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Published on: August 12, 2020
Syphilis in pregnancy and the neonatal period
A Doroshenko1, J Sherrard, A J Pollard
1University Department of Paediatrics, John Radcliffe Hospital, Oxford, UK.
Insights
Syphilis cases are rising in the UK, particularly among women of reproductive age. Optimal management requires early diagnosis, prompt treatment to prevent congenital syphilis, and newborn assessment.
Area of Science:
- Infectious Diseases
- Maternal-Fetal Medicine
- Neonatal Care
Background:
- Rising syphilis incidence in the UK, especially among women of reproductive age.
- Need for updated practices in managing syphilis during pregnancy and the neonatal period.
Purpose of the Study:
- To review current evidence on syphilis assessment and management in pregnancy and neonates.
- To inform optimal clinical practices for preventing congenital syphilis.
Main Methods:
- Systematic review of published guidelines.
- Synthesis of primary and secondary research evidence.
Main Results:
- Early diagnosis and staging of maternal syphilis are crucial.
- Prompt treatment of maternal syphilis is essential to prevent congenital transmission.
- Timely assessment of newborns exposed to syphilis is required.
Conclusions:
- Optimal management hinges on integrated maternal and neonatal care.
- Proactive screening and treatment are key to reducing congenital syphilis rates.
Abstract:
The recent increase in the number of cases of syphilis in the UK, including among women of reproductive age, has stimulated the need for a review of practices concerning assessment and management of syphilis in pregnancy and the neonatal period. This paper summarizes available evidence from published guidelines, primary and secondary research. Optimal management of syphilis in pregnancy and the neonatal period relies on the early diagnosis and staging of maternal disease, prompt treatment to prevent congenital syphilis, and timely assessment of newborns.
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