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Artigo
Sífilis congênita, escolaridade materna e cuidado pré-natal no Pará entre 2010 e 2020: um estudo descritivo
Syphilis is an infectious disease caused by a spirochete, Treponema pallidum, whose transmission occurs through sexual contact and transplacentally (vertical transmission). Congenital syphilis is the consequence of the dissemination of Treponema pallidum via the hematogenous route, from the in...
Autor principal: | SILVA, Jean Marcos Souza da |
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Outros Autores: | NASCIMENTO, Rodrigo Lima do |
Grau: | Artigo |
Publicado em: |
2023
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Assuntos: | |
Acesso em linha: |
https://bdm.ufpa.br:8443/jspui/handle/prefix/6119 |
Resumo: |
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Syphilis is an infectious disease caused by a spirochete, Treponema pallidum, whose
transmission occurs through sexual contact and transplacentally (vertical transmission).
Congenital syphilis is the consequence of the dissemination of Treponema pallidum via the
hematogenous route, from the infected mother not treated or inadequately treated during
pregnancy to the fetus. By analyzing the educational level of a population, it is possible to indirectly infer their income conditions, access to health services, as well as eating, hygienic
and behavioral habits. Schooling presents socioeconomic conditions, which can be seen as
determinants of health and well-being. Quality and humanized prenatal care is essential for
maternal and neonatal health. Care for pregnant women should include attitudes of prevention
and health promotion, in addition to the diagnosis and adequate treatment of any problems that
arise during this period. The objective is to describe the epidemiological profile of congenital
syphilis in the period from 2010 to 2020 in the state of Pará and to relate maternal conditions
such as schooling, completion or non-performance of prenatal care and the evolution of
confirmed cases. This is a cross-sectional, with a descriptive design and using a quantitative
approach. The data collected refer to the incidence of congenital syphilis in the state of Pará,
located in the North region of Brazil, from 2010 to 2020. The number of confirmed and reported
cases of congenital syphilis in Pará, from 2010 to 2020, totaled 7,170 cases. When observing
the data on the mother's education, 24.4% (1,754) had not completed elementary school II (fifth
to eighth grade). The unknown/blank value for maternal education corresponded to 26.4%
(1896) of the sample. Prenatal care was performed by 84.5% (6,058) of the mothers and not
performed by 12.8% (920), ignored/white 2.7% (192). Prenatal care is an important tool for the
prevention and control of congenital syphilis, and its control is classified as an indicator of the
quality of prenatal care, according to the Ministry of Health (MS). In Pará, most cases had
ignored maternal schooling (26.4%) and mothers who had not completed the fifth to eighth
grade corresponded to 24.4%. The deficiency in the notification system becomes visible, due
to the high degree of underreporting in relation to the mothers' education. |