Perinatal Transmission of Human Papillomavirus in Infants: Relationship Between Infection Rate and Mode of Delivery

OBJECTIVETo determine the transmission rate of human papillomavirus (HPV) in newborn infants of HPV-positive women and to assess the relationship between perinatal HPV transmission and mode of delivery. METHODSThree hundred one pregnant women were selectedvaginal delivery (n = 160) or cesarean deliv...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1998-01, Vol.91 (1), p.92-96
Hauptverfasser: TSENG, CHIH-JEN, LIANG, CHING-CHUNG, SOONG, YUNG-KUEI, PAO, CHIA-C
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container_title Obstetrics and gynecology (New York. 1953)
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creator TSENG, CHIH-JEN
LIANG, CHING-CHUNG
SOONG, YUNG-KUEI
PAO, CHIA-C
description OBJECTIVETo determine the transmission rate of human papillomavirus (HPV) in newborn infants of HPV-positive women and to assess the relationship between perinatal HPV transmission and mode of delivery. METHODSThree hundred one pregnant women were selectedvaginal delivery (n = 160) or cesarean delivery (n = 141). We assessed the presence of the HPV types 16 and 18 DNA sequences in buccal and genital swabs of neonates born to HPV-positive mothers, using the polymerase chain reaction. RESULTSThe overall frequency of HPV 16/18 infection among the pregnant women was 22.6% (68/301). At birth, the overall frequency of HPV transmission from HPV 16/18-positive mothers to newborns was 39.7% (27/68). A significantly higher rate of HPV 16/18 infection was found at birth when infants were delivered vaginally than when infants were delivered by cesarean (18/35 or 51.4% versus 9/33 or 27.3%, P = .042). However, there was no significant difference in the incidence of perinatal HPV infection between the HPV types 16 and 18 in either vaginal delivery group or in the cesarean delivery group (all P >.100). No significant difference was found between the buccal and genital sites (27/68 versus 21/68, P = .234) or between male and female infants overall (12/36 versus 15/32, P = .255). CONCLUSIONThe findings suggest that neonates are at higher risk for exposure to HPV after vaginal delivery than after cesarean delivery.
doi_str_mv 10.1016/s0029-7844(97)00593-0
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METHODSThree hundred one pregnant women were selectedvaginal delivery (n = 160) or cesarean delivery (n = 141). We assessed the presence of the HPV types 16 and 18 DNA sequences in buccal and genital swabs of neonates born to HPV-positive mothers, using the polymerase chain reaction. RESULTSThe overall frequency of HPV 16/18 infection among the pregnant women was 22.6% (68/301). At birth, the overall frequency of HPV transmission from HPV 16/18-positive mothers to newborns was 39.7% (27/68). A significantly higher rate of HPV 16/18 infection was found at birth when infants were delivered vaginally than when infants were delivered by cesarean (18/35 or 51.4% versus 9/33 or 27.3%, P = .042). However, there was no significant difference in the incidence of perinatal HPV infection between the HPV types 16 and 18 in either vaginal delivery group or in the cesarean delivery group (all P &gt;.100). No significant difference was found between the buccal and genital sites (27/68 versus 21/68, P = .234) or between male and female infants overall (12/36 versus 15/32, P = .255). CONCLUSIONThe findings suggest that neonates are at higher risk for exposure to HPV after vaginal delivery than after cesarean delivery.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1016/s0029-7844(97)00593-0</identifier><identifier>PMID: 9464728</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: The American College of Obstetricians and Gynecologists</publisher><subject>Adolescent ; Adult ; Base Sequence ; Biological and medical sciences ; Cervix Uteri - pathology ; Delivery, Obstetric - adverse effects ; Delivery, Obstetric - methods ; DNA - genetics ; DNA Primers - chemistry ; Female ; Human viral diseases ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical - statistics &amp; numerical data ; Infectious diseases ; Male ; Medical sciences ; Papillomaviridae - genetics ; Papillomaviridae - pathogenicity ; Papillomavirus Infections - epidemiology ; Papillomavirus Infections - transmission ; Papillomavirus Infections - virology ; Polymerase Chain Reaction ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Pregnancy Complications, Infectious - virology ; Tumor Virus Infections - epidemiology ; Tumor Virus Infections - transmission ; Tumor Virus Infections - virology ; Vaginal