If you are pregnant, talk to your healthcare provider about getting tested for the STD, syphilis, during your first and third trimesters to ensure your baby is not infected with congenital syphilis (CS). Up to 40 percent of babies born to women with untreated syphilis may be stillborn or die from the infection as a newborn, according to the Centers for Disease Control and Prevention (CDC). HIV and Syphilis Pregnancy Screening Law mandates that all pregnant women be tested for syphilis and HIV in the first and third trimesters of their pregnancy.
Information about Treatment and Prevention for CS
CS can be treated
What is congenital syphilis?
Congenital syphilis (CS) is a disease that occurs when a mother with syphilis -- a sexually transmitted infection that can cause serious health problems if not treated -- passes the infection on to her baby during pregnancy through the placenta. The infection can also be passed to the baby during labor and delivery.
Syphilis can be treated and cured with antibiotics. If you test positive for syphilis during pregnancy, be sure to get treatment right away. If you are diagnosed with and treated for syphilis, your doctor should do follow-up testing for at least one year to make sure
that your treatment is working.
There is treatment for CS. Babies who have CS need to be treated right away — or they can develop serious health problems. Depending on the results of your baby’s medical evaluation, he or she may need antibiotics in a hospital for 10 days. In some cases, only one injection of antibiotic is needed. It’s also important that babies treated for CS get follow-up care to make sure that the treatment worked. A baby born with CS can be treated.
Pregnant women should be tested
All pregnant women in Georgia should be tested for syphilis at the first prenatal visit (the first time you see your doctor for health care during pregnancy) and again during the third trimester of pregnancy. This is mandated by state law.
Keep in mind that you can have syphilis and not know it. Many people with syphilis do not have any symptoms. Also, syphilis symptoms may be very mild or similar to signs of other health problems. The only way to know for sure if you have syphilis is to get tested.
Get a syphilis test at your first and third prenatal visit.
If you are pregnant, and have syphilis, you can still reduce the risk of CS in your baby. Getting tested and treated for syphilis can prevent serious health complications in both mother and baby.
Prenatal care is essential to the overall health and wellness of you and your unborn child. The sooner you begin receiving medical care during pregnancy, the better the health outcomes will be for you and your unborn baby.
At your first prenatal visit, ask your doctor about getting tested for syphilis. It is important that you have an open and honest conversation with your doctor at this time about your sexual history and about STD testing. Discuss any new or unusual physical symptoms you may be experiencing, as well as any drugs/medicines you are using, and whether you have new or multiple sex partners. This information will allow your doctor to make the appropriate testing recommendations. Even if you have been tested for syphilis in the past, you should be tested again when you become pregnant.
If you test positive for syphilis, you will need to be treated right away. Do not wait for your next prenatal visit. It is also important that your sex partner(s) receive treatment. Having syphilis once does not protect you from getting it again. Even after you’ve been successfully treated, you can still be re-infected. For this reason, you must continue to take actions that will reduce your risk of getting a new infection.
How to reduce risk before and during pregnancy
Preventing syphilis in women and their sex partners is the best way to prevent CS.
If you are sexually active, the following things can lower your chances of getting syphilis:
- Being in a long-term mutually monogamous relationship with a partner who has been tested for syphilis and does not have syphilis.
- Using latex condoms the right way every time you have sex. Although condoms can prevent transmission of syphilis by preventing contact with a sore, you should know that sometimes syphilis sores occur in areas not covered by a condom, and contact with these sores can still transmit syphilis.
Also, talk with your doctor about your risk for syphilis. Your doctor can give you the best advice on any testing and treatment that you may need.
Remember that it’s possible to get syphilis and not know it, because sometimes the infection causes no symptoms, only very mild symptoms, or symptoms that mimic other illnesses.
How can I reduce the risk of my baby getting CS or other health problems?
- Get a syphilis test at your first prenatal visit.
- Get a syphilis test at your third-trimester visit (28-32 weeks).
- Reduce your risk of getting syphilis before and during your pregnancy.
The HIV and Syphilis Pregnancy Screening Law (§31-17-4.2.)
The HIV and Syphilis Pregnancy Screening Law (§31-17-4.2.) mandates that all pregnant women be tested for syphilis and HIV in the first and third trimesters of their pregnancy.
Key points of the law:
- Every physician and health care provider who provides prenatal care must test pregnant women for syphilis and HIV at initiation of prenatal care and during the third trimester, unless the patient declines (opt-out screening).
