Vivência com a sífilis na gestação e assistência no pós-parto imediato

Abstract

Syphilis is an infectious and contagious disease caused by Treponema pallidum. Its transmission occurs by the sexual route (acquired syphilis) and vertical through the placenta from mother to fetus (congenital syphilis). Objective: To analyze the experience with syphilis during pregnancy and immediate postpartum care of puerperal women admitted to a reference maternity hospital for the state of

Piauí. Methods: Data collection was carried out through interviews, in which a semi- structured interview script prepared by the researchers was used, addressing the

sociodemographic and clinical profile of women/puerperae affected with syphilis during pregnancy, the care provided by the health team to women regarding syphilis in pregnant women and congenital, among others that responded to the objectives of the study. Data collection took place in May and June 2023. Results: It is noteworthy in the research that most women had no apparent problems during pregnancy, although many of the newborns had congenital syphilis and underwent treatment. As for the feelings experienced by women, the most predominant was fear, concern for the baby and anxiety. As for the treatment, the interviewees were aware of the treatment and referred to the pain in the administration of the medication as the biggest problem. The lack of knowledge about the disease, the sexual transmission of the same and its consequences was observed in the reports, which leads us to believe in a failure of communication and lack of clarification of the health team towards pregnant women about the disease. Final Considerations: The study allowed us to observe some failures in prenatal care or in situations that could lead to a different outcome regarding congenital syphilis, a preventable disease when the genitourist is properly treated and why not say of their sexual partners. The existence of newborns with congenital syphilis is a powerful warning sign of a failure in the health system, as there is a guarantee of assistance through the Family Health Strategy with the provision of early diagnosis, available and effective treatment, and health promotion, when existing effectively, should significantly reduce negative outcomes for newborns.

Descriptors: Syphilis. Pregnancy. Postpartum period. Experience of