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- W2069188210 abstract "Background The reported incidence of congenital syphilis in the United States rose dramatically during the 1980s. Although lack of prenatal care has been associated with congenital syphilis, little has been published regarding missed opportunities for prenatal intervention. Goal of this Study To determine whether congenital syphilis increases in Maryland between 1989 and 1991 resulted from a true increase in congenital syphilis incidence or a change in the surveillance case definition, and to describe missed opportunities for prenatal intervention. Study Design This was a retrospective cohort study. Results When the revised case definition was used, a 473% increase in the number of cases was seen. Among infants who met the revised definition, 45% of mothers had received no prenatal care. Among those whose mothers had received prenatal care, opportunities to intervene were missed for 53%. Conclusions Although a true increase in congenital syphilis incidence occurred before 1990, the increase reported in Maryland between 1989 and 1991 was primarily due to the change in case definition. Many cases of congenital syphilis could have been prevented with early and adequate prenatal care." @default.
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- W2069188210 date "1995-11-01" @default.
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- W2069188210 title "Congenital Syphilis in Maryland, 1989–1991" @default.
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- W2069188210 doi "https://doi.org/10.1097/00007435-199511000-00008" @default.
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