Objective: To assess the adequacy of treatment for gestational syphilis and factors associated with inadequate treatment.

Methods: Cohort study. Patients underwent rapid tests for syphilis and answered the structured questionnaire. Data normality was analyzed using Kolmogorov-Smirnov. For the association between treatment adequacy and sociodemographic and clinical factors, Fisher’s exact test was performed. Student’s t test for independent samples was performed to compare the number of prenatal visits between patients who were or were not fit for treatment. Logistic regression was performed to assess the extent to which treatment adequacy and effectiveness could be adequately predicted by prenatal visit number. The significance level was 5%. The project was approved by the Ethics and Research Committee.

Results: 560 patients participated. 33 were diagnosed with syphilis, 29 were adequately treated. There was an association between treatment adequacy and prenatal consultation. The student’s t test findings corroborate those found in Fisher’s Exact test. The regression model showed that women who undergo prenatal care have a greater chance of adequate treatment.

Conclusion: Prenatal care increases the chance of adequate treatment for syphilis during pregnancy.

Karoline Bunn Borba graduated in medicine from the University of Southern Santa Catarina (2012) and completed her medical residency in gynecology and obstetrics at the Federal University of Santa Catarina (2016). She holds a postgraduate degree in human sexuality from Faculdade Venda Nova do Imigrante (2017), a master’s in intensive and palliative care (2017), and a PhD in medical sciences (2022) from the same university. She currently serves as a professor in the department of gynecology and obstetrics at UFSC. She is an active member of FEBRASGO and SOGISC since 2014, and of the Brazilian Association of Cosmetogynecology (ABCGIN) since 2023.