Evaluation of the impact of the COVID-19 pandemic on the follow-up and treatment of pregnant women with syphilis and their partners: comparative analysis with a pre-pandemic period.

Abstract

A prospective cohort study of pregnant women with a new diagnosis of syphilis treated at the San Isidro Municipal Maternity Hospital during the 2020-2021 pandemic years was carried out. 108 pregnant women with syphilis were assisted: 69 in 2020 and 39 in 2021 with an incidence of maternal syphilis of 5.05% and 3.4% respectively. The treatment of those who finished the pregnancy at the time of this study (n=95) was adequate in 78% (74) of the cases, 16.8% (16) was inadequate and 5.2% (5) lost follow-up. 11% presented reinfection during pregnancy. Regarding the couples (n=104), 84.6% (88) had a stable relationship, 70% (73) of the couples were tested, of which 45% (33) had positive vdrl and were treated 88% (29). The results of the study do not show significant differences in the indicators evaluated (adequate treatment and reinfection of the pregnant woman and testing/treatment of the partner) when comparing the periods 2018-2019 vs 2020-2021.