Condilomatose na gestação

Abstract

With the clinical detection of cases of condyloma in pregnant women in the Sector of Sexually Transmitted Diseases, a relevant theme was discovered. This study explained the epidemiology of condyloma on pregnancy, once the women Human Papillomavirus infection presented itself as the most prevalent STD in the studies elaborated in pregnant women in our care. For this reason, a retrospeclive study was initiated to examine the behavior of HPV infection in pregnancy. The study was executed through the analysis of patients' records of the first clinical visit during the period of January 1999 through July 2000 at the referred clinic, 1344 records were examined and 569 of the selected were female patients. Among these women, 12,5% were pregnant. Among those that were included in the selection, a small amount didn't show clinical signs of a STD (two patients) while 48 patients showed the papillomavirus infection. The study focused on the analysis of the frequency of STD during pregnancy (specifically condyloma), characterizing its epidemiological profile and clinical characteristics in this period of women's life. The results of the study show that these women have an average age of 19.5 years, most are single, but in exclusive relationships. Average education level is slow, 85% of these women have some high School education at most. Along this line, 52,1% of the subject are unemployed, most being in charge of family and domestic duties. The majority of the subjects (66.2%) live in households were the average income in less than 5 minimum salaries. The study showed that 59.1 % of the subjects are first time pregnancies and 16.9% of the subjects had aborted or miscarried in the past. The most prevalent diagnoses were condyloma, which was present in 67.6% of the subjects, with the majority of the cases in the second half of the pregnancy. lt was discovered that vaginal infection was shown to be contaminated in 45.8% of the condyloma case while association with alterations with cervical intraepithelial neoplasia (CIN) occurred in 10,4%. 85,4% of the subjects displayed external genital lesions and 43.7% showed a multicentered characteristic. From these results we can conclude that the ectoscopic evaluation of the external genitalia of an ante-natal care subject, by a trained team, can easily diagnose the specific characteristic of the HPV infection and can provide simple and inexpensive treatment of one of the most common STD of this time.