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 allow my body to expel the bad things?

Sinia, 40~49 year old female. Ask Date: 2021/11/01

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it does not affect natural childbirth.
Wishing you good health.

Reply Date: 2021/11/01

More Info


When it comes to delivering a baby while being infected with HPV (Human Papillomavirus), it is essential to understand the implications of the infection and the nature of HPV itself. HPV is a common sexually transmitted infection, and while there are many types of HPV, they can be categorized into high-risk and low-risk strains. High-risk HPV types are associated with cervical cancer, while low-risk types can cause genital warts.

In your case, you mentioned being diagnosed with HPV types 51 and 82. Type 51 is considered a high-risk strain, while type 82 is classified as low-risk. The presence of HPV during pregnancy does not automatically preclude the possibility of a natural delivery. Most women with HPV can have a vaginal delivery without complications, provided there are no other significant health issues or complications arising from the infection.

Regarding your concerns about the heavy, watery discharge with a strong odor, it is crucial to consult your healthcare provider. This could indicate an infection that may require treatment, as it is not typical for HPV to cause such symptoms. Other infections, such as bacterial vaginosis or a yeast infection, could be responsible for these symptoms and should be addressed to ensure a healthy pregnancy and delivery.

As for the notion that childbirth is a chance for women to "rebirth" and expel negative elements from their bodies, this is more of a philosophical perspective rather than a medical one. Natural childbirth does not inherently cleanse the body of infections like HPV. The body’s immune system plays a significant role in managing viral infections, and while some HPV infections can clear on their own, others may persist.

It is also important to note that HPV is not typically transmitted to the baby during delivery. However, there is a small risk of the baby developing respiratory papillomatosis if they come into contact with the virus during vaginal delivery. This condition is rare and usually manageable.

In summary, having HPV does not automatically mean you cannot have a natural birth. However, it is essential to monitor your health closely during pregnancy. Regular check-ups, including Pap smears and HPV testing, are crucial to assess any changes in your cervical health. If there are signs of cervical changes or other complications, your healthcare provider will guide you on the safest delivery method.

Always consult with your obstetrician or healthcare provider regarding your specific situation. They can provide personalized advice based on your health history and current condition. Maintaining open communication with your healthcare team is vital for ensuring a safe and healthy pregnancy and delivery.

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