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Pregnant women who are infected with either herpes simplex virus 2 (HSV-2) or herpes simplex virus 1 (HSV-1) genital herpes have a higher risk for miscarriage, premature labor, retarded fetal growth, or transmission of the herpes infection to the infant while in the uterus or at the time of delivery.. During a first infection, the virus is shed for longer periods, and more viral particles are excreted. An infection that first occurs in the late term does not allow the mother to develop antibodies that would help her baby fight off the infection at the time of delivery. The risk for transmission also increases if infants with infected mothers are born prematurely, if there is invasive monitoring, or if instruments are required during vaginal delivery.
Very rarely, the virus is transmitted across the placenta, a form of the infection known as congenital herpes. Infants may acquire congenital herpes from a mother with an active herpes infection at the time of birth. Unfortunately, only 5% of infected pregnant women have a history of symptoms, so in many cases herpes infection is not suspected, or symptoms are missed, at the time of delivery. Obtaining routine herpes cultures on all women during the prenatal period is not recommended.
Performing chorionic vilus sampling, amniocentesis, and percutaneous fetal blood draws can safely be performed during pregnancy.
If lesions in the genital area are present at the time of birth, Cesarean section is usually recommended. If lesions erupt shortly before the baby is due then samples must be taken and sent to the laboratory. Some doctors recommend anti-viral medication for pregnant women who are infected with HSV-2.
Herpes infection in a newborn can cause a range of symptoms, including skin rash, fevers, mouth sores, and eye infections. Herpes meningitis, an inflammation of the membranes that line the brain and spinal cord, occurs in up to 10% of cases of primary genital HSV-2.
Iridocyclitis is another serious complication of ocular herpes, in which the iris and the area around it become inflamed. Herpes simplex is particularly devastating when it occurs in immunocompromised patients and, unfortunately, coinfection is common.
The majority of patients with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. In our laboratory, all clinical ocular samples suspected of possible HSV infection are tested with standard cell culture, ELVIS™, and PCR. PCR is performed for HSV (1 or 2) on specimens collected by soft-tipped applicators, metal spatulas, and jeweler's forceps, and placed in 2.0ml of chlamydia transport medium.
Possible ComplicationsThe severity of symptoms depends on where and how the virus enters the body. Although about 25 - 30% of pregnant women have genital herpes, less than 0.1% of babies are born with neonatal herpes. Transmission can occur if the amniotic membrane of an infected woman ruptures prematurely, or as the infant passes through an infected birth canal. Also rarely, newborns may contract herpes during the first weeks of life from being kissed by someone with a herpes cold sore. Aggressive treatment with antiviral medication is required, but may not help systemic herpes.


If there is evidence of an active outbreak, doctors usually advise a Cesarean section to prevent the baby contacting the virus in the birth canal during delivery. Samples are cultured to detect the virus at 3 - 5-day intervals prior to delivery to determine whether viral shedding is occurring. Recent studies indicate that acyclovir (Zovirax) or valacyclovir (Valtrex) or famciclovir (Famvir)Valtrex can help reduce the recurrence of genital herpes and the need for Cesarean sections. It is important to treat babies quickly, before the infection spreads to the brain and other organs. In most cases, ocular herpes causes inflammation and sores on the lids or outside of the cornea that go away in a few days. In children, this is often caused by thumbsucking or finger sucking while they have a cold sore.
A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. We feel that processing all specimens with this battery of tests provides the most expedited results especially when the results can be delayed due to off-hour collection, weekends, and holidays. Intraocular fluid or vitrectomy specimen can be supplied directly or increased to a volume of 0.45 ml with chlamydia transport medium. This is usually followed by painful, small blisters that pop and leave sores that ooze or bleed. It is intended for general informational purposes only and does not address individual circumstances. Except in very rare instances and in special circumstances, the disease is not life threatening, although it can be very debilitating and cause great emotional distress.
The baby is at greatest risk from an asymptomatic infection during a vaginal delivery in women who acquired the virus for the first time late in the pregnancy. This increased risk is present if the woman is having or has recently had an active herpes outbreak in the genital area. If no lesions are present and cultures indicate no viral shedding, a vaginal delivery can be performed and the newborn is examined and cultured after delivery. Women begin to take the drug on a daily basis beginning in the 36th week of pregnancy (last trimester). Neonatal herpes can spread to the brain and central nervous system causing encephalitis and meningitis and leading to mental retardation, cerebral palsy, and death. Scarring and corneal thinning develop, which may cause the eye's globe to rupture, resulting in blindness. It can also occur in adult health care workers, such as dentists, because of increased exposure to the herpes virus. HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. Most people notice symptoms within a few weeks after they catch the virus from someone else.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Fortunately, rapid diagnostic tests and treatment with acyclovir have both significantly improved survival rates and reduced complication rates. Fortunately, herpes meningitis usually resolves without complications, lasting for up to a week, although recurrences have been reported. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites.


The first time it happens, you may also have a fever, headache, or other flu-like feelings. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Recurring herpes and a first infection that is acquired early in the pregnancy pose a much lower risk to the infant. For those who recover, nearly all suffer some impairment, ranging from very mild neurological changes to paralysis. The best chances for a favorable outcome occur in patients who are treated with acyclovir within 2 days of becoming ill. Any duplication or distribution of the information contained herein is strictly prohibited. How You Do -- and Don’t -- Get HerpesYou get herpes by having any kind of sex -- vaginal, oral, or anal -- with someone who’s infected. Because the virus can't live long outside your body, you can't catch it from something like a toilet seat or towel.  Worried It’s Herpes?Sometimes people mistake a pimple or ingrown hair for herpes.
If you don’t have symptoms but think you might have herpes, your doctor can do a blood test. What Causes It?Genital herpes usually comes from the virus called herpes simplex-2 (HSV-2). How to Prevent an OutbreakSome people only take their medications if they feel the itching and tingling that means an outbreak is coming on -- or when sores show up -- to stop it from getting worse. Most people have them on and off for several years,  but they get milder and happen less often over time. How to Avoid HerpesAs long as you're sexually active, there's a chance you could get herpes.
You'll make it a lot less likely if you use a latex or polyurethane condom or dental dam every time, for every activity.
What Triggers an Outbreak?The herpes virus stays in your body forever, even if you have no symptoms. You may have an outbreak when you're sick, after you’ve been out in the sun, or when you’re stressed out or tired.
Sex and HerpesYou still can have sex if you have genital herpes, but you must tell your partner you have the virus. Problems With HerpesPeople often don’t have serious problems from herpes, but there's a chance of them.
Herpes and PregnancyIf you’re pregnant and have herpes, your doctor may suggest that you have your baby by C-section.
During vaginal birth, the herpes virus could spread to your baby, especially if your first outbreak happens around the delivery time.
The American Sexual Health Association recommends you pick a time when you won't be interrupted, plan what you want to say ahead of time, and practice what you'll say so you feel confident.



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Comments
  1. Yalgiz_Oglan 13.06.2015 at 15:17:27
    Analysis has demonstrated that EBV human nervous.
  2. qeroy 13.06.2015 at 16:28:48
    Danger to the child is low and your specialist.
  3. Reg1stoR 13.06.2015 at 10:32:29
    Touching with contaminated areas can cross.
  4. V_U_S_A_L17 13.06.2015 at 11:21:25
    Blood work they will do nothing, I obtained.