With the increasing incidence of cervical warts, young women, especially women of childbearing age, are more likely to suffer from cervical warts year by year. The incidence of cervical warts during pregnancy is increasing. Studies have found that during pregnancy with cervical warts, the warts grow faster, mainly in the second trimester of pregnancy. The warts grow faster than in the first trimester of pregnancy. After the warts are removed, they can recur quickly, requiring continuous treatment during pregnancy until delivery. Cervical warts seriously endanger the health of pregnant women and fetuses. It may cause harm to mother and baby in the following aspects: (1) Vertical transmission between mother and fetus (infant). The most common mode of transmission is direct transmission from the mother to the placenta or to the fetus (infant) after birth. The route is through swallowing amniotic fluid or vaginal secretions during delivery and passing through the birth canal, which infects the newborn's skin and mucous membranes. Infection during pregnancy may cause fetal malformations, and there have also been reports of stillbirths. (2) The rate of dystocia due to obstruction of the birth canal is high. During pregnancy, cervical warts in the reproductive tract grow rapidly, increase in number, are widely distributed, and have various shapes. They can easily develop into huge warts, leading to obstruction of the birth canal and causing dystocia. (3) Soft birth canal lacerations and postpartum hemorrhage. Cervical warts are often distributed on the cervix and vaginal wall. The lesion tissue is fragile and can easily cause lacerations during vaginal delivery, causing postpartum hemorrhage. In addition, the warts grow quickly and have a high recurrence rate in early and mid-term pregnant women, which places a great physical and psychological burden on the patients. Most people now advocate termination of pregnancy and undergo thorough treatment before becoming pregnant. For those who terminate pregnancy, the warts should be removed first, and abortion or induced labor should be performed in a timely manner after reexamination to find no warts. For mid- and late-term pregnant women, if the growth rate of cervical warts is slow and they insist on continuing the pregnancy, they should be advised to rest in bed more and keep the vulva clean, hygienic, and dry to slow down the growth rate of cervical warts and reduce the recurrence rate. Cesarean section should be performed after the fetus is full-term. Therefore, some experts suggest that those who are pregnant for a long time and willing to continue the pregnancy can continue the pregnancy. The best way of delivery is to choose cesarean section. Local treatment should remove the warts on the vulva as much as possible, and rarely or not treat the warts on the vaginal wall and cervix to reduce bleeding. |
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