@article{Panchalee_Chayachinda_Panyakat_Chen_Quinones-Garcia_Pernsoongnern_2018, title={Characteristics and Neonatal Outcomes of Teenage Pregnant Women Diagnosed with Syphilis at Siriraj Hospital}, volume={70}, url={https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/153855}, abstractNote={<p><strong>Objective:</strong> To demonstrate the characteristics of teenage pregnant women diagnosed with syphilis during pregnancy<br>and neonatal outcomes.<br><strong>Methods:</strong> This is a retrospective study. Medical records of teenage pregnant women who were diagnosed with syphilis<br>during pregnancy and delivered at Siriraj Hospital and their newborn babies from 2011 to 2016 were reviewed.<br>Demographic data and clinical factors were retrieved. Neonatal outcomes including gestational age at birth, birth<br>weight, and diagnosis of congenital syphilis were recorded. STATA version 12.0 was used to analyze the data and<br>p-value less than 0.05 was considered statistically significant.<br><strong>Results:</strong> During 2011-2016, there were 28 eligible women. The mean age was 17.6±1.2 years. Seventy-five percent<br>of them were unemployed and one-fourth had been educated less than or up to primary school level. The median<br>number of partners was 4 and their sexual debut started from the age of 15.3±0.9. A quarter also had other sexually<br>transmitted infections (STIs). Congenital syphilis was diagnosed in 12 newborns (12/28, 42.8%). The mothers of<br>the newborns with congenital syphilis were more likely to be unemployed, had first antenatal care (ANC) after 20<br>weeks of gestation, had <4 ANC visits, had high initial non-treponemal titer and poor treatment of syphilis before<br>deliveries (p<0.05 for all). Preterm birth and very low birth weight were significantly more common in newborns<br>with congenital syphilis.<br><strong>Conclusion:</strong> Some socio-economic factors are associated with the risk of syphilis infection. Almost half of the<br>teenage pregnant women diagnosed with syphilis delivered babies with congenital syphilis. Inadequate antenatal<br>care and poor treatment of maternal syphilis are the predictive factors of congenital syphilis.</p>}, number={4}, journal={Siriraj Medical Journal}, author={Panchalee, Tachjaree and Chayachinda, Chenchit and Panyakat, Wanwadee and Chen, Meng-yu and Quinones-Garcia, Vanessa Z. and Pernsoongnern, Pareeda}, year={2018}, month={Nov.}, pages={298–301} }