Trichomonas Vaginalis among Parturient Sudanese women in Kassala Hospita, Eastern Sudan

Trichomoniasis in the women is usually asymptotic however the disease might be manifested as vaginitis, cervicitis, urethritis, pelvic inflammatory disease (PID), and adverse birth outcomes. Methods: A case-control hospital based study conducted at Kassala Hospitals, eastern Sudan during the period from 1st January 2015 to 30th June 2015 to investigate the prevalence rate of Trichomoniasis during pregnancy and its impact on neonatal outcome. Results: During the study period there were 199 infected women with T vaginalis among 2374 deliveries yielding a prevalence rate of 8.3%. The vast majority (140/199, 70.4%) was asymptomatic while the rest presented with vaginal discharge (33/199, 16.6%), itching (16/199, 8%) and dysuria (10/199, 5%). With regard to membranes status and neonatal outcome higher proportion of infected women presented with premature ruptured membranes (30, 15.1% Vs 6, 3%; P = 0.000) and gave preterm birth (31, 15.6% Vs 7, 3.5%; P= 0.000). Using logistic regression analysis the study showed significant association between Trichomoniasis, preterm birth (CI= 1.1 � 13.6, OR= 3.9, P= 0.030) and premature rupture of the amniotic sac before 4 centimeter dilatation (CI= 1.0 3.2, OR= 1.8, P= 0.025). Conclusion: Trichomoniasis is highly prevalent among parturient women in eastern Sudan, and there is significant association between Trichomoniasis, preterm birth and premature ruptured membranes.