Syphilis prevalence in pregnant women served by the Program for Protection of Pregnant Women (PPG) and reporting of abortion in the state of Sergipe, Brazil.

Abstract

Introduction: Syphilis has represented a major challenge to public health in Brazil for its prevalence and serious perinatal sequel. Objectives: To know the prevalence of syphilis infection and the occurrence of abortion in pregnant women, by age and spatial distribution in the state of Sergipe. Methodology: This is a cross sectional descriptive study, retrospective in which were analyzed 39.807 entries of users of the Program for the Protection of Pregnant women (PPP) in 73 municipalities of the state of Sergipe in a period of approximately two years. Results: We screened 39.807 pregnant women, these 7.538 (18,9%) said they have aborted, 544 (1,37%) had syphilis positive and 192 (0,48%) pregnant women had syphilis positive and abortion declared. The proportion rose from 25,7% in the number of women who aborted and had any type of change to 35,3% in women who aborted and confirmed positive syphilis, an increase of 1,37 in the number of cases. The municipality of Carmópolis had the highest percentage of cases 2,19%, followed by Malhador 1,30%, Malhada dos Bois 1,16%, Estância 1,15%, Barra dos Coqueiros 1,14%, Santa Luzia do Itanhy 1,04% e Pedrinhas 1%. Conclusion: It was found that was high the registration of abortions in pregnant women in the most part of the municipalities. The rates of prevalence and incidence of syphilis were higher than those accepted by OMS. Through the PPP can be verified that syphilis may be an associated factor to the occurrence of high incidence of abortion and perinatal morbidity and mortality in the state of Sergipe in Brazil.