Syphilis in Pregnancy: Management and Strategies Experienced by Nurses During the Covid-19 Pandemic

Authors

DOI:

https://doi.org/10.21527/2176-7114.2023.47.13682

Keywords:

Syphilis, Syphilis Congenital, Prenatal Care, Nurses, COVID-19

Abstract

His research deals with the management of syphilis during pregnancy in times of the Covid-19 pandemic. The objective was to identify how the experience took place and what strategies were used by PHC nurses in the city of Rio de Janeiro regarding the management and monitoring of syphilis during pregnancy during the Covid-19 pandemic. This is a study with a qualitative approach, carried out with 23 nurses who work in Primary Health Care. Data collection took place through an online questionnaire and analysis using the Content Analysis technique. The results showed that the majority of nurses were female, postgraduate and with an average of 10 years in the profession. They experienced difficulty in treating the pregnant woman and her partner, in addition to changes in the routine of health units during the pandemic. However, they do not demonstrate significant changes in the reality already experienced in relation to syphilis. The strategies indicated to continue the monitoring of syphilis in pregnant women were the partnership with community health agents to capture and actively search for pregnant women in the community and the use of information and communication technologies to provide information and health education to pregnant women in a way that remote and accessible. It can be concluded that although the changes were small in the daily care regarding syphilis, current technologies were used for remote monitoring and guidelines for the continuity of treatment of syphilis in pregnant women.

References

Brasil. Ministério da Saúde. Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis (IST) [Internet]. Brasília, DF; 2022. [Acesso em 16 ago. 2020]. Disponível em: http://portaldeboaspraticas.iff.fiocruz.br/wp-content/uploads/2019/02/pcdt_ist_para_web_-_nao_diagramado1.pdf

Santos MDS, Silva FAFL, Rigo FL, Silveira TVL, Sacramento SC, Camponêz PSP. Epidemiological profile of the reported cases of maternal and congenital syphilis in a reference maternity hospital from Belo Horizonte. Rev Med Minas Gerais 2022;32:e-32110. [Acesso em: 17 mar. 2023]. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1391394

Araújo MAL, Andrade RFV, Barros VL, Bertoncini PMRP. Fatores associados aos desfechos desfavoráveis provocados pela Sífilis na gestação. Rev Bras Saude Mater Infant. 2019;19(2):421-429. DOI: https://doi.org/10.1590/1806-93042019000200009

Brasil. Ministério da Saúde. Boletim epidemiológico de sífilis. 2022. [Acesso em: 17 mar. 2023]. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/especiais/2022/boletim-epidemiologico-de-sifilis-numero-especial-out-2022

Santos PS, Terra FS, Felipe AO, Calheiros CA, Costa AC, Freitas PS. Assistência pré-natal pelo enfermeiro na atenção primária à saúde: visão da usuária. Enferm Foco. 2022;13:e-202229. DOI: https://doi.org/10.21675/2357-707X.2022.v13.e-202229

Ferreira ER, Coutinho NPS, Oliveira BLCA, Rabelo PPC, Rolim ILTP. Consulta de enfermagem no pré-natal: um relato de experiência das práticas do enfermeiro durante a pandemia da Covid-19. Saúde Colet. mar. 2022;12(74):9.770-9.781. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1412103

Souza VR, Marziale MH, Silva GT, Nascimento PL. Tradução e validação para a língua portuguesa e avaliação do guia COREQ. Acta Paul Enferm. 2021;34:1-9. DOI: https://doi.org/10.37689/acta-ape/2021AO02631

Bardin L. Análise de conteúdo. Edição revista e ampliada. São Paulo: Edições 70 Brasil; [1977] 2016. Disponível em: https://madmunifacs.files.wordpress.com/2016/08/anc3a1lise-de-contec3bado-laurence-bardin.pdf

Benzaken AS, Pereira GFM, Cunha ARC da, Souza FMA de, Saraceni V. Adequacy of prenatal care, diagnosis and treatment of syphilis in pregnancy: a study with open data from Brazilian state capitals. Cad Saúde Pública. 2019;(1):1-13. DOI: https://doi.org/10.1590/0102-311x00057219

