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Maternal and congenital syphilis in rural Haiti

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Date
2009
Author
Lomotey, Chaylah J
Lewis, Judy
Gebrian, Bette
Bourdeau, Royneld
Dieckhaus, Kevin
Salazar, Juan C
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Abstract
OBJECTIVES: A study was conducted to assess the prevalence of maternal syphilis and estimate the rate of congenital syphilis in five rural villages surrounding Jeremie, Haiti. METHODS: This research was a retrospective observational study. Data were extracted from the Haitian Health Foundation's public health database and verified through original clinical paper records, death certificates, midwife reports, and discussions with community health workers. Data were analyzed by chi-square analysis, bivariate correlations, and two-tailed t-test for independent samples. RESULTS: Of the 410 women tested for syphilis, 31 (7.6 percent) were sero-reactive. Average gestation at time of testing was 25 weeks, which correlated with entry into prenatal care at an average of 23 weeks. Women who tested positive during pregnancy were more likely to have had a negative pregnancy outcome than those who did not (chi square = 16.4; P 0.0001). The estimated rate of congenital syphilis in the region was 767 per 100,000 live births. CONCLUSIONS: Maternal syphilis is prevalent in rural Haiti. This prevalence combined with late entry into prenatal care contributes to adverse pregnancy outcomes and a high estimated rate of congenital syphilis. More research is needed on congenital syphilis and prenatal-care-seeking practices of rural Haitian women in order to understand the impact of maternal syphilis in the region and improve pregnancy outcomes.(AU)
 
OBJETIVOS: Evaluar la prevalencia de sífilis materna y estimar la tasa de sífilis congénita en cinco poblaciones rurales cercanas a Jeremie, Haití. MÉTODOS: Estudio observacional retrospectivo a partir de datos extraídos de la base de datos de salud pública de la Fundación Haitiana de Salud y verificada con los registros clínicos originales en papel, los certificados de defunción, los informes de las parteras y discusiones con los trabajadores comunitarios de salud. Los datos se analizaron mediante la prueba de la ji al cuadrado, correlaciones bifactoriales y la prueba de la t de dos colas para muestras independientes. RESULTADOS: De las 410 mujeres sometidas a la prueba de sífilis, 31 (7,6 por ciento) resultaron seropositivas. La edad gestacional promedio al momento de la prueba fue de 25 semanas, lo que se correlacionó con la edad gestacional de entrada a la atención prenatal (23 semanas). Las mujeres que resultaron seropositivas durante el embarazo presentaron mayor probabilidad de tener un desenlace negativo de su embarazo que las mujeres que resultaron seronegativas (χ2 = 16,4; P 0,0001). La tasa estimada de sífilis congénita en la zona fue de 767 por 100000 nacidos vivos. CONCLUSIONES: La sífilis materna es frecuente en las zonas rurales de Haití, lo que combinado con la entrada tardía a los servicios de atención prenatal, contribuye a los desenlaces adversos de los embarazos y a la alta tasa estimada de sífilis congénita. Se requieren más estudios sobre la sífilis congénita y los hábitos de búsqueda de atención prenatal de las mujeres de zonas rurales de Haití para comprender el impacto de la sífilis materna en esta parte del país y mejorar el desenlace de los embarazos.(AU)
 
Series
Rev Panam Salud Publica;26(3),sept. 2009
Subject
Syphilis, congenital; Syphilis; Pregnancy Complications, Infectious; Haiti; Sífilis; Sífilis congénita; Complicaciones infecciosas del embarazo; Haiti; Complicações Infecciosas na Gravidez; Sífilis; Sífilis Congênita; Haiti; Prevalência; Estudos Retrospectivos; Saúde da População Rural; Adulto Jovem
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000900002
https://iris.paho.org/handle/10665.2/9771
Citation
Lomotey, Chaylah J,Lewis, Judy,Gebrian, Bette,Bourdeau, Royneld,Dieckhaus, Kevin,Salazar, Juan C (2009) Maternal and congenital syphilis in rural Haiti. Rev Panam Salud Publica;26(3) 197-202,sept. 2009. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009000900002
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  • Pan American Journal of Public Health

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