{"id":46485,"date":"2025-02-26T14:46:05","date_gmt":"2025-02-26T19:46:05","guid":{"rendered":"https:\/\/blackhealthmatters.com\/?p=46485"},"modified":"2026-02-05T15:50:19","modified_gmt":"2026-02-05T20:50:19","slug":"congenital-syphilis-puts-your-unborn-child-at-risk","status":"publish","type":"post","link":"https:\/\/blackhealthmatters.com\/congenital-syphilis-puts-your-unborn-child-at-risk\/","title":{"rendered":"Congenital Syphilis Puts Your Unborn Child at Risk"},"content":{"rendered":"<p>Cases of congenital syphilis can be deadly. This chronic infectious disease is caused by contracting a treponema pallidum infection, resulting in an active syphilis condition being passed to a fetus in utero. &#8220;If a pregnant woman with active syphilis is not effectively treated, T. pallidum can cross the placenta and infect the fetus in utero. Mother-to-child transmission of syphilis imposes heavy economic and medical burdens worldwide,&#8221; according to <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9853042\/\">Frontiers in Public Health<\/a>. According to the <a href=\"https:\/\/www.who.int\/news\/item\/26-02-2019-who-publishes-new-estimates-on-congenital-syphilis\">World Health Organization<\/a>, &#8220;Congenital syphilis is the second leading cause of preventable stillbirth globally.&#8221;<\/p>\n<h2>The statistics are downright frightening.<\/h2>\n<p>&#8220;Approximately 50% will be dead in utero, prematurely born, stillborn, or dead shortly after delivery,&#8221; according to the Journal of <a href=\"https:\/\/academic.oup.com\/cid\/article-abstract\/33\/3\/354\/277468?redirectedFrom=PDF\">Clinical Infectious Diseases<\/a>.<\/p>\n<blockquote><p>Data from <a style=\"font-family: Verdana, BlinkMacSystemFont, -apple-system, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;\" href=\"https:\/\/medlineplus.gov\/ency\/article\/001344.htm#:~:text=Congenital%20syphilis%20is%20caused%20by,shortly%20before%20or%20after%20birth.\">The National Library of Medicine<\/a><span style=\"font-family: Verdana, BlinkMacSystemFont, -apple-system, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;\">\u00a0 backed that\u00a0 up, reporting that &#8220;Up to half of all babies infected with syphilis in the womb die shortly before or after birth.&#8221;<\/span><\/p><\/blockquote>\n<h2>But is syphilis common?<\/h2>\n<p>Syphilis, the <a href=\"https:\/\/blackhealthmatters.com\/chlamydia-pregnancy-7-things-you-should-know\/\">sexually transmitted disease<\/a> that leads to congenital syphilis, is extremely common. It is contracted by engaging in sexual acts without a condom and intimate skin-to-skin contact.<\/p>\n<p>The U.S. Centers for Disease Control and Prevention <a href=\"https:\/\/www.cdc.gov\/nchhstp\/newsroom\/releases\/2024\/STI-Surveillance-Report-2022.html\">(CDC)<\/a> have reported a sharp spike in the number of syphilis cases in recent years. In 2022, the CDC released a <a href=\"https:\/\/www.cdc.gov\/nchhstp\/newsroom\/releases\/2024\/STI-Surveillance-Report-2022.html\">report<\/a> that stated an 80% rise in the number of cases in the United States from 2018 to 2022.<\/p>\n<blockquote><p>The New England Journal of Medicine considers the increase in congenital syphilis rates an &#8220;emerging public health concern.&#8221;<\/p><\/blockquote>\n<p>Syphilis is a highly treatable sexually transmitted disease, but it is pervasive around the world. Black women are diagnosed with syphilis at higher rates than their counterparts. According to the Journal of <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8994035\/#:~:text=We%20found%20that%20nationally%2C%20syphilis,and%2025%20to%2029%20years.\">Sexually Transmitted Diseases<\/a>, &#8220;nationally, syphilis diagnosis rates were 6.42 and 2.20 times higher among Black and Hispanic heterosexually active women compared with White heterosexually active women.&#8221; Rates of syphilis rose dramatically during the COVID-19 pandemic as well.<\/p>\n<h2>As a pregnant woman, what can I do to protect my unborn child and myself?<\/h2>\n<h3>Here are three ways to prevent congenital syphilis.<\/h3>\n<h4>1. Get Proper Prenatal Care<\/h4>\n<p>A lack of proper prenatal care can lead to missed screening opportunities that can prevent congenital syphilis. Appropriate screenings are a crucial part of any successful pregnancy. These should include screenings for sexually transmitted diseases.<\/p>\n<blockquote><p><a href=\"https:\/\/www.thelancet.com\/journals\/lanam\/article\/PIIS2667-193X(24)00221-7\/fulltext\">The Lancet<\/a> identified a lack of prenatal care as a contributor to adverse pregnancy outcomes in 2024.