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Social and behavioural aspects of prevention poster session 9: Women
P2-S9.02 Syphilis and pregnancy: social portrait of the disease in Belarus
  1. I Tsikhanouskaya
  1. Vitebsk State Medical University, Vitebsk, Belarus


According to the statistical data in Belarus pregnant women made of 8—17% of all women with confirmed syphilitic infection. About 15% women have primary syphilis, 30%—secondary, and 55%—latent syphilis. Aim of study. Study the social structure and concurrent pathology in pregnant women with confirmed syphilitic infection in Belarus.

Methods 95 case histories of pregnant women with confirmed diagnosis of syphilitic infection where analysed during 2003—2008. Middle age of women was 25.5±51 years.

Results Middle gestational period when syphilitic infection was registered was 21.5±20.4 weeks (in 1—12 weeks—in 10,5% of women; in 13—24 weeks—in 56.8%, in 25—36 weeks—in 30.5%, and in 37—40 weeks—in 2.2%). Concurrent STI where registered in 66.3% of women: trichomoniasis in 11.1%, urogenital candidiasis—in 25,4%, urogenital chlamydiasis—in 12.7%, mixed infection (chlamydia and ureoplasma) in 4.8%. Anaemia was registered in 25.1% of cases, fetoplacental insufficiency—in 7.1% of cases. From all women 67.3% where not officially married and their partners where not checked up as far as they where working outside Belarus. Only 8 women (8.4%) mentioned occasional sexual contacts. Unemployed women made of 52.6% of studied patients. Majority of employed women (64%) worked as unskilled workers. Others where academics—6.67%, medical professions—8.89%, students—8.89%, others—6.67%.

Conclusion Syphilitic infection in Belarus is detected quite late (usually 13—36 weeks). High percentage of pregnant women in Belarus are women with low social status and poor education.

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