Table 2. Obstetric, prenatal and maternity health care for syphilis in pregnant women at the University Hospital of Dourados, Mato Grosso do Sul State.
| Variable | Total n = 63 | Case n = 21 | Control n = 42 | OR | 95% CI | p value |
|---|---|---|---|---|---|---|
| Prenatal care | 0.26 | 0.01-5.32 | 0.213 | |||
| Yes | 60 (95.2) | 21 (100) | 39 (92.8) | |||
| No | 3 (4.8) | 0 (0) | 3 (7.2) | |||
| Place of prenatal care | 1.55 | 0.06-39.79 | 0.479 | |||
| Public | 59 (98.3) | 21 (100) | 41 (97.6) | |||
| Private | 1 (1.7) | 0 (0) | 1 (2.7) | |||
| Beginning of prenatal care | 1.20 | 0.40-3.52 | 0.742 | |||
| 1º trimester | 36 (60) | 12 (57.1) | 24 (61.5) | |||
| 2º or 3º trimester | 24 (40) | 9 (42.9) | 15 (38.5) | |||
| Medical visits | 0.88 | 0.28-2.76 | 0.840 | |||
| ≤ 5 | 41 (68.3) | 14 (66.7) | 27 (69.2) | |||
| ≥ 6 | 19 (31.7) | 7 (33.3) | 12 (30.8) | |||
| History of abortion | 0.70 | 0.22-2.21 | 0.557 | |||
| Yes | 18 (28.6) | 7 (33.3) | 11 (26.1) | |||
| No | 45 (71.4) | 14 (66.7) | 31 (73.9) | |||
| History of stillbirth | 2.10 | 0.22-20.11 | 0.513 | |||
| Yes | 5 (8) | 1 (4.7) | 4 (9.5) | |||
| No | 58 (92) | 20 (95.3) | 38 (90.5) | |||
| History of preterm birth < 37 weeks | 0.89 | 0.29-2.74 | 0.849 | |||
| Yes | 20 (31.8) | 7 (33.3) | 13 (30.9) | |||
| No | 43 (68.2) | 14 (66.7) | 29 (69.1) | |||
| History of neonatal death | 1.53 | 0.15-15.75 | 0.717 | |||
| Yes | 4 (6.4) | 1 (4.7) | 3 (7.1) | |||
| No | 59 (93.6) | 20 (95.3) | 39 (92.9) | |||
| History of STI in the last year | 0.61 | 0.21-178 | 0.376 | |||
| Yes | 31 (49.2) | 12 (57.1) | 19 (45.2) | |||
| No | 32 (50.8) | 9 (42.9) | 23 (54.8) | |||
| Genital injury | 1.14 | 0.32-3.98 | 0.831 | |||
| Yes | 14 (22.2) | 5 (23.8) | 9 (21.4) | |||
| No | 49 (77.8) | 16 (76.2) | 33 (78.6) | |||
| Vaginal discharge | 1.47 | 0.51-4.25 | 0.472 | |||
| Yes | 37 (58.7) | 11 (52.3) | 26 (61.9) | |||
| No | 26 (41.3) | 10 (47.7) | 16 (38.1) | |||
| VDRL test during prenatal care | 2.28 | 0.67-7.75 | 0.182 | |||
| Yes | 47 (78.3) | 14 (66.7) | 33 (84.6) | |||
| No | 13 (21.7) | 7 (33.3) | 6 (15.4) | |||
| VDRL titer | 0.58 | 0.19-1.79 | 0.352 | |||
| ≤1:4 | 27 (57.4) | 10 (52.6) | 17 (60.7) | |||
| ≥1:8 | 20 (42.6) | 9 (47.4) | 11 (39.3) | |||
| Rapid test during prenatal care | 0.50 | 0.15-1.64 | 0.254 | |||
| Yes | 40 (66.7) | 16 (76.2) | 24 (61.5) | |||
| No | 20 (33.3) | 5 (23.8) | 15 (38.5) | |||
| HIV serological test during prenatal care | 0.34 | 0.03-3.12 | 0.325 | |||
| Yes | 54 (90) | 20 (95.2) | 34 (87.2) | |||
| No | 6 (10) | 1 (4.8) | 5 (12.8) | |||
| HIV serology | 1.18 | 0.10-13.99 | 0.892 | |||
| Reactive | 3 (5.6) | 1 (5) | 2 (5.9) | |||
| Non-reactive | 51 (94.4) | 19 (95) | 32 (94.1) | |||
| Treponemal test during prenatal care | 5.05 | 0.97-26.17 | 0.053 | |||
| Yes | 15 (31.9) | 2 (12.5) | 13(41.9) | |||
| No | 32 (68.1) | 14 (87.5) | 18 (58.1) | |||
| Number of children | 1.62 | 0.55-4.73 | 0.375 | |||
| ≤2 | 29 (46) | 8 (38.1) | 21 (50) | |||
| ≥3 | 34 (54) | 13 (61.9) | 21 (50) | |||
| Type of delivery | 2.64 | 0.89-7.76 | 0.077 | |||
| VB | 34 (54) | 8 (38.1) | 26 (61.9) | |||
| CS | 29 (46) | 13 (61.9) | 16 (38.1) | |||
| Diagnosis of syphilis during pregnancy | 0.88 | 0.26-2.97 | 0.839 | |||
| Yes | 47 (74.6) | 16 (76.1) | 31 (73.8) | |||
| No | 16 (25.4) | 5 (23.9) | 11 (26.2) | |||
| Treatment with penicillin | 0.96 | 0.20–4.48 | 0.960 | |||
| Yes | 38 (80.8) | 13 (81.2) | 25 (80.6) | |||
| No | 9 (19.2) | 3 (18.8) | 6 (19.4) | |||
| VDRL test (monthly) | 0.330 | |||||
| Yes | 4 (8.6) | 0 (0) | 4 (13.4) | |||
| No | 43 (91.4) | 17 (100) | 26 (86.6) | |||
| Sexual partner treated | 0.76 | 0.19-2.97 | 0.702 | |||
| Yes | 22 (46.8) | 7 (50) | 15 (45.5) | |||
| No | 25 (53.2) | 7 (50) | 18 (54.5) |
CS = cesarean section; VB = vaginal birth; STI = sexually transmitted infections.