title: [Syphilis in addicted pregnant women: better care through more awareness and contract between organizations involved].
abstract: Three women, aged 21, 20 and 30 years, were cocaine users and pregnant. There had been no prenatal monitoring until they reported with uterine contractions. Blood of the first two women was then tested; serology revealed active syphilis infections: their children had died in utero. The blood of the third woman had been tested as part of a street project; it revealed an active syphilitic infection but she could not be found for treatment. After delivery, the child showed withdrawal symptoms. The first and third women and the child of the third woman were treated with benzylpenicillin. The system for screening and treating drug-addicted pregnant women should be intensified.
authors.affiliation: Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Verloskunde en Vrouwenziekten.
authors.forename: A J
authors.initials: AJ
authors.lastname: Schneider
authors.forename: A
authors.initials: A
authors.lastname: Bosman
mesh_terms: D000328:Adult; D003042:Cocaine; D005260:Female; D005313:Fetal Death; D003932:Heroin; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D008403:Mass Screening / Q000379:methods; D009426:Netherlands / Q000453:epidemiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D012307:Risk Factors; D011477:Sex Work; D011049:Social Control Policies / Q000458:organization & administration*; D015819:Substance Abuse, Intravenous / Q000150:complications*; D013587:Syphilis / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D013590:Syphilis, Congenital / Q000209:etiology / Q000401:mortality / Q000517:prevention & control*
chemical_list: D003932:Heroin; D003042:Cocaine
vernacular_title: Syfilis bij de verslaafde zwangere: betere zorg mogelijk door meer alertheid en meer contact tussen betrokken instellingen.