Syphilis a concern for pregnant women, unborn babies

Congenital syphilis (babies born infected with syphilis) is a growing concern in Ohio today, with cases increasing significantly in the last five years. The good news is that this condition is preventable and treatable provided doctors are aware of the status of their patients.

Syphilis is a sexually transmitted disease that can be passed from a pregnant woman to her baby during pregnancy. Babies may be born with an infection or develop an infection soon after birth, and about 40% of babies born to women with untreated syphilis die. Babies may be born prematurely, may have low birth weight, experience rashes, jaundice, or bone deformities. Other complications include anemia and an enlarged liver and spleen.

The key is awareness of an infection and receiving early treatment, preferably before pregnancy but also early in pregnancy. Blood tests at your first prenatal visit screen for STIs, but your doctor may test further depending on your sexual history and risk for having an STI so that treatment can be started at the earliest possible point in pregnancy.

Because of rising cases, the Ohio Department of Health is now suggesting all pregnant women be tested again for syphilis at the third trimester (28 weeks) and once more at delivery to assure that babies are protected during delivery and monitored after birth as needed.

What you should know about syphilis

• Congenital syphilis usually occurs with women who have primary or secondary syphilis, in which symptoms may include sores in the genital area, fever, and swollen lymph nodes. Early diagnosis and treatment can protect both mother and baby.
• Tell your doctor immediately about possible symptoms or if you are at risk based upon your sexual history.
• Your partner should be tested and treated, as you can become reinfected after treatment by an untreated partner.
• Congenital syphilis can be prevented with penicillin treatment just 30 days before delivery.
• Multiple screenings during pregnancy are your best means of preventing congenital syphilis and having a healthy pregnancy and birth.

The doctors at Stark Women’s Center are available to discuss your concerns about risk for syphilis infection, congenital syphilis, screenings, and treatments that can protect you, prevent infection in your unborn baby, and provide the best prognosis for babies who may develop an infection. Contact our office today for an appointment.