My Pregnancy

When managing herpes during pregnancy, it’s crucial to understand both the risks and the treatments to ensure the safety and health of both the mother and the baby. Here’s an informative overview:

Understanding Herpes in Pregnancy

Herpes Simplex Virus (HSV) has two types: HSV-1, typically causing oral herpes, and HSV-2, which usually leads to genital herpes. However, both types can cause infections in the newborn if transmitted during childbirth, which is known as neonatal herpes, a serious condition.

Risks and Transmission

The primary concern with herpes during pregnancy is the transmission from mother to baby during delivery, particularly if the mother has an active outbreak or acquires herpes late in the pregnancy. Neonatal herpes can lead to complications such as skin lesions, encephalitis, and even death in severe cases.

Management Strategies

1- Antiviral Medication

   – **Pregnancy-safe antivirals**, such as Acyclovir or Valacyclovir, are commonly prescribed to manage outbreaks and reduce viral shedding, thus lowering the risk of transmission.

2- Suppressive Therapy

   – For women with frequent outbreaks or those who acquire herpes near their due date, suppressive therapy may be recommended from 36 weeks until delivery to prevent a recurrence at the time of labor.

3- Cesarean Delivery

   – A cesarean section is advised if there are herpes lesions or symptoms at the time of labor to avoid exposing the baby to the virus during vaginal delivery.

Monitoring and Support

Regular prenatal visits should include discussions about symptoms of herpes and any concerns about transmission. Pregnant women diagnosed with herpes should be closely monitored by their healthcare team. This may include more frequent check-ups and detailed planning for the delivery process.

Conclusion

While herpes in pregnancy requires careful management, effective treatments and preventive measures can significantly reduce risks to both mother and baby. Pregnant women with herpes should work closely with their healthcare providers to develop a tailored management plan that considers their specific needs and circumstances.