Method for setting up an observatory for gestational and congenital syphilis: experience report

Abstract

Objective: to describe the method of implanting an "Observatory for gestational and congenital syphilis". Method: Descriptive study, carried out in the city of Londrina, Paraná, Brazil, from 2013 to 2016. To implement the observatory, it was necessary to comply with the following steps: 1) formation of the syphilis working group; 2) situational diagnosis; 3) permanent education workshops; 4) structuring the line of care and communication; 5) adequacy of technical laboratory procedures for performing the Venereal Disease Research Laboratory; 6) ordering the work process in obstetric care. Results: The actions implemented impacted the increase in the detection of syphilis cases in pregnant women in primary care, which went from 9.4 per thousand live births in 2013 to 16.7 in 2015. The specific mortality from congenital syphilis reached 41.7 cases per 100,000 live births in 2013 and reduced to zero in subsequent years. Conclusion: The creation of the observatory allowed the expansion of the diagnosis of syphilis during pregnancy, improved maternal and child care and reduced vertical transmission of syphilis.