Silva MFCF, Pereira SMX, Aidar TPS, Souza RG, Costa RFC, Oliveira LAG et al. Sífilis congênita como uma abordagem sistêmica. Braz. J of Develop. 2020;7(6):51.840-51.848. DOI: https://doi.org/10.34117/bjdv6n7-724

Gomes CBA, Dias RS, Silva WGB, Pacheco MAB, Souza FGM de, Loyola CMD. Prenatal nursing consultation: narratives of pregnant women and nurses. Texto Contexto-Enferm. 2019;28:1-15. DOI: https://doi.org/10.1590/1980-265X-TCE-2017-0544

Pagnussat M, Assis LP, Loca AP, Gomes CF, Marinheiro JC, Souza T. Analysis of Adherence to the Treatment of Pregnant Sexual Partners with Gestational Syphilis, in the ABC Paulista Region. Braz J of Develop. 2020;6(9):68.482-68.486. DOI: https://doi.org/10.34117/bjdv6n9-332

Parkes-Ratanshi R, Mbazira Kimeze J, Nakku-Joloba E, Hamill MM, Namawejje M, Kiragga A et al. Low male partner attendance after syphilis screening in pregnant women leads to worse birth outcomes: the Syphilis Treatment of Partners (STOP) randomised control trial. Sex Health. 2020;17(3):214-222. DOI: https://doi.org/10.1071/SH19092

Gois-Santos VT, Santos VS, Souza CDF, Tavares CSS, Gurgel RQ, Martins-Filho PR. Primary Health Care in Brasil in the times of COVID-19: changes, challenges and perspectives. Rev Assoc Med Bras. 2020;66(7):876-879. DOI: https://doi.org/10.1590/1806-9282.66.7.876

Maciel FBM, Santos HLPC, Carneiro RAS, Souza EA, Prado NMBL, Teixeira CFS. Agente comunitário de saúde: reflexões sobre o processo de trabalho em saúde em tempos de pandemia de Covid-19. Ciência & Saúde Coletiva. 2020;25(Supl.2):4.185-4.195. DOI: 10.1590/1413-812320202510.2.28102020

Medeiros JAR, Yamamura M, da Silva ZP, Domingues CSB, Waldman EA, Chiaravalloti-Neto F. Spatiotemporal dynamics of syphilis in pregnant women and congenital syphilis in the state of São Paulo, Brazil. Sci Rep. 2022;12(1):1-13. DOI: https://doi.org/10.1038/s41598-021-04530-y

Gonçalves RS, Carvalho MB, Fernandes TC, Veloso LSL, Santos LF dos, Souza TR et al. Health education as a strategy for the prevention and promotion of health in a basic health unit. Braz J Hea Rev. 2020;3(3):5.811-5.817. DOI: https://doi.org/10.34119/bjhrv3n3-144

Oliveira TJN, Rodrigues JFB, Araújo CA. Uso de podcast informativo na Atenção Básica: relato de experiência no contexto da pandemia de Covid-19. Sanare. 2022;21(2):126-134. DOI: https://doi.org/10.36925/sanare.v21i2.1673

Gutiérrez MM, Durán-Vila A, Ruiz-Labarta J, Payá-Martínez P, Pintado Recarte P, Bujan J et al. A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients. Int J Environ Res Public Health. 2021;18(10):1-13. DOI: https://doi.org/10.3390/ijerph18105

Afriyie D. Effective communication between nurses and patients: an evolutionary concept analysis. Br J Community Nurs. 2020;25(9):438-445. DOI: https://doi.org/10.12968/bjcn.2020.25.9.438

Published

2023-09-25

How to Cite

Silva, T. O., Pereira, R. M. da S., Martins, E. L., & Silva, S. C. de S. B. (2023). Syphilis in Pregnancy: Management and Strategies Experienced by Nurses During the Covid-19 Pandemic. Context and Health Journal, 23(47), e13682. https://doi.org/10.21527/2176-7114.2023.47.13682

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Artigos