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Objetivo: Analisar as evidencias referentes a falha no tratamento da sifilis durante o periodo gestacional em mulheresatendidas em um hospital de referencia em Parnaiba-PI. Metodologia: A amostra foi composta por 24 gestantes/puerperasadmitidas no Hospital Estadual Dirceu Arcoverde para trabalho de parto e que apresentaram VDRL reagente durante ainternacao. Como instrumento de coleta de dados, utilizou-se um formulario estruturado. Apos a coleta, os dados forammensurados atraves de estatistica descritiva. Resultados: Das 24 mulheres, 22 realizaram pre-natal e 12 apresentaramVDRL reagente. Entre as 12, 11 foram tratadas na gestacao, mas somente 3 foram consideradas adequadamente tratadas.Conclusao: Uma assistencia de pre-natal inadequada colabora para a ocorrencia de falhas no tratamento de gestantes comsifilis, o que pode resultar no aumento do numero de casos da forma congenita. Sendo assim, e necessario novas estrategias que visem reduzir a transmissao vertical da sifilis.Palavras-chaves: sifilis, sifilis congenita, assistencia pre-natal, falha do tratamento.ABSTRACTObjective: To analyze the evidence regarding the failure to treat syphilis during the gestational period in women attendinga referral hospital in Parnaiba-PI. Method: The sample consisted of 24 pregnant / puerperal women admitted to the DirceuArcoverde State Hospital for labor and who presented VDRL reagent during hospitalization. As a collection instrument,a structured form was used. After the data collection, the data were measured using descriptive statistics. Results: Of the24 women, 22 underwent prenatal care and 12 presented VDRL reagent. Among the 12, 11 were treated in gestation, butonly 3 were considered adequately treated. Conclusion: Inadequate prenatal care contributes to the occurrence of failuresin the treatment of pregnant women with syphilis, which may result in an increase in the number of congenital cases. Newstrategies are needed to reduce vertical transmission of syphilis.Keywords: syphilis, congenital syphilis, prenatal care, treatment failure

Sífilis materna: Análise de evidências referentes à falha no tratamento de gestantes