Rarity of cesarean delivery in cases of juvenile-onset respiratory papillomatosis

Keerti Shah, Haskins Kashima, B. Frank Polk, Farida Shah, Helen Abbey, Allan Abramson

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Abstract

Papillomas of the respiratory and genital tracts are caused by the same papillomavirus genotypes, and mothers of children with respiratory papillomatosis often have a history of genital warts. Only one of 109 cases reviewed gave a history of birth by cesarean section, whereas ten cesarean deliveries would have been the expected number for this group on the basis of national rates. The single case was delivered by elective cesarean section before the rupture of the membranes, and the child developed respiratory papillomatosis in the first year of life. These findings suggest that in juvenile-onset disease, the transmission of infection from mother to child occurs most often during passage through an infected birth canal, but that intrauterine infection of the fetus is also possible. Papillomavirus infection of the female genital tract is common, but respiratory papillomatosis is rare. On the basis of crude estimates of annual number of children born to infected mothers and of new cases of juvenile-onset disease, the risk of developing disease for a child born to an infected mother was calculated to be one in several hundred exposures. (C) 1986 The American College of Obstetricians and Gynecologists.

Original languageEnglish (US)
Pages (from-to)795-799
Number of pages5
JournalObstetrics and Gynecology
Volume68
Issue number6
Publication statusPublished - 1986

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Shah, K., Kashima, H., Polk, B. F., Shah, F., Abbey, H., & Abramson, A. (1986). Rarity of cesarean delivery in cases of juvenile-onset respiratory papillomatosis. Obstetrics and Gynecology, 68(6), 795-799.