RESUMO
The authors have analyzed 184 case histories of pregnant women hospitalized at a department for obstetrics and gynecology of hospital No. 52 (134 women) and at the female department for sexually transmitted diseases of the City Center for Skin and Sexually Transmitted Diseases (50 women) in the town of Tashkent in 1980-1988. This analysis has revealed the predominance of latent forms of syphilis in pregnant women; therefore consultation centers for females play the principal role in the detection of syphilis in pregnant women by timely serologic screenings for syphilis. Health-educating activities are inadequate, therefore many women consult a doctor only in the second or even third trimester of pregnancy, and some do not consult a doctor at all. A considerable reduction in the rate of late spontaneous abortions and stillbirths vs. the 'preantibiotic period' of syphilis treatment indicates a relatively benign course of syphilis as far as its fetal effect is concerned. Specific therapy of pregnant syphilis patients with benzylpenicillin procaine salt combined with theonikal essentially reduced the incidence rate of uterine inertia. To prevent intrauterine fetal hypoxia and correct the course of labor sygethin should be administered.
