Infected newborns may have no symptoms, or the symptoms may be severe enough to cause brain damage and death. At birth, a child who is infected may not have a positive blood test, for the disease may take several weeks to show up on blood tests; for this reason, children born to high-risk mothers must have follow-up tests performed a few weeks after birth. Symptoms in infected newborns include brain damage, bone deformities, dental malformations, hearing loss, and rash. Women who are pregnant and are infected with syphilis have a higher risk of miscarriage: only 20 percent of women with syphilis will carry a fetus to term and deliver a normal, healthy baby. In the United States and in many other parts of the world, testing for syphilis is a routine part of prenatal health care.
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