Abstract
National Surveillance data show an increase in CS from 1978-1985; 80% of this increase in 1985 was accounted for by N.Y. City and 3 states.
A prospective study was undertaken to determine factors that can help in preventing CS. Over a 21 month period, 119 (1.5%) of 8289 women that delivered at Lincoln Hospital were positive for STS. They and their infants were evaluated for STS and CS within 5 days. Subjects were classified into 3 groups: A) passive transfer, B) probable CS and C) definite CS. Only 3 mothers were younger than 18 years; 108 women had received prenatal care, though the majority of prenatal care was inadequate (< 3 visits) and sporadic. Syphilis is a notifiable disease, however, only 53 women were documented to have treatment followup.
Prevention of CS requires 1) early and quality prenatal care, 2) STS screening in 1st and 3rd trimester and 3) active involvement by public health authorities for treatment followup of mother and infant.
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Rajegowda, B., Stephen, V., Kaul, A. et al. CONGENITAL SYPHILIS (CS) IN AN URBAN POPULATION: A PREVENTABLE PROBLEM. Pediatr Res 21 (Suppl 4), 261 (1987). https://doi.org/10.1203/00006450-198704010-00564
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DOI: https://doi.org/10.1203/00006450-198704010-00564