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Maternal condyloma acuminata infection in pregnancy and offspring long-term respiratory and infectious outcome

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Background

Maternal condyloma acuminata infection may be vertically transmitted to the offspring during pregnancy and childbirth. Our study aimed to investigate the possible impact of maternal condyloma acuminata infection in pregnancy on offspring respiratory and infectious morbidity.

Methods

A population‐based cohort analysis including all singleton deliveries occurring between 1991 and 2014 at a tertiary medical center. Long-term infectious and respiratory morbidities were compared between children with and without exposure to maternal condyloma infection during pregnancy. A Kaplan–Meier survival curve was used to compare cumulative hospitalization rate and a Cox regression analyses to control for confounders.

Results

No significant differences were found in total respiratory and infectious related hospitalizations between the study groups. The survival curves demonstrated no difference in the cumulative incidence between the two groups in both respiratory hospitalizations (log-rank, p = 0.18) and infectious hospitalizations (log-rank, p = 0.95). Cox multivariable analyses demonstrated that exposure to maternal condyloma infection during pregnancy is not a risk factor for neither infectious (aHR 0.91, [CI] 0.49–1.69) nor respiratory (aHR 0.37, [CI] 0.09–1.51) morbidity during childhood and adolescence.

Conclusion

Exposure to maternal condyloma infection during pregnancy does not appear to be an independent risk factor for later respiratory or infectious morbidity throughout childhood and adolescence.

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References

  1. Fernandes JV, Galvão de Araújo JM, Araújo A, de Medeiros FT (2013) Biology and natural history of human papillomavirus infection. Open Access J Clin Trials. https://doi.org/10.2147/OAJCT.S37741

    Article  Google Scholar 

  2. Hawkins MG, Winder DM, Ball SLR et al (2013) Detection of specific HPV subtypes responsible for the pathogenesis of condylomata acuminata. Virol J 10:137. https://doi.org/10.1186/1743-422X-10-137

    Article  PubMed  PubMed Central  Google Scholar 

  3. Yanofsky VR, Patel RV, Goldenberg G (2012) Genital warts: a comprehensive review. J Clin Aesthet Dermatol 5:25–36

    PubMed  PubMed Central  Google Scholar 

  4. Liu P, Xu L, Sun Y, Wang Z (2014) The prevalence and risk of human papillomavirus infection in pregnant women. Epidemiol Infect 142:1567–1578. https://doi.org/10.1017/S0950268814000636

    Article  CAS  PubMed  Google Scholar 

  5. Lugović-Mihić L, Cvitanović H, Djaković I et al (2021) The influence of psychological stress on HPV infection manifestations and carcinogenesis. Cell Physiol Biochem 55:71–88. https://doi.org/10.33594/000000395

    Article  PubMed  Google Scholar 

  6. Ambühl LMM, Baandrup U, Dybkær K et al (2016) Human papillomavirus infection as a possible cause of spontaneous abortion and spontaneous preterm delivery. Infect Dis Obstet Gynecol 2016:3086036. https://doi.org/10.1155/2016/3086036

    Article  PubMed  PubMed Central  Google Scholar 

  7. Cho G, Min K-J, Hong H-R et al (2013) High-risk human papillomavirus infection is associated with premature rupture of membranes. BMC Pregnancy Childbirth 13:173. https://doi.org/10.1186/1471-2393-13-173

    Article  PubMed  PubMed Central  Google Scholar 

  8. Nimrodi M, Kleitman V, Wainstock T et al (2018) The association between cervical inflammation and histologic evidence of HPV in PAP smears and adverse pregnancy outcome in low risk population. Eur J Obstet Gynecol Reprod Biol 225:160–165. https://doi.org/10.1016/j.ejogrb.2018.04.023

    Article  PubMed  Google Scholar 

  9. Cohen E, Levy A, Holcberg G et al (2011) Perinatal outcomes in condyloma acuminata pregnancies. Arch Gynecol Obstet 283:1269–1273. https://doi.org/10.1007/s00404-010-1558-2

    Article  PubMed  Google Scholar 

  10. Merckx M, Liesbeth W-VW, Arbyn M et al (2013) Transmission of carcinogenic human papillomavirus types from mother to child: a meta-analysis of published studies. Eur J Cancer Prev 22:277–285. https://doi.org/10.1097/CEJ.0b013e3283592c46

    Article  PubMed  Google Scholar 

  11. Park H, Lee SW, Lee IH et al (2012) Rate of vertical transmission of human papillomavirus from mothers to infants: relationship between infection rate and mode of delivery. Virol J 9:80. https://doi.org/10.1186/1743-422X-9-80

