Early Congenital Syphilis: The Impact of Bad Antenatal Care

Hidayatullah Hidayatullah A(1*), Zulmaeta Zulmaeta(2)

(1) Resident of Departement Obstetry and Gynecology, Faculty of Medicine, Universitas Riau
(2) 2. Departement Obstetry and Gynecology, Faculty of Medicine, Universitas Riau/ Arifin Achmad General Hospital
(*) Corresponding Author

DOI: https://doi.org/10.25077/aoj.7.2.411-415.2023


Syphilis is a systemic infectious disease caused by Troponema palidum. Syphilis is generally transmitted through sexual contact, but can also be transmitted vertically during pregnancy. Until now syphilis has become a world wide problem for pregnant women, WHO recommends syphilis tested by triple elimination (syphilis, hepatitis B, and HIV) during antenatal care for better pregnancy outcomes.

21 year old female, diagnosed with primipara 32-33 weeks of gestational age active phase of labor, latent syphilis + intrauterine single live fetus with head presentation. The patient had never checked her pregnancy until the current gestational age, and only found out that she had syphilis accompanied by clinical symptoms. Birth of a baby with suspected congenital syphilis.



congenital syphilis, antenatal care

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Prawirohardjo, Sarwono. (2016). Ilmu Kebidanan. 4th edition. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo.

World Health Organization. (2017). WHO 2017 Syphilis in Pregnancy Guidelines.

CDC, (2020). Quick Reference Handbook of Selected Congenital Anomalies and Infections. Available: https://www.cdc.gov/ncbddd/birthdefects/surveillancemanual/photo-atlas/objectives_pa.html#print

Cunningham F.G, (2022). Williams Obstetrics 26e 26th Edition, Kindle Edition. McGraw Hill

Kurniawati, E. M., Rahmatyah, R., Lie, V., & Rheza, A. (2022). Pregnancy with Early Latent Syphilis, a reality in 21st century: a case report and literature review. Medical and Health Science Journal, 6(1), 41–46. https://doi.org/10.33086/mhsj.v6i1.2412

Public Health England. (2017). NHS Infectious Diseases in Pregnancy Screening Programme Handbook 2016 to 2017. April 2016, 1–46.

Cooper, J. M., & Sánchez, P. J. (2018). Seminars in Perinatology Congenital syphilis. Seminars in Perinatology, 42(3), 176–184. https://doi.org/10.1053/j.semperi.2018.02.005

Creasy, R.K, et all, (2014) Creasy And Resnik’s Maternal-Fetal Medicine, Seventh Edition. Philadelphia: Elsevier Saunders. 2014

Uku, A., Albujasim, Z., Dwivedi, T., Ladipo, Z., & Konje, J. C. (2021). Syphilis in pregnancy: The impact of “the Great Imitator.” European Journal of Obstetrics and Gynecology and Reproductive Biology, 259, 207–210. https://doi.org/10.1016/j.ejogrb.2021.01.010


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