Carvalho, Jovanka Bittencourt Leite deSales, José Renato Paulino de2021-06-102021-06-102021-02-24SALES, José Renato Paulino de. Sífilis gestacional e congênita: análise epidemiológica dos fatores relacionados às notificações no estado do Rio Grande do Norte. 2021. 128f. Dissertação (Mestrado em Enfermagem) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2021.https://repositorio.ufrn.br/handle/123456789/32654The general objective of the study was to analyze the factors related to the reported cases of gestational and congenital syphilis in the state of Rio Grande do Norte. This is a research of quantitative epidemiological approach, of the descriptive and ecological type, originating from secondary data, having as its coverage area the state of Rio Grande do Norte, carried out in the year 2020. The sample was composed based on the criteria of eligibility and totaled 1892 notifications of syphilis in pregnant women and 2101 for congenital syphilis in the period from 2014 to 2018. Data collection took place from October to December through the bank of the Notifiable Diseases Information System. The data were organized in the Microsoft Excel program for tabulation and statistical analysis using the free Statistical Package for the Social Sciences software version 23.0. For statistical analysis, Chi-square or Fisher's exact tests were used, as well as Odds Ratio with respective 95% confidence intervals (95% CI), as well as by independent t-test and Kruskal Wallis followed by Student Keuls. The significance adopted was p <0.05. Finally, statistical differences between the values spent (R$) for hospitalization between gestational and congenital syphilis were obtained, when parametric, by independent t test and when the Gaussian assumption was broken by Mann-Whitney and as a measure of the quality of adjustment of the logistic model the Hosmer and Lemeshow test was used, in which p> 0.05. Inherent to ethical aspects, the research was conducted in accordance with Resolution No. 510/16 of the National Health Council, and as the study used secondary data, the analysis of the Ethics and Research Committee was dispensed with. The registered maternal profile points to women with an average age of 20 to 29 years (50.0%), brown (57.9%), with low education (61.2%). The analysis of prenatal care identified a predominance of maternal diagnosis in the third gestational trimester (40.0%), (12.1%) did not perform prenatal care and performed non-treponemal (82.6%) and treponemal tests (49 , 5%) reagents at delivery. Regarding maternal treatment, only (3.3%) had adequate treatment and (18.6%) of the partners were treated concomitantly with pregnant women. In the outcomes related to children, (98.5%) had a diagnosis of recent congenital syphilis and (1.1%) of deaths from the disease. With regard to hospitalizations, it presented an average number of 79.2 for congenital syphilis with an average cost of R $ 4,217 for less. It is concluded that vertical transmission was related to the loss of diagnostic and therapeutic opportunities, since public resources are being applied, with a greater emphasis, on the costs of treating the disease at the expense of preventing the disease, through the realization of the disease. quality prenatal care. The development of strategies for early detection and adherence to the treatment of the disease must be adopted, with a view to strengthening care and breaking the chain of vertical transmission of syphilis, in addition to avoiding and / or minimizing hospitalizations of children as a result of congenital syphilis.Acesso AbertoSífilisGravidezSífilis congênitaCuidado pré-natalServiços de vigilância epidemiológicaEnfermagemmasterThesis