Isnin, 8 November 2010
MELANCUNG BOLEH TAPI BAWA BAJU HUJAN
panas atau hujan
yang penting baju hujan kah kah kah
WARGA WAJIB WASPADA
SYPHILIS IN PREGNANCY AS a sexually transmitted infection (STI) is an important public health problem because it can lead to serious complications such as spontaneous abortion, stillbirth, and congenital infection.
In Mongolia, over the past decade syphilis, as well as other STIs, has increased in the aftermath of the sudden breakup of the socialist regime and rapid political and economic changes.1Also the incidence of syphilis in pregnant women during delivery has increased from no reported cases in 1988 to 21 cases in 1999 and 26 cases in 2000 in the State Research Center on Maternal and Child Health (MCH), whereas the number of deliveries has decreased. Congenital syphilis was recorded in 2 new case reports in 1995 in Ulaanbaatar and has continuously increased to 43 new cases in 2000.
Early detection and treatment of syphilis in pregnant women is a standard measure for preventing congenital syphilis.With this noble purpose, antenatal syphilis screening (ASYS) on the first day of registration of a pregnant woman is a mandatory procedure. Now there are new evidence and recommendations that routine testing should be repeated in the third trimester, even in low-prevalence areas.
Current regulations regarding ASYS in Ulaanbaatar, Mongolia, stipulate that only a few specialized laboratories for sexually transmitted diseases (STD) at the STD clinics and district general hospitals are allowed to perform the ASYS test. Also, only venereologists at the STD clinic and STD cabinets of district general hospitals are authorized to treat syphilis-infected pregnant women and undertake contact tracing.
Although every antenatal care (ANC) clinic has a laboratory for urine, blood, and biochemical tests, they do not perform the serological syphilis test. Therefore, they have to send each woman to an STD laboratory for syphilis testing.