Intrauterine mortality in women with syphilis in Aracaju/SE philanthropic maternity / Mortalidade intrauterina em mulheres com sífilis em maternidade filantrópica de Aracaju/SE

Introduction: Congenital syphilis is part of the preventable causes of perinatal mortality. It is possible to perform effective diagnosis and treatment in pregnancy preventing vertical transmission in 97% of cases. In the absence of adequate treatment during pregnancy, the abortion rate can reach 25% and a dead fetus to 11%. Objective: This is an analytical, cross-sectional and retrospective epidemiological study to evaluate the intrauterine mortality of pregnant women with syphilis in Philanthropic Maternity of Aracaju/SE in the years 2017 to 2019. Material and Method: The study used data from the pregnant woman's card and the paper records of the mother/baby binomial followed at the congenital syphilis outpatient clinic. Approved by cep on May 15, 2018, CAAE:74226217.2.0000.5371. The statistics used were descriptive by means of absolute and relative frequencies of categorical variables and numerical frequencies in mean and standard deviation, the level of statistical significance defined in p < 0.05. The program used was the SPSS (Statistical Package for Social Sciencies) 21. Results: The sample consisted of 347 pregnant women's cards and paper records. The prevalence of gestational syphilis was 1.8% and the intrauterine mortality rate (abortion and dead fetus) in previous pregnancies was 28.5%. The women were young, with a mean of 24.5 years, 84.7% lived in the Urban area, mostly brown and black (85.7%), fertility rate 2.28, 2.1% illiterate and 56.6% elementary school, 61.5% had 6 or more prenatal consultations. At the time of delivery, 51.6% of the mothers had VDRL greater than or equal to 1:8 and only 2.9% were negative at 6 months after delivery. The VDRL of the partners was negative in 66.7% of the cases. In the puerperium, only 39% of the partners were treated adequately, and 75.4% of the puerpery women treated the disease. Conclusion: Intrauterine mortality in women with syphilis in previous pregnancies was almost three times higher than in the general population. Although pregnant women had had the minimum number of prenatal consultations recommended by the Ministry of Health, less than 40% of the partners were treated after the diagnosis of syphilis in their partners.