- If there is no written evidence that an HIV or syphilis test has been performed when a pregnant woman presents for delivery, the health care provider must order a test for both to be administered at that time, unless the patient declines.
- All congenital syphilis cases must be reported within 24 hours to your local district health office or entered in the State Electronic Notifiable Disease Surveillance System (SendSS). This includes babies without congenital syphilis symptoms who were born to mothers with untreated syphilis at time of delivery.
- All babies born to HIV positive mothers and women diagnosed with HIV or AIDS must be reported within seven days to the Georgia Department of Public Health.
Syphilis treatment at least 30 days before birth has proven effective at decreasing the chances a baby is born with congenital syphilis. HIV antiretroviral therapy during pregnancy, at the time of delivery, and prophylaxis to the newborn, dramatically reduce perinatal transmission of HIV.
Providers should make the first and third trimester testing for syphilis and HIV part of their routine prenatal care – because it is the law and for the health and well-being of every mother and child in Georgia.
Where can I get more information?
For additional information about mandatory testing, please contact your local district health office or call the Georgia Department of Public Health at 1-866-PUB-HLTH (1-866-782-4584). You can schedule testing for syphilis and HIV by calling the Georgia AIDS and STD information line for assistance at: 1-800-551-2728.
Where can I get more information?
CDC National Prevention Information Network (NPIN)
P.O. Box 6003
Rockville, MD 20849-6003
E-mail: [email protected]
American Sexual Health Association (ASHA)
P. O. Box 13827
Research Triangle Park, NC 27709-3827
*This webpage was developed using the information provided by the Centers for Disease Control and Prevention (CDC).
Page last updated 11/03/2020
- Alzheimer's Disease
Chronic Disease Prevention Section
Chronic Disease Data
- Adolescent Health and Youth Development (AHYD) Program Services
- Adolescent Health: Prevention Resources
- Adolescent Health: Resources for Community Organizations
- Asthma Friendly: Childcare Centers
- Asthma Friendly: Schools
- Asthma Partners, Advisory Board and Coalition
- Asthma Prevention
- Asthma Resources: Medical and Public Health Professionals
- Asthma Training and Resources
- Asthma: Strategic Priorities and Plan
- Breast Cancer: Community Resources
- CSA Program: Cancer Community Resources
- CSA Program: Cancer Data, Fact Sheets and Reports
- CSA Program: Reducing Your Risks for Cancer
- Cancer Care (Breast and Cervical) During Emergencies and Natural Disasters
- Cancer Care During Emergencies and Natural Disasters
- Care During Emergencies and Natural Disasters
- Cervical Cancer: Community Resources
- Community Resources
- Data Summaries, Fact Sheets and Reports
- Data, Fact Sheets and Reports
- Diabetes Care: Emergencies and National Disasters
- Diabetes Resources: Veterans and Loved Ones
- Faith-based/Community Organizations
- Financial Assistance Resources
- Financial Resources
- Financial Resources: Asthma Care
- HMO Program Services
- Heart Health Resources for Healthcare and Public Health Organizations
- Heart Health Resources: Business Community/Employers
- Kidz Fun Zone Resources: Kids
- Learn More About Asthma
- Learn More About Heart Disease
- Learn More About High Blood Pressure and Cholesterol
- Learn More About Stroke
- Living Well Workshops
- Reducing Your Cancer Risks
- Reducing Your Risks
- Resources: Business Community
- Strategic Priorities and Highlights
- Strategic Priorities and Objectives
- Updates for Healthcare Professionals
- Webinars and Trainings
- For Healthcare Providers
- Chronic Disease University
- For Health Departments
- Community Health Workers
- Worksite Health
- Cancer Prevention and Control
- Cardio Metabolic Syndrome
- Heart Disease
- Nutrition and Physical Activity
- School Health
- Sexual Violence Prevention
- Adolescent Health and Youth Development
- Chronic Disease Data
- HIV Program Data Request
- Special Projects
- The HIV/AIDS Team
- HIV CAPUS
- HIV Prevention
- HIV Care
Injury Prevention Program
- CDC Core
- Cardiff Model
- Child Occupant Safety Project
- Crash Outcome Data Evaluation System (CODES)
- Georgia Injury Prevention Advisory Council (GIPAC)
- Georgia Project Catalyst III
- Older Drivers Safety Program
- Safe Infant Sleep
- Opioid and Substance Misuse Response
- Refugee Health Program
- Tuberculosis (TB) Prevention and Control
- Get Alerts
- Low THC Oil Registry