Audit of management of pregnant women with positive VDRL tests.

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dc.contributor.authorMathai, Een_US
dc.contributor.authorMathai, Men_US
dc.contributor.authorPrakash, J Aen_US
dc.contributor.authorBergström, Sen_US
dc.date.accessioned2001-07-08en_US
dc.date.accessioned2009-06-03T06:17:30Z
dc.date.available2001-07-08en_US
dc.date.available2009-06-03T06:17:30Z
dc.date.issued2001-07-08en_US
dc.description.abstractBACKGROUND: Syphilis is a preventable cause of foetal loss and congenital disease. Although the VDRL test is an integral part of routine antenatal care in India, little is known about the disease burden in pregnancy in India. Therefore, we carried out a study to determine the prevalence of VDRL positivity and syphilis among pregnant women in Vellore and to audit the management and outcome of VDRL-positive pregnancies. METHODS: A retrospective review of case records. RESULTS: Only 0.98% of pregnant women were positive by the VDRL test. However, foetal loss occurred in 16 (32%) of the 50 seropositive women; 15 of these did not receive antenatal care. Seventeen of the 34 seropositive multiparous women had had previous foetal losses. Only 16 women had received penicillin. CONCLUSION: Although the seroprevalence of syphilis in pregnancy is low, it is an unrecognized cause of foetal loss in Vellore. An audit of the testing and management of VDRL positivity in pregnancy provides valuable information on the quality of antenatal care in an area.en_US
dc.description.affiliationDepartment of Clinical Microbiology, Christian Medical College Hospital, Vellore 632004, Tamil Nadu, India.en_US
dc.identifier.citationMathai E, Mathai M, Prakash JA, Bergström S. Audit of management of pregnant women with positive VDRL tests. National Medical Journal of India. 2001 Jul-Aug; 14(4): 202-4en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/118946
dc.language.isoengen_US
dc.source.urihttps://www.nmji.inen_US
dc.subject.meshCardiolipins --blooden_US
dc.subject.meshCholesterol --blooden_US
dc.subject.meshFemaleen_US
dc.subject.meshHospitals, Religiousen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMass Screening --methodsen_US
dc.subject.meshMedical Auditen_US
dc.subject.meshPenicillins --therapeutic useen_US
dc.subject.meshPhosphatidylcholines --blooden_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Complications, Infectious --blooden_US
dc.subject.meshPregnancy Outcome --epidemiologyen_US
dc.subject.meshPrenatal Care --methodsen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSeroepidemiologic Studiesen_US
dc.subject.meshSyphilis --blooden_US
dc.subject.meshTreatment Outcomeen_US
dc.titleAudit of management of pregnant women with positive VDRL tests.en_US
dc.typeJournal Articleen_US
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