    Article  PubMed  PubMed Central  Google Scholar 

  12. Chatzistamatiou K, Sotiriadis A, Agorastos T (2016) Effect of mode of delivery on vertical human papillomavirus transmission - a meta-analysis. J Obstet Gynaecol 36:10–14. https://doi.org/10.3109/01443615.2015.1030606

    Article  CAS  PubMed  Google Scholar 

  13. Niyibizi J, Rodier C, Wassef M, Trottier H (2014) Risk factors for the development and severity of juvenile-onset recurrent respiratory papillomatosis: a systematic review. Int J Pediatr Otorhinolaryngol 78:186–197. https://doi.org/10.1016/j.ijporl.2013.11.036

    Article  PubMed  Google Scholar 

  14. Zouridis A, Kalampokas T, Panoulis K et al (2018) Intrauterine HPV transmission: a systematic review of the literature. Arch Gynecol Obstet 298:35–44. https://doi.org/10.1007/s00404-018-4787-4

    Article  PubMed  Google Scholar 

  15. Ambühl LMM, Leonhard AK, Widen Zakhary C et al (2017) Human papillomavirus infects placental trophoblast and Hofbauer cells, but appears not to play a causal role in miscarriage and preterm labor. Acta Obstet Gynecol Scand 96:1188–1196. https://doi.org/10.1111/aogs.13190

    Article  PubMed  Google Scholar 

  16. Sarkola ME, Grénman SE, Rintala MAM et al (2008) Human papillomavirus in the placenta and umbilical cord blood. Acta Obstet Gynecol Scand 87:1181–1188. https://doi.org/10.1080/00016340802468308

    Article  PubMed  Google Scholar 

  17. Workowski KA, Bolan GA, Centers for Disease Control and Prevention (2015) Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 64:1–137

    PubMed  Google Scholar 

  18. Shah KV (2014) A case for immunization of human papillomavirus (HPV) 6/11-infected pregnant women with the quadrivalent HPV vaccine to prevent juvenile-onset laryngeal papilloma. J Infect Dis 209:1307–1309. https://doi.org/10.1093/infdis/jit611

    Article  CAS  PubMed  Google Scholar 

  19. Silverberg MJ, Thorsen P, Lindeberg H et al (2003) Condyloma in pregnancy is strongly predictive of juvenile-onset recurrent respiratory papillomatosis. Obstet Gynecol 101:645–652. https://doi.org/10.1016/s0029-7844(02)03081-8

    Article  PubMed  Google Scholar 

  20. Central Bureau of Statistics. Localities in Israel 2008–2017. Available at: https://www.cbs.gov.il/en/mediarelease/Pages/2019/Localities-in-Israel-2008-2017.aspx. Accessed February 6, 2019

  21. Lee SM, Park JS, Norwitz ER et al (2013) Risk of vertical transmission of human papillomavirus throughout pregnancy: a prospective study. PLoS ONE 8:e66368. https://doi.org/10.1371/journal.pone.0066368

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Sheiner E, Shoham-Vardi I, Weitzman D et al (1998) Decisions regarding pregnancy termination among Bedouin couples referred to third level ultrasound clinic. Eur J Obstet Gynecol Reprod Biol 76:141–146. https://doi.org/10.1016/s0301-2115(97)00178-4

    Article  CAS  PubMed  Google Scholar 

  23. Abu-Ghanem S, Sheiner E, Sherf M et al (2012) Lack of prenatal care in a traditional community: trends and perinatal outcomes. Arch Gynecol Obstet 285:1237–1242. https://doi.org/10.1007/s00404-011-2153-x

    Article  PubMed  Google Scholar 

  24. Amir H, Abokaf H, Levy YA et al (2018) Bedouin women’s gender preferences when choosing obstetricians and gynecologists. J Immigr Minor Health 20:51–58. https://doi.org/10.1007/s10903-016-0522-z

    Article  PubMed  Google Scholar 

  25. Estis-Deaton A, Sheiner E, Wainstock T et al (2017) The association between inadequate prenatal care and future healthcare use among offspring in the Bedouin population. Int J Gynaecol Obstet 139:284–289. https://doi.org/10.1002/ijgo.12314

    Article  PubMed  Google Scholar 

  26. Gutvirtz G, Wainstock T, Landau D, Sheiner E (2020) Unplanned out-of-Hospital birth-short and long-term consequences for the offspring. J Clin Med. https://doi.org/10.3390/jcm9020339

    Article  PubMed  PubMed Central  Google Scholar 

  27. Trottier H, Franco EL (2006) The epidemiology of genital human papillomavirus infection. Vaccine 24(Suppl 1):S1-15. https://doi.org/10.1016/j.vaccine.2005.09.054

