Services on Demand
Journal
Article
Indicators
- Cited by SciELO
- Access statistics
Related links
- Similars in SciELO
Share
Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
ERAZO-MEDINA, Luisa Liliana et al. Gestational syphilis: Analysis of risk factors in a maternal and child center in Lima, Peru (2015-2020). Ginecol. obstet. Méx. [online]. 2022, vol.90, n.11, pp.901-909. Epub Jan 27, 2023. ISSN 0300-9041. https://doi.org/10.24245/gom.v90i11.8154.
OBJECTIVE:
To analyze the risk factors associated with syphilis in pregnant women attended at a mother and child center in Lima, Peru.
MATERIALS AND METHODS:
Observational, retrospective, analytical case-control study performed in a population of pregnant women screened for syphilis at the Centro Materno Infantil Villa María del Triunfo, Lima, Peru, from January 2015 to July 2020. A group of cases of pregnant women diagnosed with syphilis, with reactive test PRS-PRD or RPR-VDRL under any title, according to the definition of the Ministry of Health of Peru and a control group of pregnant women without syphilis diagnosis were integrated. For the bivariate analysis between sociodemographic, obstetric and behavioral factors with gestational syphilis, the Fisher's exact and Pearson´s 2 exact statistical test was used.
RESULTS:
Of 189 pregnant women attended during the study period, 63 had a positive reactive test for syphilis; of these, 34 were adolescents. Of the pregnant women without syphilis, the majority (n = 124) were older than 19 years and only 2 were adolescents. The most significant risk factors for syphilis in pregnant women were being an adolescent (p < 0.01), coming from a marginal urban area (p < 0.01), being single (p < 0.01), low schooling, and being a housewife (p < 0.01).
CONCLUSIONS:
The factors that significantly increase the probability of having syphilis in pregnant women attended at a maternal and child center in Lima, Peru, were adolescent age, urban-marginal origin, single, prenatal desertion, early onset of sexual intercourse, two or more sexual partners, and not using a condom.
Keywords : Syphilis; Risk factors; Adolescent; Pregnancy; Sexually Transmitted Diseases.