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Treatment of syphilis in pregnant women

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The treatment of syphilis during pregnancy is also done with penicillin and is important to avoid complications in women and to prevent the baby from being infected with the disease and having congenital syphilis.

The obstetrician is the doctor indicated to guide the best treatment of syphilis during pregnancy and Penicillin injections must be purchased by the person and administered at the health post by the nurse.

Remedies for Syphilis in Pregnancy

The treatment of syphilis during pregnancy should be started as soon as possible and is usually done with Penicillin, as follows:

  • Primary syphilis in pregnancy: 1 single dose of Penicillin; Secondary syphilis in pregnancy or recent latent, with less than a year of evolution: 2 doses of Penicillin, one per week; Tertiary syphilis in pregnancy, late latent, with more than a year of evolution or unknown time: 3 doses of Penicillin, one per week.

The partner must also be treated for syphilis so that the disease does not progress and the pregnant woman does not become infected again. Until the complete treatment of gestational syphilis, the pregnant woman should avoid intimate contact.

Side effects of syphilis treatment in pregnant women

With treatment with Penicillin, the pregnant woman may have some side effects such as contractions, fever, headache, in the muscles or joints, chills and diarrhea.

To reduce fever and headaches, the pregnant woman can put a compress with cold water on the forehead. For muscle and joint pain a good option is to take a hot bath or receive a relaxing massage. Paracetamol can also help relieve these side effects, but it should be used with caution.

For diarrhea, a good tip is to increase your yakult intake, as this yogurt contains live lactobacilli that help regulate the intestine, as well as drinking coconut water to compensate for water losses and hydrate the body.

Pregnant allergic to penicillin

The treatment of syphilis for pregnant women allergic to penicillin can be done with other antibiotics, such as erythromycin stearate, for 15 days in case of recent syphilis, or 30 days in case of late syphilis.

Signs of improvement and worsening

Signs of improvement in syphilis in pregnancy include a decrease or disappearance of wounds in the intimate area, as well as skin and mouth lesions, if any, and a decrease in swelling and pain in the tongue.

Signs of worsening syphilis in pregnancy include an increase in wounds in the intimate area, the appearance or increase of lesions in the skin and mouth, an increase in tongue, fever, muscle stiffness and limb paralysis.

Complications of syphilis in pregnancy

Complications of syphilis in pregnancy can occur in pregnant women who do not perform the treatment correctly. A possible complication is to transmit syphilis to the baby through the placenta or birth canal. In these cases, it is said that the baby has congenital syphilis and should also receive treatment with penicillin because syphilis when untreated can affect the baby's development and cause problems such as blindness, deafness or mental retardation.

Another serious complication of syphilis for women is neurosyphilis in which the brain and spinal cord are infected and can cause damage to the nervous system such as paralysis or blindness.

Watch the following video and understand better what this disease consists of:

Treatment of syphilis in pregnant women