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Re: Herpes in Pregnancy From: Efrain Ramirez MD (eramirez@icepr.com) Mon Aug 16 16:51:57 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: Herpes in Pregnancy" Previous message: shahata: "magnesium sulphate for treatment of eclampsia" In reply to: Ronald E. Ainsworth: "Herpes in Pregnancy" Next in thread: Kathi Wilson, BHSc, RM: "Re: Herpes in Pregnancy" Reply: Kathi Wilson, BHSc, RM: "Re: Herpes in Pregnancy" Ron--I had same case many years ago--in fact I delivered a child a year ago from that C/S. Mother --sweet lady -had first baby with CNS disease--eventually died---years of anguish. She requested C/S---remember that was about 21 years ago...I agreed-- I don't regret it. If she understands the whole picture and has an honest well informed consent--no problem. As Jim says --C/S are done for far lesser reasons-- I,IMHO, would give Valtrex anyway--suppose she has a very rapid labor--- Good luck!! At Mon, 16 Aug 1999, Ronald E. Ainsworth wrote: > >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. > -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: Malcolm Griffiths: "Re: Herpes in Pregnancy" Previous message: shahata: "magnesium sulphate for treatment of eclampsia" In reply to: Ronald E. Ainsworth: "Herpes in Pregnancy" Next in thread: Kathi Wilson, BHSc, RM: "Re: Herpes in Pregnancy" Reply: Kathi Wilson, BHSc, RM: "Re: Herpes in Pregnancy"

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