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June 1941. "The V.D. clinic in Union Point, Greene County, Georgia." Acetate negative by Jack Delano for the Farm Security Administration. View full size.
Penicillin was still some years off, and this was most likely treatment with an arsenical compound. Shots had to be given weekly for several months. The treatment stopped the spread of infectious syphilis but did not prevent late syphilis. The arsenicals were an improvement over the earlier mercury treatment, but still could have severe side-effects.
She appears to be administering an intramuscular antibiotic to the -ahem- gluteal muscles, the rest of which are tastefully draped for modesty.
Is she drawing an amniotic fluid sample? I'm just curious about what may be going on.
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