Sífilis na gravidez: estudo realizado em 879.831 gestantes atendidas de 2003 a 2016 no Programa de Proteção a Gestante do Estado de Goiás

Abstract

Syphilis has represented a major challenge to public health in Brazil by their high prevalence and severe perinatal sequelae. This study aimed to determine the prevalence of infection and the occurrence of spontaneous abortions, by age group and space distribution in the state of Goiás. This is an ecological and retrospective study, including historical series of pregnant women screened by Pregnant Protection Program in the state of Goiás in the years 2003-2016. Were screened 879 831, At the crossing of data between those have declared or not abortion with respect to age, it was observed that there were more abortions in those aged 30 or over, being statistically significant (p <0.05). As for the delivery type and the trimester of pregnancy there was not a standard, despite all the differences being significant. This result is most evident from calculation of the odds ratio, that demonstrated a statistically significant association (p <0.005) between abortion declaration and diagnosis of syphilis in almost every year; this association has been decreasing over the years, and this should be the subject of further studies to a better understanding the reasons for the downward trend in the mentioned association During the study period, they were expected by the Ministry of Health 1,308,411 pregnant women in the state of Goiás, and the program was implemented gradually by region, was initiated the end of 2003, in that year getting on with a low coverage. Being a public program, one must also consider the particular and covenants patients, reaching 25%; 879,871 (67.17%) participated in the PEPG, considered excellent. Of these, 821,735 (93.40%) were validated for this work, of which 112,260 (13.66%) reported having one or more abortions. There was a trend of an increase of syphilis in pregnant women attended by PEPG.