Question

what is the appropriate care for a woman who is actively shedding herpes virus during labor in order to reduce the risk of herpes infection in the baby?

Answer 1

We start prescribing antiviral drugs like acyclovir (Valtrex) to pregnant women with a history of herpes around 36 weeks to lower the chance of experiencing an outbreak close to birth. This lessens the amount of virus that is shed in the vaginal region close to labor.

If a mother arrives to Labor and Delivery during labor or for a prearranged induction, we will thoroughly inspect the perineum to check for lesions and do a speculum exam to check for cervical lesions.

In order to assist avoid the infant from coming into touch with any sores, we will advise a C-section if we notice anything suspect. An important risk factor for infection is contact with active lesions. The chance of passing it to her unborn child during birth is less than 1% if she had a history of herpes before becoming pregnant but no sores at the time of delivery.

We start prescribing antiviral drugs like acyclovir (Valtrex) to pregnant women with a history of herpes around 36 weeks to lower the chance of experiencing an outbreak close to birth. This lessens the amount of virus that is shed in the vaginal region close to labor.

Reducing shedding also lowers the likelihood that active lesions would be present during birth, which may enable us to forgo a C-section.

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