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Syphilis in Pregnancy: Risks, Testing & Prevention
Syphilis in Pregnancy
Welcoming a new life into the world is one of the most exciting journeys you can take. But along with all the joy, it’s important to stay informed about health issues that can affect both you and your baby. One infection that deserves special attention during pregnancy is syphilis. While it can be serious, the good news is that with the right care, you can protect yourself and your little one. Let’s break it down in simple terms.
What Is Syphilis?
Syphilis is a bacterial infection usually spread through sexual contact. It can lie quietly in your body for months or even years before showing any symptoms. Because it’s sneaky, many people don’t know they have it — but if you’re pregnant, that “hidden” infection can pass to your baby.
Why It Matters in Pregnancy
When a pregnant person has syphilis, the bacteria can cross the placenta and infect the unborn baby. This is called congenital syphilis, and it can lead to:
Miscarriage or stillbirth
Premature (early) birth
Low birth weight
Severe illness in the newborn (like skin rashes, fever, organ damage)
Early treatment almost always stops these complications. That’s why knowing your status is so important.
Professional GP advice, anytime, anywhere
Testing: Quick, Easy, Essential
Most prenatal visits include a simple blood test for syphilis. Here’s what you need to know:
When? Ideally at your first prenatal appointment (often around 8–10 weeks), and again in the third trimester if you’re at higher risk.
How? A small blood sample from your arm. Results usually come back in a few days.
Why? Early detection means treatment can work before the bacteria harm your baby.
If you test positive, don’t panic — treatment is straightforward and highly effective.
Treatment During Pregnancy
The main treatment for syphilis is an antibiotic called penicillin, which is considered safe in pregnancy (**subject to a personalized clinical evaluation). Depending on how long you’ve had the infection, you may need one or more injections. Your healthcare team will:
Explain exactly how many doses you need
Schedule follow-up blood tests to make sure the infection is gone
Monitor your baby’s health before and after birth
Most people tolerate penicillin well, and side effects are mild.
Prevention: Keeping You and Baby Safe
While testing and treatment are key, prevention always comes first. Here’s how to lower your risk:
Use condoms every time you have sex. They block the bacteria that cause syphilis.
Limit sexual partners or be in a monogamous relationship where both partners have tested negative.
Talk openly with your partner(s) about STI testing before becoming intimate.
Attend all prenatal appointments — regular check-ups catch infections early.
If you think you or your partner may have been exposed to syphilis, mention it to your doctor right away.
Looking Ahead: A Healthy Start
Syphilis in pregnancy can sound scary, but with the right steps, it doesn’t have to derail your hopes for a healthy baby. Remember:
Get tested as early as possible
Complete your antibiotic treatment if you test positive
Keep up with prenatal visits for ongoing monitoring
By staying informed and proactive, you give yourself and your baby, the very best chance at a bright, healthy start.
