Prevalence of Sexually transmitted Diseases in Pregnant Women in Calabar, Cross River State, Nigeria
Authors:
ANI Franklin
Publication Type: Journal article
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ISSN Number:
0
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Abstract
The prevalence of sexually transmitted diseases (STDs) in pregnant women in Calabar was studied. Blood, high vaginal swabs (HVS) and Endocervical swabs (ECS) samples were aseptically collected from five hundred and sixty two (562) antenatal pregnant women attending two tertiary hospitals in Calabar (the General Hospital and the University of Calabar Teaching Hospital), and investigated for various etiologic agents of STDs including Neisseria gonorrhoeae, Candida albicans, Trichomonas vaginalis, Gardnerella vaginalis (Bacterial vaginosis). Treponema pallidum (Syphilis), Hepatitis B surface Antigen (HBsAg), Human immunodeficiency virus and Chlamydiae species, using standard microbiological methods. The HVS and the ECS swabs were analyzed using direct wet smear, Gram-stained smear and culture techniques while blood samples were examined serologically using standard proprietory reagents. Of the 562 pregnant women examined, 250(44.5%) were infected with various aetioligc agents. Candida albicans had the highest percentage of infections 121(21.5%) followed by HIV 38(6.8%) and Chlamydiae species 35(6.2%). Others were Hepatitis B surface antigen (HBsAg) 8(1.4%); Trichomonas vagianlis, 29(5.2%); Gardnerella vaginalis (Bacterials vaginosis). 12(2.1%) and Treponema pallidum (Syphilis 7(1.2%). Neisseria gonorrhoeae was not isolated in this study. The prevalent rates of infections were inversely associated with increase in age and educational status. Increased pre/post conception screening for STDs is essential in preventing disease transmission and adverse pregnancy outcomes among these groups.