A system of interdepartmental interaction between dermatovenereological and obstetric-gynecological services for the prevention of congenital syphilis

Background. Detection of syphilis infection in pregnant women is crucial, as it directly impacts the country’s reproductive potential and helps to prevent congenital syphilis, which determines the health of future generations. Objective. To develop and implement a system of interdepartmental interaction between dermatovenereological and obstetric-gynecological services for the early detection of syphilis infection in pregnant women and the prevention of syphilis in newborns, and to define the tasks for specialists at various stages of medical care. Using the example of the Sverdlovsk Region, to substantiate the effectiveness and efficiency of the implementation and use of the Regional Obstetric Monitoring system (AC “RAM”). Material and methods. Factual data reflecting the incidence rate of pregnant women obtained from State Statistical Forms for 2020—2024; data from Federal Statistical Forms №34 and 9 for the Sverdlovsk Region and the Ural Federal District (UFD) for 2020—2024: the number of pregnant women with a re-established syphilis, the timing of the establishment of syphilis diagnosis in pregnant women, and the implementation of specific treatment during pregnancy; data on the incidence of syphilis in pregnant women and congenital syphilis in the Russian Federation with a retrospective analysis for 2020—2024 were used. Analytical, mathematical and descriptive methods were applied. Results. Based on an epidemiological analysis of syphilis incidence, a set of measures, reflecting the practical interaction (algorithm) between dermatovenerologists and obstetricians-gynecologists in the management of pregnant women with suspected and/or confirmed syphilis, was developed and implemented. The advantages of using the “RAM” AIST are demonstrated through the example of the Sverdlovsk Region.