Objective: The study aimed to profile patients with gestational syphilis (GS) and congenital syphilis (CS), presenting the scenario on incidence and the effectiveness of actions in three municipalities in Santa Catarina. Methodology: This was a descriptive, exploratory and retrospective research with a quantitative approach. The variables were obtained through the records of the Information System on Live Births (SINASC) and the Information System of Notifiable Diseases (SINAN) from 2017 to 2022. The data were arranged in tables and graphs, and the analysis was performed by means of relative and absolute frequency. Results: There were 331 cases of gestational syphilis and 25 cases of congenital syphilis reported. The study showed that 33.23% of the pregnant women were between 21 and 25 years old, 68.58% were white, 26.89% had completed high school, 92.45% lived in urban areas, all were "housewives", and 48.04% of the pregnant women's sexual partners were treated concomitantly with the pregnant woman. Regarding the characteristics of the patients with SC, 96.1% were diagnosed in the first weeks of life and 64% were hospitalized for treatment. Regarding the profile of the mothers of these patients, 52% were younger than 20 years old, 36% had incomplete High School, 96% had prenatal care, 36% had an adequate treatment regimen, and 56% of the sexual partners had no treatment. Conclusion: The results reflect a higher vulnerability due to the maternal profile found in the social context of syphilis, bringing health risks due to the lower access to information and the higher risk of disease transmission.
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