    Article  PubMed  Google Scholar 

  28. Feldman JG, Chirgwin K, Dehovitz JA, Minkoff H (1997) The association of smoking condyloma acuminatum in and risk of women. Obstet Gynecol 89(3):346–350

    Article  CAS  PubMed  Google Scholar 

  29. Dan N, Sheiner E, Wainstock T et al (2021) Maternal smoking during pregnancy and the risk for childhood infectious diseases in the offspring: a population-based cohort study. Am J Perinatol 38:166–170. https://doi.org/10.1055/s-0039-1695773

    Article  PubMed  Google Scholar 

  30. Wangu Z, Hsu KK (2016) Impact of HPV vaccination on anogenital warts and respiratory papillomatosis. Hum Vaccin Immunother 12:1357–1362. https://doi.org/10.1080/21645515.2016.1172754

    Article  PubMed  PubMed Central  Google Scholar 

  31. Novakovic D, Cheng ATL, Zurynski Y et al (2018) A prospective study of the incidence of juvenile-onset recurrent respiratory papillomatosis after implementation of a national HPV vaccination program. J Infect Dis 217:208–212. https://doi.org/10.1093/infdis/jix498

    Article  PubMed  Google Scholar 

  32. Yang L-J, Zhu D-N, Dang Y-L, Zhao X (2016) Treatment of condyloma acuminata in pregnant women with cryotherapy combined with proanthocyanidins: outcome and safety. Exp Ther Med 11:2391–2394. https://doi.org/10.3892/etm.2016.3207

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Arena S, Marconi M, Villani C (2001) Pregnancy and condyloma. Evaluation about therapeutic effectiveness of laser CO2 on 115 pregnant women. Minerva Ginecol 53:389–396

    CAS  PubMed  Google Scholar 

  34. Kodner CM, Nasraty S (2004) Management of genital warts. Am Fam Physician 70:2335–2342

    PubMed  Google Scholar 

  35. Tasca RA, Clarke RW (2006) Recurrent respiratory papillomatosis. Arch Dis Child 91:689–691. https://doi.org/10.1136/adc.2005.090514

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Shah K, Kashima H, Polk BF et al (1986) Rarity of cesarean delivery in cases of juvenile-onset respiratory papillomatosis. Obstet Gynecol 68:795–799

    CAS  PubMed  Google Scholar 

  37. Loyo M, Pai SI, Netto GJ, Tunkel DE (2008) Aggressive recurrent respiratory papillomatosis in a neonate. Int J Pediatr Otorhinolaryngol 72:917–920. https://doi.org/10.1016/j.ijporl.2008.02.022

    Article  PubMed  Google Scholar 

  38. Kosko JR, Derkay CS (1996) Role of cesarean section in prevention of recurrent respiratory papillomatosis - Is there one? Int J Pediatr Otorhinolaryngol Otorhinolaryngol 35(1):31–38

    Article  CAS  Google Scholar 

  39. Sinal SH, Woods CR (2005) Human papillomavirus infections of the genital and respiratory tracts in young children. Semin Pediatr Infect Dis 16:306–316. https://doi.org/10.1053/j.spid.2005.06.010

    Article  PubMed  Google Scholar 

  40. Gilson R, Nugent D, Niklas Werner R et al (2019) European guideline for the management of anogenital warts. J Eur Acad Dermatol Venereol 34(8):1644–1653

    Article  Google Scholar 

  41. Moriña D, Fernández-Fontelo A, Cabaña A et al (2021) Quantifying the under-reporting of uncorrelated longitudal data: the genital warts example. BMC Med Res Methodol 21:6. https://doi.org/10.1186/s12874-020-01188-4

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

This study was conducted as part of the requirements for an MD degree from the Goldman Medical School at the Faculty of Health Sciences, Ben-Gurion University of the Negev. Ofir Sahar wrote the first draft of the manuscript. No honorarium, grant, or other form of payment was given to anyone to produce the manuscript.

Funding

This study was not funded.

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Authors

Contributions

OS: Writing original draft, visualization. GG: Conceptualization, writing review and editing, supervision. TW: Formal analysis, conceptualization, development or design of methodology, validation, writing review and editing; ES: Conceptualization, writing review and editing, supervision.

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Correspondence to Ofir Sahar.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Sahar, O., Gutvirtz, G., Wainstock, T. et al. Maternal condyloma acuminata infection in pregnancy and offspring long-term respiratory and infectious outcome. Arch Gynecol Obstet 307, 1423–1429 (2023). https://doi.org/10.1007/s00404-022-06631-z

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  • DOI: https://doi.org/10.1007/s00404-022-06631-z

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