Smears ; Viral diseases ; Viral diseases of the genital and urinary system</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1998-01, Vol.91 (1), p.92-96</ispartof><rights>1998 The American College of Obstetricians and Gynecologists</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4968-55eab5b6b64e0ad1559bf05f5ef35467bcd642be152917d8592d39013276f1be3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4023,27922,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2097667$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9464728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TSENG, CHIH-JEN</creatorcontrib><creatorcontrib>LIANG, CHING-CHUNG</creatorcontrib><creatorcontrib>SOONG, YUNG-KUEI</creatorcontrib><creatorcontrib>PAO, CHIA-C</creatorcontrib><title>Perinatal Transmission of Human Papillomavirus in Infants: Relationship Between Infection Rate and Mode of Delivery</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>OBJECTIVETo determine the transmission rate of human papillomavirus (HPV) in newborn infants of HPV-positive women and to assess the relationship between perinatal HPV transmission and mode of delivery. METHODSThree hundred one pregnant women were selectedvaginal delivery (n = 160) or cesarean delivery (n = 141). We assessed the presence of the HPV types 16 and 18 DNA sequences in buccal and genital swabs of neonates born to HPV-positive mothers, using the polymerase chain reaction. RESULTSThe overall frequency of HPV 16/18 infection among the pregnant women was 22.6% (68/301). At birth, the overall frequency of HPV transmission from HPV 16/18-positive mothers to newborns was 39.7% (27/68). A significantly higher rate of HPV 16/18 infection was found at birth when infants were delivered vaginally than when infants were delivered by cesarean (18/35 or 51.4% versus 9/33 or 27.3%, P = .042). However, there was no significant difference in the incidence of perinatal HPV infection between the HPV types 16 and 18 in either vaginal delivery group or in the cesarean delivery group (all P &gt;.100). No significant difference was found between the buccal and genital sites (27/68 versus 21/68, P = .234) or between male and female infants overall (12/36 versus 15/32, P = .255). CONCLUSIONThe findings suggest that neonates are at higher risk for exposure to HPV after vaginal delivery than after cesarean delivery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Base Sequence</subject><subject>Biological and medical sciences</subject><subject>Cervix Uteri - pathology</subject><subject>Delivery, Obstetric - adverse effects</subject><subject>Delivery, Obstetric - methods</subject><subject>DNA - genetics</subject><subject>DNA Primers - chemistry</subject><subject>Female</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infectious Disease Transmission, Vertical - statistics &amp; numerical data</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Papillomaviridae - genetics</subject><subject>Papillomaviridae - pathogenicity</subject><subject>Papillomavirus Infections - epidemiology</subject><subject>Papillomavirus Infections - transmission</subject><subject>Papillomavirus Infections - virology</subject><subject>Polymerase Chain Reaction</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Pregnancy Complications, Infectious - virology</subject><subject>Tumor Virus Infections - epidemiology</subject><subject>Tumor Virus Infections - transmission</subject><subject>Tumor Virus Infections - virology</subject><subject>Vaginal Smears</subject><subject>Viral diseases</subject><subject>Viral diseases of the genital and urinary system</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kc1u3CAUhVHVKJ2mfYRILKqqXTi5gAHTXZr-JFKiRmkqdYewfa2hxfYU7Izy9sWZ0awQnO_cAwdCThmcMWDqPAFwU-iqLD8Y_RFAGlHAC7JilRYFF-L3S7I6IK_I65T-AGSjEcfk2JSq1LxakXSH0Q9ucoE-RDek3qfkx4GOHb2aezfQO7fxIYy9e_RxTtQP9Hro3DClT_Qeg5synNZ-Qz_jtEV8VrFZTum9m5C6oaW3Y4vLwC8Y_CPGpzfkqHMh4dv9ekJ-ffv6cHlV3Pz4fn15cVM0pVFVISW6WtaqViWCa5mUpu5AdhI7IUul66ZVJa-RSW6YbitpeCsMMMG16liN4oS8383dxPHfjGmy-XUNhuAGHOdkdU4RoHgG5Q5s4phSxM5uou9dfLIM7FK2_bk0aZcmrdH2uWwL2Xe6D5jrHtuDa99u1t_tdZcaF7pccOPTAeNgtFI6Y-UO245hwpj-hnmL0a7RhWmdwyDfUULBjKmA5V2x_GMl_gNle5fn</recordid><startdate>199801</startdate><enddate>199801</enddate><creator>TSENG, CHIH-JEN</creator><creator>LIANG, CHING-CHUNG</creator><creator>SOONG, YUNG-KUEI</creator><creator>PAO, CHIA-C</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199801</creationdate><title>Perinatal Transmission of Human Papillomavirus in Infants: Relationship Between Infection Rate and Mode of Delivery</title><author>TSENG, CHIH-JEN ; LIANG, CHING-CHUNG ; SOONG, YUNG-KUEI ; PAO, CHIA-C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4968-55eab5b6b64e0ad1559bf05f5ef35467bcd642be152917d8592d39013276f1be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Base Sequence</topic><topic>Biological and medical sciences</topic><topic>Cervix Uteri - pathology</topic><topic>Delivery, Obstetric - adverse effects</topic><topic>Delivery, Obstetric - methods</topic><topic>DNA - genetics</topic><topic>DNA Primers - chemistry</topic><topic>Female</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infectious Disease Transmission, Vertical - statistics &amp; numerical data</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Papillomaviridae - genetics</topic><topic>Papillomaviridae - pathogenicity</topic><topic>Papillomavirus Infections - epidemiology</topic><topic>Papillomavirus Infections - transmission</topic><topic>Papillomavirus Infections - virology</topic><topic>Polymerase Chain Reaction</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Pregnancy Complications, Infectious - virology</topic><topic>Tumor Virus Infections - epidemiology</topic><topic>Tumor Virus Infections - transmission</topic><topic>Tumor Virus Infections - virology</topic><topic>Vaginal Smears</topic><topic>Viral diseases</topic><topic>Viral diseases of the genital and urinary system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TSENG, CHIH-JEN</creatorcontrib><creatorcontrib>LIANG, CHING-CHUNG</creatorcontrib><creatorcontrib>SOONG, YUNG-KUEI</creatorcontrib><creatorcontrib>PAO, CHIA-C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TSENG, CHIH-JEN</au><au>LIANG, CHING-CHUNG</au><au>SOONG, YUNG-KUEI</au><au>PAO, CHIA-C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perinatal Transmission of Human Papillomavirus in Infants: Relationship Between Infection Rate and Mode of Delivery</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1998-01</date><risdate>1998</risdate><volume>91</volume><issue>1</issue><spage>92</spage><epage>96</epage><pages>92-96</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>OBJECTIVETo determine the transmission rate of human papillomavirus (HPV) in newborn infants of HPV-positive women and to assess the relationship between perinatal HPV transmission and mode of delivery. METHODSThree hundred one pregnant women were selectedvaginal delivery (n = 160) or cesarean delivery (n = 141). We assessed the presence of the HPV types 16 and 18 DNA sequences in buccal and genital swabs of neonates born to HPV-positive mothers, using the polymerase chain reaction. RESULTSThe overall frequency of HPV 16/18 infection among the pregnant women was 22.6% (68/301). At birth, the overall frequency of HPV transmission from HPV 16/18-positive mothers to newborns was 39.7% (27/68). A significantly higher rate of HPV 16/18 infection was found at birth when infants were delivered vaginally than when infants were delivered by cesarean (18/35 or 51.4% versus 9/33 or 27.3%, P = .042). However, there was no significant difference in the incidence of perinatal HPV infection between the HPV types 16 and 18 in either vaginal delivery group or in the cesarean delivery group (all P &gt;.100). No significant difference was found between the buccal and genital sites (27/68 versus 21/68, P = .234) or between male and female infants overall (12/36 versus 15/32, P = .255). CONCLUSIONThe findings suggest that neonates are at higher risk for exposure to HPV after vaginal delivery than after cesarean delivery.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>9464728</pmid><doi>10.1016/s0029-7844(97)00593-0</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Adult
Base Sequence
Biological and medical sciences
Cervix Uteri - pathology
Delivery, Obstetric - adverse effects
Delivery, Obstetric - methods
DNA - genetics
DNA Primers - chemistry
Female
Human viral diseases
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical - statistics & numerical data
Infectious diseases
Male
Medical sciences
Papillomaviridae - genetics
Papillomaviridae - pathogenicity
Papillomavirus Infections - epidemiology
Papillomavirus Infections - transmission
Papillomavirus Infections - virology
Polymerase Chain Reaction
Pregnancy
Pregnancy Complications, Infectious - epidemiology
Pregnancy Complications, Infectious - virology
Tumor Virus Infections - epidemiology
Tumor Virus Infections - transmission
Tumor Virus Infections - virology
Vaginal Smears
Viral diseases
Viral diseases of the genital and urinary system
title Perinatal Transmission of Human Papillomavirus in Infants: Relationship Between Infection Rate and Mode of Delivery
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