Conclusion
The present study identified high prevalence of CT infection among
pregnant women in the Central Region of Ghana. Trans-placental
transmission of CT from an infected mother to the fetus has been
established in the study and is associated with stillbirth and early
onset neonatal sepsis. Considering the fact that screening of pregnant
women for CT is not available in Ghana and most developing countries, it
is recommended that at-risk pregnant women should be identified and
provided with prophylactic antibiotics to prevent maternal morbidity and
mortality due to CT infection and the impact of vertical transmission on
the fetus. It is also suggested that routine screening for CT infection
for all pregnant women be made part of ANC service for developing
countries as part of medium to long term health policy.