32 week PROM Recent Herpes outbreak Help

From: Andrew (agfolley@hotmail.com)
Mon Jan 17 07:17:15 2005


Please give me your thoughs on the following: 32 week 5 day G1P0 comes in with PROM. Recurrent herpes outbreak on vulva treated two weeks agow with PO valtrex. No prodromal symptoms or active lesions now. Cx 1 cm 25%. Do you go to primary section for recent herpes outbreak?? Do you give steroids and wait 48 hours and induce? Give IV Valtrex and no steroids and wait? Any role for HSV titers or culture?




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