Syphilis seroprevalence of women in puerperium and vulnerability in prenatal care
Bibliographic record
Abstract
ABSTRACT Objectives : to determine the seroprevalence rate of maternal syphilis in a Maternity Hospital in the city of Sao Paulo and to present women’s epidemiological and social demographic profile. Methodology : this is a descriptive, prospective study with randomized cases of maternal syphilis. The sample with 400 puerperal mothers was carried out from January to April 2009. Data collection consisted of interviews with puerperal women complemented with secondary data contained in medical records and in the prenatal care file. This research was approved by the Ethics Committee of the School of Nursing, University of Sao Paulo, under the nr 770/2008/CEP-EEUSP, CAAE n.3385.0.000.196-08. Results : most seropositive mothers had ages ranging from 26 years or more, were of mixed ethnicity, incomplete high-school, and were in a stable union. The m ultiparous women started prenatal care with 16 weeks of gestation or less, had six or more prenatal visits, did not contract other infections from sexual contact other than syphilis, maintained unprotected sexual contact during pregnancy and had vaginal delivery as a result of pregnancy. Of the 400 interviewed mothers, 3.25% presented positive serum samples in the first quarter and were treated. Of these, 2.75% remained seropositive in the second quarter and were identified, and 1.25% of them remained positive on hospital admission screening. All partners were treated. Conclusion: This study showed that even with an adequate number of prenatal visits and treatment, it was not satisfactory to guarantee the control of syphilis, which could only be effectively prevented and controlled in an adequate manner when prevention control measures are effectively applied in prenatal care. Descriptors: syphilis; pregnancy; puerperium; sexually transmitted diseases; prevalence . RESUMO Objetivos: identificar a soroprevalencia de sifilis materna em um Hospital Maternidade de Sao Paulo/SP e apresentar o perfil sociodemografico e epidemiologico das puerperas. Metodo: estudo descritivo, prospectivo, aleatorio de casos de sifilis materna. A amostra foi constituida por 400 puerperas, nos meses de janeiro a abril de 2009. A coleta de dados se deu por meio de entrevistas, complementadas com os dados secundarios do prontuario e da carteira de pre-natal, apos a aprovacao pelo Comite de Etica da Escola de Enfermagem da Universidade de Sao Paulo, Parecer 770/2008/CEP-EEUSP, CAAE n.3385.0.000.196-08. Resultados : a maioria das puerperas soropositivas tinha 26 anos ou mais, cor parda, ensino medio incompleto e uniao estavel; multiparas, iniciaram o pre-natal com 16 semanas ou menos de gestacao, realizando 6 consultas ou mais. Alem disso, nao contrairam outras infeccoes de contato sexual alem da sifilis, mantiveram relacao sexual desprotegida durante a gestacao e parto vaginal como desfecho. Das 400 puerperas entrevistadas, 3,25% eram sororeagentes no 1o. trimestre e foram tratadas. Destas, 2,75% permaneceram soropositivas no 2o trimestre e foram retratadas, sendo que 1,25% delas mantiveram resultado positivo na triagem da internacao hospitalar. Todos os companheiros foram tratados. Conclusao: mesmo tendo numero adequado de consultas pre-natal e recebido tratamento, nao foi suficiente para garantir o controle da sifilis, que so podera ser efetivamente prevenida e controlada, de forma satisfatoria, quando as medidas de prevencao e controle forem efetivamente aplicadas na assistencia pre-natal. Descritores : sifilis; gestacao; puerperio; doenca sexualmente transmissivel; prevalencia . RESUMEN Objetivo s: identificar la seroprevalencia de sifilis materna en un hospital maternidad de la ciudad de Sao Paulo y presentar el perfil epidemiologico y sociodemografico de las mujeres puerperas. Metodologia : estudio descriptivo, prospectivo, aleatorio para los casos de sifilis materna. La muestra de 400 puerperas ocurrio en los meses de enero a abril de 2009. La colecta de los datos consistio de entrevistas con las madres puerperas, y con los datos secundarios que figuran en los registros medicos y en la cartera de atencion prenatal. La investigacion fue aprobada por el Comite de Etica de la Escuela de Enfermeria de la Universidad de Sao Paulo, parecer de no. 770/2008/CEP-EEUSP, CAAE n.3385.0.000.196-08. Resultados : la mayoria de las puerperas seropositivas tenian 26 anos o mas, eran de origen etnico mixto, con ensenanza secundaria incompleta y union estable. Las multiparas comenzaron la atencion prenatal con 16 semanas de gestacion o menos, realizando seis o mas consultas, no contrajeron infecciones otras por el contacto sexual que no sea la sifilis, mantuvieron relaciones sexuales sin proteccion durante el embarazo y tuvieron parto vaginal como resultado del embarazo. De las 400 madres entrevistadas, 3,25% eran suero reactivo en el primer trimestre y fueron tratadas. de estas, 2,75% han permanecido seropositivas en el segundo trimestre y fueron retratadas, siendo que 1,25% de ellas se mantuvo con resultado positivo en el examen al ingreso hospitalario. Todos los companeros fueron tratados. Conclusion: este estudio demostro que a pesar de un numero adecuado de controles prenatales y con el tratamiento recibido, esto no fue suficiente para garantizar el control de la sifilis, que solo puede ser efectivamente prevenida y controlada de manera satisfactoria cuando las medidas de prevencion y control sean efectivamente aplicadas en la atencion prenatal. Descriptores : sifilis; embarazo; puerperio; enfermedades de transmision sexual; prevalencia .
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".