Recently I read some science articles about HPV. I learned that when a pregnant woman has  active genital warts during pregnancy, her baby may become infected with conjunctival papilloma and ocular surface squamous neoplasia (OSSN) from passing through the birth canal. This makes me feel anxious

I was  diagnosed with genital warts  several months after birth and I do not know whether I was infected with genital warts during pregnancy. I wonder to know even if infected with genital warts during pregnancy, what is the likelihood of my baby developing conjunctival papilloma or ocular surface squamous neoplasia (OSSN) ?

I have never heard of OSSN. While I am not surprised that a baby may acquire ocular HPV during vaginal delivery, the only situation I am aware of is laryngeal papillomatosis. (Having never heard of OSSN after more than 50 years in the STI business, I have to assume it is a very rare problem.) In any case, we STI specialists never manage such patients and not experts on the occurrence of neonatal acquisition of HPV. Your baby's pediatrician and/or your obstetrician almost certainly know more than we do or can suggest resources for detailed responses. I'm sorry I cannot help further.

Best wishes for the health of your baby, who is unlikely to have any health problem at all from your HPV infection.

HHH, MD

Hello Doctor ! Thank you for your answers!

1. I have already consulted an obstetrician a few months ago and she told me, "If you have the strain of HPV that results in genital warts while pregnant, it is not likely to affect the health of your baby"  Do you agree with what she said?

2. Recently I have been feeling very anxious.

At first, I was worried about whether my baby might develop recurrent respiratory papillomatosis (RRP). then I found some authoritative papers indicating that even if the mother has genital warts during pregnancy, the probability of the baby developing RRP is very low. So I stopped worrying, believing that such a low-probability event would not happen to me.

However, over the past few days, I have been searching for authoritative articles on conjunctival papilloma or Squamous cell papilloma in infants and young children. There seem to be very few studies on its prevalence and incidence, with most articles focusing on how to treat the condition. There is no discussion about the probability of this disease occurring, nor any research or statistics on how likely it is for a baby or child to develop conjunctival papilloma or Squamous cell papilloma if the mother has genital warts during pregnancy.link is here  Conjunctival Papilloma - EyeWiki

 You are an expert in HPV. I want to ask for your help. If you have any relevant information, please share it with me. I just want to know whether this is also a low-probability event.

2. I have no further advice about this. I agree there is very little chance your baby's health will ever be affected by your HPV infection. It is an exceedingly low probability event.

Our expertise in HPV is in sexual transmission and the consequences of genital HPV infection. We are not experts on long term complications in babies or children.

Your concerns are far more than normal, in fact irrational. I have to wonder about an underlying psychological or emotional issue. Are you suffering from post partum depression, for example? I suggest you discuss all these issues with your primary care provider, perhaps including mental health counseling. I suggest it from compassion, not criticism. Please note the forum policy against repeated questions on the same topic. This being your second about your HPV infection and your baby's possible exposure, it must be your last. Repetitive questions may be deleted without reply and without refund of the posting fee. The forum sponsor doesn't want repeated payment for questions already answered (or whose answers are obvious from previous discussions) and repeated answers tend to prolong rather than relieve anxiety. In addition, such questions have reduced educational value for other users, one of the forum's goals. Thank you for your understanding. In the meantime, do your best to stop worrying about these things.

Best wishes to your child and for your growing family.