STD's & Pregnancy....

[leeae85]

Ok, I have a question that may be dumb, but i would still like to know;)

If a woman is dx with HPV and she currently has warts on her lady parts/orifice, (or even if there were no warts but she still had HPV) is she supposed to have a C-Section?

My understanding of this is that if she has warts, she will give them to her child (in the eyes, throat, ect.)

Thanks for any input!

[Marie_LPN, RN, LPN, RN]

Where i work, she would be scheduled for a c-birth.

[leeae85]

see, that's what i thought. Thanks!

[nursejohio, ASN, RN]

We do sections for herpes with active lesions, but not hpv. Even if they have warts present, our docs don't cut them unles there are other reasons

[htrn]

My understanding is that we section pts with active herpes lesions. We have had patients with genital warts deliver lady partslly. One problem is that if they have a tear where the warts are, the skin is very friable (?sp) and difficult to repair.

[leeae85]

I thought that they automatically did sections for women with any kind of warts (hpv, herpes,...) b/c the mom would pass them onto the baby, who would get them on their voice box. I actually know a lady that has HPV, had a baby lady partslly, and now the little girl sounds like one of the little ducks from "Duck Tales".

The little girl has had 2 or 3 surgeries to try to remove the warts, but, still no success. The reason i ask all this is b/c my cousin has HPV and is expecting her first child, and i went with her to her Dr. appt. this past week, and her doc basically insulted me (such a jerk) and told me that they dont do c-sections anymore for that since their is only a slim chance. Well, my cousin wants the section, and he is being such a D i c k about it!

[klone, MSN, RN]

My understanding of our hospital policy is that genital warts caused by HPV does NOT preclude a lady partsl birth, but herpes DOES.

HPV does not pose a significant risk to the infant as it passes the birth canal. Herpes, OTOH, does.