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Disease overview

Bacterial

Syphilis in pregnancy

妊娠期梅毒

Evidence-backed informationEN 1/6 applicable sections · ZH 1/6 applicable sectionsUpdated Sep 3, 2026

Syphilis in pregnancy is a treponemal infection caused by Treponema pallidum that can be acquired sexually, hematogenously, or through vertical transmission from mother to infant, and remains an ongoing public health threat with rising prevalence [1]. Rising maternal infection has been accompanied by marked increases in congenital syphilis, which can cause stillbirth, miscarriage, preterm birth, birth defects, and lifelong physical or neurologic sequelae [1][2]. In the United States, congenital syphilis cases rose by 153% from 2013 to 2017 and by 261% from 2013 to 2018, reaching a 30-year high in 2021 [3][1][2]. Between 50% and 80% of pregnant women with syphilis experience an adverse pregnancy outcome, including stillbirth or spontaneous abortion [3].

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Surveillance entity definition

The Brazil DATASUS SINAN registry records 'Syphilis in pregnancy' as a notifiable surveillance entity within its national notification and investigation system, reflecting the public health importance of identifying maternal syphilis infection [4]. As a surveillance concept, it denotes a treponemal infection in a pregnant individual that can result in vertical transmission to the fetus, encompassing all stages of maternal infection caused by Treponema pallidum and tracked to prevent congenital syphilis [1].

References
  1. 1Eppes CS et al. Syphilis in pregnancy: an ongoing public health threat. Am J Obstet Gynecol. 2022 Dec. PMID: 35932881. doi: 10.1016/j.ajog.2022.07.041.PubMed: https://pubmed.ncbi.nlm.nih.gov/35932881/
  2. 2d'Hemecourt K et al. Syphilis in Pregnancy and Congenital Syphilis. R I Med J (2013). 2024 Dec 2. PMID: 39576996.PubMed: https://pubmed.ncbi.nlm.nih.gov/39576996/
  3. 3Tsai S et al. Syphilis in Pregnancy. Obstet Gynecol Surv. 2019 Sep. PMID: 31830301. doi: 10.1097/OGX.0000000000000713.PubMed: https://pubmed.ncbi.nlm.nih.gov/31830301/
  4. 4Brazil Ministry of Health SINAN. SINAN registry entity: Syphilis in pregnancy [Internet]. cited 3 Sept 2026.Available from: https://www.gov.br/saude/pt-br/composicao/svsa/sistemas-de-informacao/sinan
Coding Register
ICD-10
A50-A53
ICD-11
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Updated2026-09-01
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