Re: Herpes Infection and preganacy

From: DoctorJoe@aol.com
Tue Nov 18 14:44:32 2003


In a message dated 11/18/03 15:40:10, bhadesiajs@yahoo.com writes:

> I had female patient aged 32 yars old who was pregant before one year
> with pregancy of 24 weeks duration.She got Missed Abortion and
> investigation revealed ther was Herpes infection.She was advised
> abortion and went same.In second pregancy now she is having 8 weeks of
> pregancy and herpse infection again detected.How to proceed and what is
> prognosis.Can any body guide me
>

Recurrent herpes is really only dangerous if the baby delivers vaginally in the face of active lesions. If she has lesions at delivery, a c-section would be in order.

Nowadays, some will use antivirals (e.g. acyclovir) in the third trimester to prevent/"prophylax against" an outbreak at that time.

Consult any good MFM book and there should be pretty standard treatment guidelines, or the MMWR, which is available on the Internet.

Joe P.





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