P3.348 Maternal and Congenital Syphilis Remain a Challenge

This descriptive study set the profile of pregnant with positive VDRL followed at public maternity hospitals in Federal District, Brazil, of the newborns children of mothers with syphilis that showed clinic signs of congenital disease and verified approach according with the recommendations of the Ministry of Health. The study verified the percentage of pregnant women who had access to prenatal care and were inadequately treated and the percentage of newborns with inadequate clinical management in accordance with the recommendations of the MS. We interviewed 67 pregnant as postpartum women who reported to the National System of Disease Notification, users of five public hospitals of the DF and consulted information from medical records and from prenatal care charts, when available. The information relating to the clinical and laboratory received to the children were supplemented with data from medical records, compulsory notification forms of syphilis, from prenatal care charts and the child health card, when available. Data were collected on sociodemographic, obstetric, information related to diagnosis, treatment of pregnant and puerperal women their partners and treatment of newborns into delivery. Only 41.8% patients were adequately treatment and main reason for inadequacy was the lack of treatment (83.6%) or inadequate treatment of the partner (88.1%). The study demonstrated the need for new treatment of the mother at the hospital for lack of documentation of the treatment in prenatal care. There was disagreement with the recommendations of the MS to follow-up of newborns with congenital syphilis in relation to radiographic study only 48% children carried out and lumbar pucture was required only 42%. It was observed that 36% newborns not received any treatment. Our date demonstrates that the quality of prenatal care received by pregnant women is not sufficient to ensure control of congenital syphilis an reaching the goal of controlling the disease.