi Method ◽  
Gestational Period ◽  
Inadequate Prenatal Care

Objetivo: Analisar as evidências referentes à falha no tratamento da sífilis durante o período gestacional em mulheresatendidas em um hospital de referência em Parnaíba-PI. Metodologia: A amostra foi composta por 24 gestantes/puérperasadmitidas no Hospital Estadual Dirceu Arcoverde para trabalho de parto e que apresentaram VDRL reagente durante ainternação. Como instrumento de coleta de dados, utilizou-se um formulário estruturado. Após a coleta, os dados forammensurados através de estatística descritiva. Resultados: Das 24 mulheres, 22 realizaram pré-natal e 12 apresentaramVDRL reagente. Entre as 12, 11 foram tratadas na gestação, mas somente 3 foram consideradas adequadamente tratadas.Conclusão: Uma assistência de pré-natal inadequada colabora para a ocorrência de falhas no tratamento de gestantes comsífilis, o que pode resultar no aumento do número de casos da forma congênita. Sendo assim, é necessário novas estratégias que visem reduzir a transmissão vertical da sífilis.Palavras-chaves: sífilis, sífilis congênita, assistência pré-natal, falha do tratamento.ABSTRACTObjective: To analyze the evidence regarding the failure to treat syphilis during the gestational period in women attendinga referral hospital in Parnaíba-PI. Method: The sample consisted of 24 pregnant / puerperal women admitted to the DirceuArcoverde State Hospital for labor and who presented VDRL reagent during hospitalization. As a collection instrument,a structured form was used. After the data collection, the data were measured using descriptive statistics. Results: Of the24 women, 22 underwent prenatal care and 12 presented VDRL reagent. Among the 12, 11 were treated in gestation, butonly 3 were considered adequately treated. Conclusion: Inadequate prenatal care contributes to the occurrence of failuresin the treatment of pregnant women with syphilis, which may result in an increase in the number of congenital cases. Newstrategies are needed to reduce vertical transmission of syphilis.Keywords: syphilis, congenital syphilis, prenatal care, treatment failure

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