<\/p><\/blockquote>\n<p>&#8220;Inadequate access to prenatal care is associated with congenital syphilis across many jurisdictions,&#8221; according to a 2023 report published by <a href=\"https:\/\/www.publichealthontario.ca\/-\/media\/Documents\/U\/2023\/universal-prenatal-screening-congenital-syphilis.pdf?rev=dd1dc37fd58441b0b882bc320f10d9a5&amp;sc_lang=en\">Public Health Ontario<\/a>. <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1751485120300386\">Nursing for Women&#8217;s Health<\/a> confirmed that &#8220;Lack of prenatal care, poor access to prenatal care, and improper prenatal care all have contributed to cases of congenital syphilis.&#8221;<\/p>\n<h4>2. Get Tested \u2026Again\u2026 And Again<\/h4>\n<p>In 2022, the <a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/72\/wr\/mm7246e1.htm#:~:text=Lack%20of%20timely%20testing%20and%20adequate%20treatment%20during%20pregnancy%20contributed,and%20U.S.%20Census%20Bureau%20regions.\">CDC<\/a> reported that &#8220;Lack of timely testing and adequate treatment during pregnancy contributed to 88% of cases of congenital syphilis.&#8221; Signs of syphilis are not obvious and can be masked by other conditions.<\/p>\n<p>It is essential to request a test at every doctor&#8217;s visit. According to <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9853042\/\">Frontiers in Public Health<\/a>, &#8220;The extensive clinical manifestations of T. pallidum infection mimic those of many other diseases during pregnancy, which may lead to delayed diagnosis and serious consequences.&#8221;<\/p>\n<p>Testing for syphilis once or twice during a pregnancy is not enough. A pregnant person must be tested before delivery. A 2020 article in IDCases stressed the importance of repeating the screening process to detect congenital syphilis. &#8220;For women at increased risk, repeat syphilis testing early in the third trimester and again at delivery in communities and populations with a high prevalence of syphilis is recommended,&#8221; and there is &#8220;a need for heightened clinical awareness of syphilis by providers,&#8221; according to IDCases.<\/p>\n<p>Newborns at high risk should be tested, too, as children born with congenital syphilis can be asymptomatic. According to StatPearls, &#8220;If a mother tests serologically positive for syphilis, the newborn should receive a careful physical examination looking for any early signs or symptoms of congenital disease as well.&#8221;<\/p>\n<blockquote><p>If you can&#8217;t make it to be screened or rescreened, <a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/73\/rr\/rr7301a1.htm\">rapid tests<\/a> are available for those with limited resources. These can be administered outside of traditional clinical environments.<\/p><\/blockquote>\n<p><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-advisory\/articles\/2024\/04\/screening-for-syphilis-in-pregnancy\">The American College of Obstetricians and Gynecologists<\/a> recommended an increase in syphilis screenings for pregnant people in a practice advisory they released in 2024.<\/p>\n<h4>3. Get Treated Before It&#8217;s Too Late<\/h4>\n<p>Syphilis can be effectively treated during pregnancy. A <a href=\"https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6444a3.htm?fd=5317710456904024%7C5456507360795513&amp;lp=\/symptoms-diagnosis-syphilis\">CDC Morbidity and Mortality Weekly Report<\/a> from 2015 found that &#8220;maternal treatment with penicillin is 98% effective at preventing CS (congenital syphilis).&#8221; There are limited risks to treating the condition during pregnancy. Still, there are plenty of serious risks associated with leaving it untreated that threaten all of the major organs of a newborn.<\/p>\n<p><a href=\"https:\/\/www.who.int\/news\/item\/26-02-2019-who-publishes-new-estimates-on-congenital-syphilis\">The World Health Organization<\/a> reports that &#8220;The risk of adverse outcomes to the fetus is minimal if a pregnant woman, infected with syphilis, receives testing and adequate treatment with benzathine penicillin, early in pregnancy \u2013 ideally before the second trimester.&#8221;<\/p>\n<p>Frequent testing and appropriate treatment can change or save a life before it starts.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cases of congenital syphilis can be deadly. This chronic infectious disease is caused by contracting a treponema pallidum infection, resulting in an active syphilis condition being passed to a fetus [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":46489,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1957,4957,3041],"tags":[2580,5419,5420,5421,3008,1123,5297,5422,215],"class_list":["post-46485","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","category-sexual-health","category-womens-health","tag-black-maternal-health","tag-congenital-syphilis","tag-congenital-syphilis-risk-to-unborn-chilren","tag-congenital-syphilis-risks-of-stillbirth","tag-editor-pick","tag-maternal-health","tag-prenatal-infections","tag-risks-of-newborn-death-after-birth","tag-sexual-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.9 (Yoast SEO v26.9) - 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