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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can New Born Screening Detect Syphilis?

Hi sir

i am positive an vdrl and tpha. During my 7 months pregnancy my doctor give me a treatment the 3 weeks of treatment im negative in vdrl before i give birth
I ask if posible my baby infect also in syphilis then its posible in new born screening can detect syphilis

Thank you
Wed, 5 Sep 2018
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Internal Medicine Specialist 's  Response
Hi,

Syphilis can cross the placenta and infect the fetus from about 14 weeks’ gestation, and the risk of fetal infection increases with gestational age.

When syphilis is diagnosed during the second half of pregnancy, management should include a sonographic fetal evaluation for congenital syphilis. However, this evaluation should not delay the therapy. Sonographic signs of fetal or placental syphilis (i.e., hepatomegaly, ascites, hydrops, fetal anemia, or a thickened placenta) indicate a greater risk for fetal treatment failure.

So get the scanning done for the above findings and check for syphilis in new born by amniotic fluid sampling etc.

If any test is positive, then please consult your gynecologist immediately otherwise a bad outcome is expected.

Hope I have answered your query. Let me know if I can assist you further.
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Can New Born Screening Detect Syphilis?

Hi, Syphilis can cross the placenta and infect the fetus from about 14 weeks’ gestation, and the risk of fetal infection increases with gestational age. When syphilis is diagnosed during the second half of pregnancy, management should include a sonographic fetal evaluation for congenital syphilis. However, this evaluation should not delay the therapy. Sonographic signs of fetal or placental syphilis (i.e., hepatomegaly, ascites, hydrops, fetal anemia, or a thickened placenta) indicate a greater risk for fetal treatment failure. So get the scanning done for the above findings and check for syphilis in new born by amniotic fluid sampling etc. If any test is positive, then please consult your gynecologist immediately otherwise a bad outcome is expected. Hope I have answered your query. Let me know if I can assist you further.