Warning
  • Genital warts often become more florid during pregnancy and may cause immense distress.
  • Sensitive counselling is needed including encouraging the pregnant women to discuss her fears with her midwife.
  • Treatment may not always be warranted but aims to reduce the number of lesions present at delivery and therefore reduce the neonatal exposure to the virus.
  • Do not use podophyllotoxin or imiquimod treatment in pregnancy.
  • Cryotherapy can be offered but this may not eliminate or even control the outbreak.
  • Caesarean section delivery is only indicated if vulval or vaginal warts obstruct the birth canal, as the lesions may avulse and haemorrhage or cause dystocia during an attempted vaginal delivery.
  • Caesarean section is not indicated to prevent vertical transmission. The only serious, rare complication is recurrent respiratory papillomatosis in the infant which occurs in about 4/100,000 births.
  • Warts often spontaneously resolve in the weeks following delivery.

 

Editorial Information

Last reviewed: 31/01/2024

Next review date: 31/01/2026

Author(s): West of Scotland Managed Clinical Network for Sexual Health Clinical Guidelines Group .

Version: 6.1

Approved By: West of Scotland Managed Clinical Network in Sexual Health