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Re: Herpes in PregnancyFrom: Braun, R. Daniel (rbraun@iupui.edu)Tue Aug 17 08:54:00 1999
Just "Take it out" prior to onset of labor. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 International Representative for United States OBGYN.net -----Original Message----- From: ainsron@msn.com [mailto:ainsron@msn.com] Sent: Monday, August 16, 1999 3:17 PM To: Multiple recipients of list OB-GYN-L Subject: Herpes in Pregnancy 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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