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.