Prevent Contraction of Herpes by Baby Cesarean Section
Genital herpes is one of the most common health atmospheric condition in the U.Due south. The Centers for Disease Control and Prevention (CDC) estimates that one in 6 people between the ages of 14 and 49 accept it. Approximately 22% of meaning women in the U.South. accept genital herpes. Two percentage contract it during pregnancy – that's 1 in l pregnant women.
2 viral strains can cause genital canker. HSV-2 (herpes simplex virus) is the nearly common and typically spreads through sexual contact. HSV-1, which is best known for causing cold sores, tin likewise produce genital lesions (blisters or open sores). More half of adults in America get HSV-1 at some point in their lives.
Herpes is generally manageable in adults. However, it tin cause serious health issues in newborns. During delivery, your baby may be exposed to the virus, even if you lot are non having an outbreak.
Herpes infection occurs in less than 1% of births, simply it tin cause severe affliction in newborns, such as:
- Blindness
- Deafness
- Seizures
- Serious infections, such as viral meningitis
- Recurrent sores on the skin, eyes, genitals, or mouth
- organ impairment, including to the liver, lungs, and heart
Tell your medico if you lot or your partner have herpes or if you lot may have been exposed. By knowing, we can take extra precautions to reduce your baby's hazard of infection during delivery and in their first few weeks at home. If you're not sure but recall you may have had herpes in the past, nosotros tin can practise a claret exam to decide whether you take had the infection.
If you are concerned about privacy, we will annotation in your chart non to hash out the condition in front of anyone at your appointments – we are happy to conform this common request.
"Tell your doctor if y'all or your partner have herpes or if you may have been exposed. Past knowing, nosotros can take extra precautions to reduce your babe's risk of infection during delivery and in their kickoff few weeks at abode."
How tin can I manage herpes during pregnancy?
There is no testify to advise pregnancy causes flare-ups. The American Higher of Obstetricians and Gynecologists says 75% of pregnant women who accept herpes, notwithstanding, tin look to have an outbreak during pregnancy.
During pregnancy, y'all should picket for symptoms of the virus becoming active, such as tingling, itching, or burning around where the sore will eventually appear.
If you lot have a history of herpes (or your claret test is positive), your provider may prescribe an antiviral medication such equally acyclovir (Valtrex) to reduce the risk of spreading the virus or having an outbreak around the time of your delivery.
Nosotros typically recommend starting an antiviral at 36 weeks or sooner if you lot are at chance for preterm birth. The antiviral medications are safe during pregnancy. In fact, we can requite the aforementioned medications to your baby if needed.
Volition I demand a C-department if I have herpes?
A cesarean (C-section) can't completely preclude herpes transmission. But it does essentially subtract the risk to your baby if you have a lesion or report typical symptoms by bypassing contact with the vagina and labia.
Once you get into labor, we'll carefully examine you for genital lesions. If nosotros see something suspicious, we volition recommend a C-section.
If y'all take no symptoms and no sores in the genital region, a vaginal delivery may exist safe. Lesions can sometimes appear in other areas, such as the legs or back. If this is the example, we'll cover them to make sure the baby doesn't come into contact with them.
How can I protect my newborn from getting herpes?
If your partner has herpes and yous don't, exercise not take sexual practice and oral sex the last few weeks of pregnancy. Condoms tin can reduce the take a chance of transmission but aren't 100% effective. There's no reason to gamble a new infection shut to delivery.
In the unlikely event your baby has been exposed, we'll treat the baby with antiviral medications. HSV can't be passed through chest milk, so unless you have sores or lesion on your breasts, breastfeeding is safe.
With visitors, do non allow anyone who has a cold sore or has had i recently to concur your baby. Same goes for people who have a cold or virus. Insist that anyone who wants to hold or touch your newborn wash their easily showtime – this should be the norm anyway due to COVID-19.
Genital canker is a mutual status, and we are well-equipped to help reduce your infant's risks. If yous or your partner has a history of herpes, talk with your Ob/Gyn. Nosotros are eager to help you have a prophylactic pregnancy and delivery.
To visit with an Ob/Gyn, call 214-645-8300 or request an appointment online .
Source: https://utswmed.org/medblog/genital-herpes-pregnancy-faqs/
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