Congenital Syphilis Prevention
Syphilis is a sexually transmitted infection that can cause serious health problems without treatment. Congenital syphilis (CS) occurs when syphilis passes to babies during pregnancy.Syphilis & Congenital Syphilis
Syphilis is a sexually transmitted infection (STI) and can be passed from one person to another through unprotected sex - oral, anal, or vaginal - with someone who has Syphilis. The only way to know for sure if you have Syphilis is through a simple blood test. If you are sexually active, you should be tested for Syphilis. Through early testing and treatment for Syphilis, you can prevent irreversible damage to your heart and brain, deafness or blindness, and other serious health problems. Syphilis is treatable and cureable with antibiotics.
Syphilis & Pregnancy
When Syphilis is passed from a pregnant woman to her baby, it's known as Congenital Syphilis. If you are pregnant, you should be tested in the first and third trimesters of your pregnancy for Syphilis. Anyone can get Syphilis, even pregnant women, through unprotected sex with a partner who may also have Syphilis.
Syphilis is treatable and curable with antibiotics. To prevent a baby being born with Syphilis, the pregnant woman must receive treatment as least 30 days before delivery. This is why getting screened for Syphilis, and other STIs, is so important when you are pregnant.
Get Tested, Get Treated
You can get a confidential screening for Syphilis at any Tennessee County Health Department, or talk with your provider, if you are concerned about Syphilis or want more information about testing and treatment. Besides confidential STI testing and treatment for you, a County Health Department can help notify your partner(s) anonymously to also get tested and treated.
Tennessee Data
- In Tennessee, Syphilis has increased 162% from 2017 to 2022 (950 to 3813 cases).
- Syphilis among women has increased 311% from 2017 to 2022 (290 to 1191 cases).
- Congenital Syphilis has increased >400% from 2017 to 2022 (11 to 61 cases).
Connections to Linked Programs & Services
Congential Syphilis Cases Have Tripled in the U.S.
Congenital Syphilis occurs when syphilis passes to babies during pregnancy. Syphilis is an STI that can cause serious health problems without treatment. Congenital Syphilis cases have more than tripled in recent years, with nearly 4,000 cases reported in 2024 alone. This is the highest number reported in one year since 1994.
How Congential Syphilis Affects Babies
How Congenital Syphilis affects your baby's health depends on how long you had syphilis and if — or when — you got treatment for the infection. Congenital Syphilis can cause:
- Miscarriage (losing the baby during pregnancy)
- Stillbirth (a baby born dead)
- Prematurity (a baby born early)
- Low birth weight
- Death shortly after birth
Babies born to people with untreated syphilis may be stillborn or die from the infection as a newborn. Babies born with. Congential Syphilis can have
- Deformed bones
- Severe anemia (low blood count)
- Enlarged liver and spleen
- Jaundice (yellowing of the skin or eyes)
- Brain and nerve problems, like blindness or deafness
- Meningitis
- Skin rashes
Not All Babies Have Symptoms
It is possible a baby with Congenital Syphilis won't have any symptoms at birth. However, if the baby does not receive treatment right away, the baby may develop serious problems. Usually, these health problems develop in the first few weeks after birth, but they can also happen years later.Babies who do not get treatment forCongenital Syphilis and develop symptoms later on can die from the infection. They may also be developmentally delayed or have seizures.
Prevention & Testing
Your baby will not get Congenital Syphilis if you do not have Syphilis. There are two important things you can do to protect your baby from getting Congenital Syphilis and the health problems associated with the infection:
- Get a syphilis test the first time you see a healthcare provider during pregnancy.
- Reduce your risk of getting syphilis before and during your pregnancy.
If you are sexually active, have an open and honest conversation with your healthcare provider. Ask if you should get tested for syphilis and other STIs. Get confidential, free STI testing at any Local Health Department in Tennessee.
If you are pregnant, you should be tested in the first and third trimesters of your pregnancy for Syphilis, and again after the baby is born. This is why getting screened for Syphilis, and other STIs, is so important when you are pregnant.
It is possible to get Syphilis and not know it. Sometimes, the infection causes no symptoms, only very mild symptoms, or symptoms that mimic other illnesses.
