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Genital Herpes

by Peg Plumbo

question
Can genital herpes create problems in early pregnancy or harm foetal development? Can an outbreak in the second or third week of pregnancy cause birth defects or neurological or motor difficulties?

answer
About 80 percent of women will have an average of two to four recurrences during pregnancy. Some occur without symptoms as well.

Infection is transmitted only RARELY across the placenta or intact membranes. When the foetus does become infected, it is almost always by the virus that is shed from the cervix or vagina. The virus then either invades the uterus following rupture of the membranes or comes into contact with the foetus at delivery.

Some research shows a slightly increased risk of miscarriage or pre-term labour if the initial outbreak of herpes occurs during pregnancy. No foetal anomalies have been identified with herpes during pregnancy.

Your doctor should know about all outbreaks or suspicious episodes. Cultures can be taken but generally only active lesions or symptoms of an upcoming outbreak at the time of the delivery warrant a possible Caesarean birth.

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