The Diagnosis and Management of Maternal and Congenital Syphilis


  • Marilyn Jean Crane cnm, ms

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    • Marilyn Crane, cnm, ms, is an assistant professor in the nurse-midwifery program at Yale University School of Nursing. She received her M.S. In parent-child nursing/nurse-midwifery from the University of Utah in 1977, In addition to her faculty responsibilities, she provides full-scope nurse-midwifery care at an inner-city hospital that has a high incidence of maternal syphilis

Yale University School of Nursing, Adult Health Division, Nurse-Midwifery Program, 25 Park Street, PO Box 9740. New Haven, CT 06536-0740


A clinical update is presented regarding the epidemiology, diagnosis, and management of maternal and congenital syphilis. Syphilis is reemerging as an endemic disease among minority heterosexual populations of the United States; the widespread use of crac cocaine has been identified as a major contributing factor. The dramatic nationwide increase of primary and secondary syphilis in women has precipitated a dramatic rise in congenital syphilis. The key to prevention of syphilitic stillbirths and congenitally infected infants is early diagnosis and treatment of syphilis in infected pregnant women