Objective-To identify the prevalence of HPV DNA using the polymerase c
hain reaction (PCR) in neonatal foreskin and cervical specimens obtain
ed at necropsy. Materials-Foreskin and cervical specimens were obtaine
d from consecutive neonates who had autopsies performed at The Royal W
omen's Hospital, Melbourne, from June 1991 to February 1992. Specimens
were analysed for HPV DNA using the polymerase chain reaction and the
L1 consensus primers and generic probes. Results-Specimens were obtai
ned from 98 neonates, 52 male and 46 female. The mean gestational age
of the neonates was 29 weeks (range 20-42). Eighty neonates died in ut
ero, three during labour and 15 following delivery. Ninety four were d
elivered vaginally whilst four were delivered by caesarean section. Sa
mples were collected a mean of 20 hours (range 2-48) from the time of
delivery. In 30 cases there was evidence of autolytic change while in
the remaining cases, the histology was well preserved. No evidence of
HPV DNA was found in any of the samples using the L1 general primers (
95% confidence interval 0-3-6%). Recent cervical cytology was availabl
e on 70 of the infant's mothers. Six had cytological evidence of HPV i
nfection while the remainder were normal. Conclusions-HPV DNA is uncom
monly detected (by PCR) in foreskin and cervical specimens obtained fr
om neonates.