What should a woman with human papilloma virus (HPV) and genital warts be advised regarding delivery?

A woman with human papilloma virus (HPV) and genital warts can be advised that HPV is rarely transmitted during delivery. This is supported by evidence indicating that while HPV can be present in the genital tract, the likelihood of transmitting the virus to the neonate during a vaginal delivery is relatively low.

In most cases, a vaginal delivery can be safely performed unless there are specific complications or an extensive amount of genital warts obstructing the birth canal. The concern for transmission during vaginal delivery primarily focuses on HPV types associated with genital warts rather than the high-risk types linked to cervical cancer.

Importantly, preventing cesarean delivery solely for the purpose of avoiding HPV transmission is not generally indicated, as the risk of transmission is low. Therefore, normal delivery is considered safe for women with HPV and does not necessitate surgical intervention unless there are other compelling medical reasons.