In most developed countries, congenital syphilis is not common. It still happens once in a while, when women do not get any health care during pregnancy. However, congenital syphilis is much more common in developing countries. Many women in these countries do not get healthcare during pregnancy, and others get healthcare that does not include testing for syphilis. When there are programs that make syphilis testing easier to get, fewer babies get congenital syphilis in these countries.