Prevalence of Trichomonas vaginalis Infection among Pregnant Women in Abeokuta, Nigeria

Trichomoniasis caused by Trichomonas vaginalis has emerged as one of the most common sexually transmitted infections. The infection may lead to an important complication in pregnancy, as it has been related with prematurity and low birth weight. The aim of this study was to determine the prevalence of T. vaginalis among Nigerian women attending ante natal clinic at the State Hospital, Abeokuta. A cross-sectional descriptive study was conducted among two hundred (200) pregnant women attending ante-natal at Ogun State Hospital, Abeokuta. High vaginal swabs (HVS) and urine samples were collected from consenting pregnant women and examined for the presence of T. vaginalis under the microscope. Out of 200 women, a total of 40 (20%) were found to be infected with T. vaginalis. The women between the age group 20-30 had the highest prevalence of 21.3% while age group >20 years had the lowest of 12.5% but the difference was not statistically significant. Women in second trimester had the highest prevalence of 25% while those of first trimester were the lowest with 18%. Results obtained from comparing HVS and urine microscopy in this study showed that HVS had a prevalence of 40% compared to urine microscopy (5.5%) and the difference in their detection was statistically significant p=0.0041. These results may be useful for health authorities, especially for ante-natal care and protection against STDs. The higher recovery rate obtained by using HVS microscopy confirms its advantage over urine microscopy.