Syphilis is treatable and curable with the right antibiotics. Follow-up testing is necessary to make sure your treatment was successful. If you test positive for syphilis, you will need treatment right away. It is also important that your partner(s) get treated.
Having syphilis once does not protect you from getting it again. For this reason, you must continue to take actions that will reduce your risk of getting a new infection. Even if you have been tested for syphilis in the past, you should get tested again when you become pregnant.
Treatment & Recovery
If you test positive for Syphilis it's important to get treatment right away. Babies who have Congenital Syphilis need to be treated right away — or they can develop serious health problems. Depending on the results of your baby's medical evaluation, they 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 Congenital Syphilis get follow-up care to make sure that the treatment worked.
Frequently Asked Questions
A: Syphilis is a sexually transmitted infection (STI) and you can get it by having sex (oral, anal, or vaginal) with another person who has syphilis. Syhphilis can affect anyone who has unprotected sex. To prevent Syphilis, use condoms every time you have sex - vaginal, anal, or oral - and get regular screenings - you and your partner - for STIs.
A: When Syphilis is passed from a pregnant woman to her baby, it's known as Congenital Syphilis. Syphilis can affect anyone who has unprotected sex. If you are pregnant, you can still get Syphilis (and pass it to you baby) through unprotected sex - oral, anal, or vaginal - with someone who has Syphilis. The good news is Syphilis is treatable and curable with antibiotics.
A: The only way to know for sure if you have Syphilis is to get a simple blood test. If you are sexually active, you should get tested for Syphilis. Local Health Departments in Tennessee can confidentially test you and your partner for Syphilis and other STIs anytime at little or no cost. Common signs and symptoms of Syphilis include: Small sores on genitals, bottom, or mouth; Rash on your chest, back, palms, and feet; and Flu-like symptoms. Symptoms can change at each stage of Syphilis and some people may not notice any symptoms. So, it is best to be regularly tested for Syphilis and other STIs. Even if your symptoms go away, Syphilis can still be in your body causing damage.
A: If you are pregnant, you should be tested in the first and third trimesters of your pregnancy for Syphilis. Anyone can get Syphilis, even pregnant women, through unprotected sex with a partner who may also have Syphilis . Syphilis is treatable and curable with antibiotics. To prevent a baby being born with Syphilis, the pregnant woman must receive treatment as least 30 days before delivery. This is why getting screened for Syphilis, and other STIs, is so important when you are pregnant. You can get a confidential screening for Syphilis at Tennessee County Health Departments. The local health department can also notify your partner(s) to be tested and to get treatment if needed.
A: Yes! Syphilis is treatable and curable with antibiotics. If you have Syphilis and you are treated right away, you can prevent irreversible damage to your heart and brain, deafness or blindness, and other serious health problems. You can get a confidential screening for Syphilis at Local Health Departments in Tennessee. The local health department can also notify your partner(s) anonymously to get tested also and treated if needed.
A: Congenital Syphilis can lead to serious health problems for your baby, including: Being born too early or too small; Dying before birth; Skin, bone, and joint damage; Developmental delays; Brain damage causing seizures; and Lifelong problems with eyes, ears, and teeth. Local Health Departments in Tennessee can confidentially test you for Syphillis at any time at little or no cost. If you are sexually active, even if you are pregnant, you should be tested for Syphilis.
A: If you're diagnosed with syphilis, you should complete treatment as soon as possible to avoid spreading the infection. Your health provider will usually prescribe antibiotics, such as penicillin, to treat syphilis. The CDC recommends a single injection of long-acting Benzathine penicillin G for early-stage syphilis, and three doses at weekly intervals for late latent syphilis. If you're allergic to penicillin, your health care team may suggest another antibiotic. If you are diagnosed with syphilis, it is important to share the names of partners with your provider or your local health department. If you are not comfortable sharing partner names, there is a confidential tool available to anonymously notify partners they may have been exposed to an STI.
A: Yes. It is possible to get Syphilis again if you are re-exposed through unprotected sex with a partner who has Syphilis and has not received treatment. Symptoms can change at each stage of Syphilis and some people may not notice any symptoms. So, it is best to be regularly tested for Syphilis and other STIs. Even if your symptoms go away, Syphilis can still be in your body causing damage.
This Page Last Updated: March 26, 2026 at 4:32 PM