What to do if a syphilis patient becomes pregnant

　　Young woman Yang, 30 years old, has been married for 5 years. Miscarriage at 3 months of first pregnancy,

　　She suffered a miscarriage five months into her second pregnancy. Now she is pregnant for the third time, and the whole family is extremely concerned. From the first month of pregnancy, she was fully cared for by a nanny who visited her every week Hospital After an obstetrics and gynecology check-up, she went to the hospital to wait for delivery since she was still two months away from her due date. Unexpectedly, when the due date was only 15 days away, the doctor could not hear the fetal heartbeat during routine ward rounds - the third baby who was carefully protected was stillborn. Three consecutive pregnancies were either miscarried or stillborn, which attracted the attention of doctors. After analyzing the cause, doctors suspected that Yang had syphilis. After blood tests, it turned out that Yang's syphilis serum screening test RPR was positive, and the serum confirmation test TPHA was also positive. It turned out that the main culprit causing Yang's miscarriage and stillbirth was syphilis.

　　The doctor reminds that if a married woman has a history of unclean sexual intercourse or has contracted syphilis, when she wants to have a child, it is best to go to the hospital for a comprehensive examination to confirm sexually transmitted diseases Can I get pregnant again after being cured?； If you have had a history of extramarital intercourse before and recently, and you have recently become pregnant again, although there is no obvious clinical However, such women must do a syphilis serum screening test such as VSR or RPR test, as well as a syphilis test and FTAABS or TPHA test. If one type of test is positive, they must be treated for syphilis. If the 3-month pregnancy test is negative, another treatment is still needed ； If the serology test is positive in the third trimester of pregnancy, treatment is even more necessary.

　　Another situation is that it turns out that healthy Pregnant women or pregnant women who have had syphilis but have been cured, if they have a disordered sexual relationship and are infected with syphilis again in the third trimester of pregnancy, their serology test may also be negative. Therefore, if pregnant women do have a history of extramarital sexual intercourse in the third trimester of pregnancy, they must be given timely treatment to prevent future complications in the third trimester of pregnancy.

　　Pregnant women with syphilis can have serious adverse consequences if left untreated. Because pregnant women with early syphilis have a large number of Treponema pallidum in their bodies and are highly contagious, 50% of them will be infected after pregnancy. fetus A baby that dies before reaching full term or is stillborn after reaching full term is called stillbirth or stillbirth.； Another 50% are born with syphilis baby . Pregnant women with early latent syphilis are easily ignored because they have no clinical manifestations. In fact, they are also contagious during pregnancy. The consequences of pregnancy are that 20% of the babies are stillborn, 40% of the babies have syphilis, and only 20% of the babies may be normal babies. Born to a pregnant woman with late-stage syphilis Child About 20% are stillbirths, 10% are syphilis babies, and 70% may be normal babies.

　　To sum up, babies born to pregnant women with syphilis must have syphilis serology tests at birth, in the first month after birth, every 3 months within 1 year of age, and every six months within 1 to 2 years of age. Only if they are negative can they be reassured. If they are positive, they should be treated.

　　Pregnant women with syphilis can be treated with procaine and penicillin G. Those allergic to penicillin should be treated with erythromycin. One course of treatment is given in the third trimester of pregnancy and the third trimester of pregnancy (tetracycline is prohibited).