Active non-genital herpes and birth

From: Suzanne S. Powell (suzannep@mindspring.com)
Sun Aug 23 15:49:05 1998


Received: from ns-mx.uiowa.edu (ns-mx.uiowa.edu [128.255.1.4]) by talk.obgyn.net (8.8.8/8.8.8) with ESMTP id PAA26468 for <ob-gyn-l@obgyn.net>; Sun, 23 Aug 1998 15:49:04 -0500 Received: from [129.255.200.35] (host200-35.obgyn.uiowa.edu [129.255.200.35]) by ns-mx.uiowa.edu (8.8.8/8.8.5) with ESMTP id PAA98652 for <ob-gyn-l@obgyn.net>; Sun, 23 Aug 1998 15:49:05 -0500 X-Sender: jyankowitz@mail.obgyn.uiowa.edu Message-Id: <v03130300b206319a83e8@[129.255.200.35]> In-Reply-To: <3.0.1.32.19980823163831.0070c5c4@mindspring.com> Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Date: Sun, 23 Aug 1998 15:54:18 -0500 To: ob-gyn-l@obgyn.net From: Jerome Yankowitz <jerome-yankowitz@uiowa.edu> Subject: Re: Active non-genital herpes and birth

Without evidence of coincident genital flare or shedding, I would imagine that virtually all would say that a vaginal birth would be the way to go.

>A current client of mine has active herpes lesions on her left wrist only.
>She has never had it genitally, and has been using oral and topical meds
>for 2 weeks now. She will be 40 weeks tomorrow.
>
>Her dr has been saying that if she went into labor before the lesions were
>completely clear, she would probably have to have a c-section. All info I
>can find about herpes and c-sections relates to genital herpes lesions only.
>
>What would be your preferred route of delivery for this woman prior to
>total clearance of the lesions -- vaginal or c-section?
>
>And if you have any studies that refer to non-genital herpes and delivery,
>please pass along the references. The dr we are working with is open to
>researching this more.

--
Jerome Yankowitz, MD
Director, Division of Maternal-Fetal Medicine
and Fetal Diagnosis and Treatment Unit
Dept of OB/GYN
Univ of Iowa Hospitals and Clinics
Telephone: 319-356-2574
Fax No:     319-353-6759




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