Herpes in Pregnancy
From: Ronald E. Ainsworth (ainsron@msn.com)
Mon Aug 16 15:14:53 1999
I have a new patient whose first pregnancy delivered vaginally and
developed severe CNS disease due to genital herpes. Apparently the CNM
who delivered her "missed" a small herpetic lesion on the vulva and the
only history of lesions was in her partner. The options, as I see them
include: 1)perform the cesarean section as requested, 2) follow her
according to the standard guidelines, with cesarean section only if
there are lesions present at term or 3)place her on antiviral therapy
during the last trimester of pregnancy. At this point she is now
strongly requesting cesarean section. How many would agree to her
request if she maintains her strong convictions, in spite of medical
evidence that it is probably an "unnecessary cesarean section?"
--
Ronald E. Ainsworth, MD, FACOG
Paradise, CA, Private Practice 20 yrs.
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