Audit of management of pregnant women with positive VDRL tests.
Article
Dans Anglais
| IMSEAR
| ID: sea-118946
ABSTRACT
BACKGROUND:
Syphilis is a preventable cause of foetal loss and congenital disease. Although the VDRL test is an integral part of routine antenatal care in India, little is known about the disease burden in pregnancy in India. Therefore, we carried out a study to determine the prevalence of VDRL positivity and syphilis among pregnant women in Vellore and to audit the management and outcome of VDRL-positive pregnancies.METHODS:
A retrospective review of case records.RESULTS:
Only 0.98% of pregnant women were positive by the VDRL test. However, foetal loss occurred in 16 (32%) of the 50 seropositive women; 15 of these did not receive antenatal care. Seventeen of the 34 seropositive multiparous women had had previous foetal losses. Only 16 women had received penicillin.CONCLUSION:
Although the seroprevalence of syphilis in pregnancy is low, it is an unrecognized cause of foetal loss in Vellore. An audit of the testing and management of VDRL positivity in pregnancy provides valuable information on the quality of antenatal care in an area.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Pénicillines
/
Phosphatidylcholines
/
Complications infectieuses de la grossesse
/
Prise en charge prénatale
/
Femelle
/
Humains
/
Grossesse
/
Issue de la grossesse
/
Cardiolipides
/
Syphilis
Type d'étude:
Étude observationnelle
/
Facteurs de risque
/
Étude de dépistage
Pays comme sujet:
Asie
langue:
Anglais
Année:
2001
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS