Can You Deliver Naturally with HPV During Pregnancy? - Obstetrics and Gynecology

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I was diagnosed with HPV types 51/82 during my fifth month of pregnancy.
Throughout my pregnancy, I have experienced watery discharge with a strong odor.
Can I still have a natural birth? People say that childbirth is an opportunity for women to be reborn, so can I avoid a natural birth to let my body eliminate the bad things?

Sinia, 40~49 year old female. Ask Date: 2021/10/12

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should still be able to have a natural delivery.
Wishing you good health.

Reply Date: 2021/10/12

More Info


When it comes to delivering a baby naturally while having an HPV (Human Papillomavirus) infection during pregnancy, there are several important factors to consider. First and foremost, it is crucial to understand that HPV is a common virus, and many people who are infected do not experience any symptoms or complications. In most cases, HPV infections, especially those caused by low-risk types, do not significantly affect pregnancy or the delivery process.

In your case, you mentioned being diagnosed with HPV types 51 and 82 during your fifth month of pregnancy, along with experiencing unusual watery discharge with a strong odor. It's important to note that while HPV can lead to cervical changes and, in some cases, cervical cancer, the presence of HPV alone does not automatically necessitate a cesarean section (C-section). Most women with HPV can deliver vaginally without any issues, provided there are no other complications or significant cervical changes.

The concern regarding HPV during pregnancy primarily revolves around the potential for cervical dysplasia (abnormal cell changes) and the risk of transmission to the baby. However, the risk of transmitting HPV to the baby during delivery is relatively low, and the virus does not typically cause severe complications in newborns. Unlike some other infections, such as rubella or syphilis, HPV is not associated with significant congenital anomalies.

Regarding your question about whether natural delivery can help "flush out" the virus, it is important to clarify that HPV is a persistent virus that may not be eliminated from the body through childbirth. The immune system plays a crucial role in controlling and potentially clearing HPV infections over time. Many individuals, particularly women, may clear the virus naturally within two years, especially if they have a healthy immune system.

If you are experiencing heavy discharge with a strong odor, it is essential to consult your healthcare provider. This could indicate a possible infection that may require treatment, as it could lead to complications if left unaddressed. Your healthcare provider may recommend further evaluation and treatment options that are safe during pregnancy.

In summary, having HPV does not automatically preclude you from having a natural delivery. Most women with HPV can deliver vaginally, provided there are no significant cervical changes or other complications. It is essential to maintain regular prenatal check-ups and communicate any concerns with your healthcare provider. They can monitor your condition and provide guidance tailored to your specific situation, ensuring both your health and the health of your baby are prioritized. Always remember that each pregnancy is unique, and your healthcare provider is the best source of information regarding your specific circumstances.

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