PREGNANCY-BIRTH Messages for January, 2002: Re: 34 weeks and HSV1 outbreak!!!

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Re: 34 weeks and HSV1 outbreak!!!

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 3 Jan 2002 11:58:06 -0600 (CST)

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In reply to: anonymous@obgyn.net: "34 weeks and HSV1 outbreak!!!"

At Thu, 3 Jan 2002, anonymous@obgyn.net wrote: >
>I am at my wits end...
>
>I plan on a birth center delivery with a midwife.
>
>I understand that if I have lesions present at the time of delivery..I
>will need a c-section.
>
>I will be starting Acyclovir at week 36.
>
>I had what I believe was my primary outbreak at around 23 weeks. I had
>another less severe outbreak about 1 1/2 months ago.
>
>I am fighting a cold and have grown tired with the pregnancy. With the
>holidays and taking care of 2 young children...I have *tried* to take
>care of myself in order to prevent another outbreak but I think I may
>have failed.
>
>I noticed several bumps at the very top of my outter labia..in the fold.
>This is where the worst of my lesions were when I had my first outbreak.
>
>Im not sure if they are blisters or just ingrown hairs or what. I do
>have itching but I always seem to have itching down there related to
>edema and the hair which I usually shave but have not been able to
>because I cant reach.
>
>My midwife is 1+ hour away and I dont see her again until the 8th. Im
>thinking I should just call and go ahead and get started on the
>Acyclovir now.
>
>Does this outbreak mean I should go ahead and schedule a c-section?

If lesions are present at the onset of labor, a ceswarean should be done. Otherwise it is not necessary. At the onset of labor, your physician or midwife should do an examination including a speculum exam to look at the entire vagina and cervix as well as the vulva. If no lesions are present, then a vaginal delivery should be safe.

Even >if I resolve this outbreak is it occuring too close to possible to
>delivery to be safe?
>
>I have gone early with both my other babies and have already dropped...I
>"feel" like I will go early again with this one.
>
>I'm just a wreck about this..I really dont want a section but obviously
>I will do whatever I have to do.
>
>Kristina

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
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**Thank you for your understanding ;-)

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Next message: R. Daniel Braun, MD: "Re: 16 week u/s"
Previous message: anonymous: "pain in cervix"
In reply to: anonymous@obgyn.net: "34 weeks and HSV1 outbreak!!!"

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