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Syphilis and Pregnancy
5
Transcript
Syphilis and Pregnancy
Syphilis
- Treatable and curable Sexually Transmitted Infection
- Caused by Treponema pallidum
- Four stages
Introduction
Symptoms of Stages
Primary
- chancre - firm, round and painless
Secondary
- Sores in mouth, vagina or anus. Rash (red, rough and spotted)
Latent
- No symptoms
Tertiary (10-30 years)
- Fatal
- Affect multiple organ systems
Stages
Primary Risk Factors
- Must be sexually active
- History of HIV
- Males in sexual relationship with another male
- Having multiple partners
- Having parterns who are postive
Risk Factors
Increasing risks
- Ethnic disparities
- Low socioeconomic class
- Unsafe sexual practices
- Lack seeking care
- Lack of prenatal care
Contributing Factors
Direct contact with chancre.
- Vaginal, anal, and oral sex
- Infection can be spread to unborn child
Spread
To unborn child
Early in fetal period (14-16 weeks)
Pass through layers of amniotic sac
Vertical tranmission - durning birth
Transmission
Diagnosis
VDL/RPR
- VDL - Cerebrospinal Fluid
- RPR - Serum testing
Pregnancy
Treatment
Penicillin G
To Screen
- Done at all first prenatal visits
- At 28 weeks (if high risk)
- Prior to delivery (high risk)
When
Allergy
Desensitization to Penicillin
PCN
Health of mother
- Neuro -, Ocular-, or Otosyphilis
- Multiple organ failure
- Health of fetus is jeopardized
- May be fatal
Implications
Health of fetus
- Miscarriage
- Stillbirth
- Prematurity
- Death shortly after birth
Born with congenital syphilis
Health
consequences
of Fetus
- Deformed bone structure
- Jaundice
- Neurological issues
- Meningitis
- Rashes
- Enlarged spleen and liver
- Severe anemia
Pictures
Nurse's role
Nursing
Considerations
- Get complete social and medical history
- Complete and detailed head-to-toe assessments
- Proper collection and documentation of specimen
- Education
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