Trichomonas vaginalis in Pregnant Women
Author Information
Author(s): R. Phillip Heine, James A. McGregor, Elisa Patterson, Ruth Parker, Deborah Draper, Janice French, Ward Jones
Primary Institution: University of Colorado Health Sciences Center
Hypothesis
To determine the prevalence and characterize the symptomatology of Trichomonas vaginalis infection in pregnant women and compare diagnostic methods.
Conclusion
Trichomonas vaginalis infection is common among pregnant women, and culture techniques are more effective than wet mount for diagnosis.
Supporting Evidence
- 9.4% of the tested women were found to be infected with Trichomonas vaginalis.
- Culture methods detected 94.5% of infections compared to 73% by wet mount.
- Only 18.2% of infected women reported symptoms.
- Symptomatic patients were more likely to present in the first and second trimesters.
Takeaway
This study found that many pregnant women have a germ called Trichomonas, but most don't show any signs of it, and doctors should use special tests to find it instead of just looking for symptoms.
Methodology
The study tested 1260 pregnant women for Trichomonas vaginalis using saline wet mount and culture techniques, and analyzed results for symptomatic and asymptomatic patients.
Limitations
The study was conducted in a single inner-city population, which may limit generalizability.
Participant Demographics
Mean age of participants was 25 years; two-thirds were multiparous, with a higher prevalence among African-American women.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.001
Want to read the original?
Access the complete publication on the publisher's website