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Signs herpes outbreak is coming

Herpes simplex is a viral infection caused by the herpes simplex virus that can cause either affectation of the oral region, the genital region, or both. Genital herpes is typically asymptomatic, but when symptoms do occur manifestation include the presence of clusters of blisters and lesions on the external genitalia. A cure for the virus is yet to be found, however, sores can usually heal on their own without treatment. There are two herpes simplex viruses Herpes simplex 1 (HSV-1) and Herpes simplex 2 (HSV-2). If a mother has herpes, she can still breastfeed as long as the newborn will not come in contact with any of the herpes lesions or sores. If the sores (blisters) are on the nipple or on the breast where baby could come into contact with them; breastfeeding should be avoided from that breast until the lesions heal. Observing strict hygiene by washing hands thoroughly with soap before breastfeeding and sterilising breastpump parts after each use will help prevent spreading the infection. Herpes infection can be very dangerous (even fatal) to a newborn up to 3 weeks of age (Sullivan-Bolyai, Hull, Wilson & Corey, 1983). The following short article summarises the main points to be aware of when breastfeeding with herpes. Discuss with your doctor if your breastfed toddler has active mouth sores as there is a risk of transferring HSV-1 from child to mother’s nipples by breastfeeding 2. A mother with a cold sore on her lip can breastfeed but should be warned not to kiss her newborn and should wash her hands often and be careful about hygiene while the blister is active. Treatments for herpes simplex 1 and 2 and breastfeeding. Antiviral drugs can be used to treat these herpes viruses (AAP, 2009b).
The compatibility of the latest antiviral drugs with breastfeeding can be checked in the resources listed in Medications and Breastfeeding e.g. Varicella-zoster virus belongs to the herpesvirus family, it affects the central nervous system and causes chickenpox (varicella) and shingles (zoster).
However, if a mother develops chickenpox for the first time a few days before or after her baby’s birth 9, this could be very dangerous for her baby and she should seek urgent medical advice from her health professionals 10.
Infected babies should be given zoster immune globulin (antibodies against the virus) immediately at birth and acyclovir or a similar drug to prevent the baby from getting very sick.


If you have already had chickenpox, the virus can sometimes flare up again years later as shingles (herpes zoster virus).
Exposure to these [shingles] lesions can result in chicken pox (varicella zoster) in unimmunized infants. The advisability of breastfeeding during Ramadan will depend on the age of your baby, breastfeeding mothers do not have to fast. The disease is contagious and can be transmitted through direct contact with infected lesions or body fluids, as well as through sexual contact with an infected individual. The virus is passed through contact with infected lesions and body fluids; genital herpes in particular is passed through sexual contact. Herpes simplex 1 (cold sore or fever blister) usually appears as an open sore on the mouth area. Sores can be covered with a dressing to protect the baby 1. If you think you have herpes consult with your doctor to get a positive diagnosis as blisters on nipples can have other causes.
The milk from the affected breast can be expressed to maintain supply and prevent engorgement or mastitis.
If a pregnant woman or her partner has recurrent herpes, she should talk to a healthcare provider knowledgable about herpes and breastfeeding to decide what precautions to take. In nursing mothers with herpes, breastfeeding should not be interrupted, except when the herpetic vesicles are located on the breasts.
However Wambach and Riordan, 2015 say that there aren’t any factors in human milk that are known to protect against HSV. Most adults will have immunity to it as they will already have had it as a child or been immunised against it in some countries. Breastfeeding can continue in this situation, but the baby may require treatment with antibodies against the virus (varicella zoster immune globulin) or other preventative medication and the mother is advised to take special hygiene precautions and avoid her baby being in contact with any skin lesions until they are fully crusted 11 12. It causes a painful rash that develops into blisters usually affecting just one area of the body which may include the breast.
In most situations, it should be treated similarly to a Herpes simplex infection and women should not breastfeed or use expressed breast milk from an affected breast until the lesions have healed.
Discussing treatment options such as phototherapy, supplementation and exchange transfusion.


Herpes simplex is a potentially life-threatening condition especially in newborns or in persons with compromised immune systems.
Antiviral drugs such as acyclovir, famciclovir, and valacyclovir are types of prescription antiviral medicines that come in both topical and oral forms to help with the symptoms of herpes.
Herpes simplex 2 (genital herpes) is usually transmitted through sexual contact, producing blisters on the skin and the moist lining of the sex organs. If milk can be expressed without it coming into contact with a herpes sore (or any breast pump part or hand that has been in contact with a sore), the expressed milk can be given to the baby. However if the milk has been in contact with a sore it should be thrown away.
If a sore on the nipple or breast is suspected of being herpes, a culture can be done and the results should be available in a few days. Transmission during breastfeeding is more likely due to occur from direct contact with a herpetic lesion on the breast. Active lesions in other body parts should be covered, and the nursing mother’s hygiene should not be overlooked so that breastfeeding can be maintained.
If a mother develops chickenpox for the first time while breastfeeding, she can continue to breastfeed because her baby will have already been exposed to the infection before the blisters came out, and immune factors in breast milk can help the baby’s recovery 6 7 8.
The baby should be breastfed to get the immune factors present in the milk that will help protect his mucous membranes from invasion by the virus.
It is possible to catch chickenpox from someone with shingles if you have not had it before—by skin to skin contact with the blisters. The small, painful, red-rimmed blisters containing viral material dry and form a scab after a few days (similar to chicken pox lesions). These antibodies remain in the baby’s blood for about six months; plus, he will receive immunity through breastfeeding. If the mother is treated with acyclovir or a similar drug and painkillers, she does not have to interrupt breastfeeding.




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