Congenital Syphilis

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If you're pregnant and have syphilis, you can pass it to your baby. 

This condition, called congenital syphilis, can cause miscarriage, stillbirth and neonatal death. Babies born with congenital syphilis can face lifelong health problems.

Syphilis is surging in North Carolina (you can have it and not know it). And there's a concerning increase in congenital syphilis cases.

You can prevent it and protect your baby.

Get tested for syphilis at least three times during your pregnancy:

  • At your first prenatal visit
  • Between 28-30 weeks' gestation, and
  • At delivery

Find free testing near me

If you test positive, get treated fast with antibiotics.
Avoid reinfection: Be sure all sexual partners get tested and treated.

Cases are Rising in North Carolina

Data is preliminary and may change.


Babies born with congenital syphilis in 2023


Stillbirths/neonatal deaths in 2023


increase in cases from 2022 to 2023


increase in cases from 2012 to 2023

Cases over time 

Chart shows an increase in congenital syphilis cases in North Carolina over time, from 1 in 2012 to 72 in 2023. 2023 data is preliminary and may be incomplete.

"North Carolina’s congenital syphilis numbers are the highest they have been in almost 20 years."

Dr. Victoria Mobley
NC HIV/STI Medical Director