Data were collected from women presenting for prenatal care at the Obstetrics and Gynecology Clinic at the Noguchi Research Institute/Medical School at the University of Ghana in Accra, Ghana, between May and July 2005. This facility is housed in a public hospital that is also the largest government hospital in Ghana. Patients from all over Ghana travel to this clinic to receive their care. Clinics average 500-600 pregnant women per week and 10,000 -12,000 deliveries per year. 