Evidence map›Paper›PMID 40977496›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025

Syphilis in pregnancy: A practical guide for prenatal care providers.

Audrey Anne Desjardins, Eliana Amaral, Jezid Miranda, Dharmintra Pasupathy, Maria Luisa Martins, Edward Buga, David Aronoff, Deborah Money, Isabelle Boucoiran, FIGO Committee on Infections During Pregnancy and FIGO Committee on Health Systems Strengthening

Abstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Increase in congenital syphilis in the European Union and European Economic Area, 2015 to 2024 - time to scale-up public health responses.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  3. Article
  4. Syphilis in pregnancy: A practical guide for prenatal care providers.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Audrey Anne DesjardinsFaculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.ORCID https://orcid.org/0009-0001-9458-5710
Eliana AmaralInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.ORCID https://orcid.org/0000-0001-9151-3108
Jezid MirandaInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.ORCID https://orcid.org/0000-0003-0372-8374
Dharmintra PasupathyInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.ORCID https://orcid.org/0000-0002-6722-1006
Maria Luisa MartinsInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.
Edward BugaInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.ORCID https://orcid.org/0009-0008-3152-9587
David AronoffInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.ORCID https://orcid.org/0000-0003-4587-6121
Deborah MoneyInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.ORCID https://orcid.org/0000-0003-4411-7473
Isabelle BoucoiranInternational Federation of Gynecology and Obstetrics (FIGO), London, UK.ORCID https://orcid.org/0000-0001-9545-6024
FIGO Committee on Infections During Pregnancy and FIGO Committee on Health Systems Strengthening

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Syphilis during pregnancy remains a persistent global public health challenge. Untreated or inadequately treated syphilis infection during pregnancy contributes significantly to preventable perinatal morbidity and mortality. In the last five years, a resurgence of syphilis among pregnant women in several regions has led to a concerning rise in congenital syphilis cases. Vertical transmission can occur at any point during pregnancy or delivery, with the highest risk observed during primary and secondary stages of infection compared to latent phases. To align with the World Health Organization (WHO) target of reducing the vertical transmission rate below 0.05%, the International Federation of Gynecology and Obstetrics (FIGO) has developed evidence-based guidance for the management of syphilis during pregnancy. The guidance advocates for universal early screening, strengthened health systems to ensure access to free and timely prenatal care, and the integration of effective follow-up strategies. As early diagnosis and treatment are highly effective in reducing transmission, syphilis screening should begin at the first prenatal visit. While regional protocols vary, at a minimum, screening should be repeated at delivery in countries that have not yet met WHO eradication targets. Benzathine penicillin remains the treatment of choice, with proven efficacy and safety. Additionally, screening and treatment of sexual partners are essential to prevent maternal reinfection and community transmission. Strengthening health systems to support these interventions is fundamental to improving maternal and fetal/neonatal health outcomes and advancing towards global elimination of congenital syphilis worldwide.

Indexed as

Infectious Disease Transmission, VerticalPregnancy Complications, InfectiousPrenatal CareSyphilisSyphilis, CongenitalAnti-Bacterial AgentsFemaleHumansMass ScreeningPenicillin G BenzathinePractice Guidelines as TopicPregnancyWorld Health OrganizationAnti-Bacterial AgentsPenicillin G Benzathinecongenital syphilismaternal syphilisperinatal infectionprenatal caresyphilis managementvertical transmission

Identifiers

PMID40977496
PMCPMC12553112

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.