A Romanian experience of syphilis in pregnancy and childbirth
A Romanian experience of syphilis in pregnancy and childbirth
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DOI：
10.1016/j.midw.2019.07.018
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发表时间：
2019-11-01
期刊：
影响因子：
2.7
通讯作者：
Popa, Mircea Ioan
中科院分区：
文献类型：
--
作者：
Manolescu, Loredana Sabina Cornelia;Boeru, Calin;Popa, Mircea Ioan
目的：了解罗马尼亚一组育龄妇女及其新生儿梅毒的发病率，确定母婴传播的主要危险因素，以便助产士制定预防先天性梅毒的策略。材料与方法：对982名在罗马尼亚妇产科医院分娩的育龄妇女进行描述研究。这些妇女完成了一份问卷，问卷包括三个部分：一般数据、梅毒常识和分娩和怀孕数据。结果：梅毒患病率为0.91649%(n=9)。在九名受感染的女性中，有两名在最初入院时并不知道自己感染了梅毒。被诊断为梅毒风险最高的产妇是一名年轻妇女，她没有得到充分的产前护理，接受过基础性教育，缺乏个人健康和个人卫生知识。其中11.9%(n=117)的调查对象年龄在15~20岁之间。结论：在某些人群中，梅毒仍是一个重要的卫生保健问题，特别是在育龄妇女和新生儿等弱势人群中。需要更加重视初级预防；助产士和家庭医生更多地参与产前护理可以减少先天梅毒病例的数量。(C)2019年由爱思唯尔有限公司出版。
Objective: to establish the incidence of syphilis in a group of childbearing women and their newborn babies in Romania and to identify the major risk factors of materno-fetal transmission in order for midwives to develop strategies to help prevent congenital syphilis.Material and Methods: a descriptive study of a group of 982 childbearing women who gave birth during a three-month period at an Obstetrics and Gynaecology Hospital in Romania. The women completed a questionnaire, which consisted of three sections: general data, general knowledge of syphilis and birth and pregnancy data. After admission to hospital, the women were investigated for syphilis using serological tests.Results: there was a syphilis frequency of 0.91649% (n = 9) among the surveyed women. Among the nine infected women, two were not aware that they had a syphilis infection when initially admitted to hospital. The maternal profile with the highest risk of being diagnosed with syphilis was a young woman who had not had adequate prenatal care, who had elementary sex education and who lacked knowledge of personal health and hygiene. A significant percentage of the respondents, namely 11.9% (n = 117), were aged 15 to 20.Conclusions: in certain population groups, syphilis is still an important health care problem, especially in vulnerable individuals, such as childbearing women and newborns babies. More attention needs to be paid to primary prevention; the number of cases of congenital syphilis could be reduced by more involvement of midwifes and family doctors in antenatal care. (C) 2019 Published by Elsevier Ltd.