If you experience your first outbreak late in pregnancy get a Western blot serology if at all possible. Rarely in the uterus it occurs frequently during the transmission delivery.
In response to these questions we summarize previous reports on herpes simplex virus 1 HSV-1 oral disease in pregnancy and briefly present 2 cases of primary gingivostomatitis in the first trimester of pregnancy resulting in a favourable outcome for both mother and infant.
Herpes type 1 and pregnancy. If you have your first outbreak of herpes in pregnancy it is possible to transmit herpes to your baby. This means that your baby may be born prematurely or even die. However if you have had outbreaks before and you are simply having a recurrence this is generally not a risk for your baby unless you have an active genital lesion at the time of delivery.
A person who experiences their first outbreak of genital herpes during the third trimester of pregnancy and who has not yet developed antibodies to the virus by the onset of labor has a 33 chance of transmitting the virus to their infant during vaginal birth. Two percent contract it during pregnancy thats 1 in 50 pregnant women. Two viral strains can cause genital herpes.
HSV-2 herpes simplex virus is the most common and typically spreads through sexual contact. HSV-1 which is best known for causing cold sores can also produce genital lesions blisters or open sores. If you have recurrent herpes that is youve experienced an outbreak before youre at an extremely low risk less than 1 percent of transmitting herpes to your unborn baby.
Same goes if a routine screening for sexually transmitted diseases at your first prenatal visit diagnoses HSV for the first time or if youre infected during the first trimester of your pregnancy and are asymptomatic. A mother can infect their baby during delivery sometimes fatally. But if a woman had genital herpes before getting pregnant or if they are first infected early in pregnancy the chance that their.
Herpes simplex in pregnancy Page 3 of 9 Obstetrics Gynaecology Background information Herpes simplex viruses can be differentiated into HSV type 1 and HSV type 2. Both types are transmitted across epithelial mucosal cells as well as through skin interruptions and then migrate to nerve tissues where they persist in a latent stage. HSV type 1 causes approximately one third to one half of neonatal herpes cases and up to 80 percent of new genital herpes infections among all women may be caused by HSV type 1.
The risks change if you contract herpes during pregnancy. Contracting genital herpes during pregnancy is a different story. It can lead to miscarriage or early labor especially if it occurs in the third trimester.
Neonatal herpes which is rare can be transmitted to the baby when herpes is present in the birth canal during delivery. If it is it can lead to damage to the nervous system and even death. The risk of neonatal herpes ranges between 3050 percent when a primary HSV infection occurs during late pregnancy.
There are many strains of the herpes virus but the two that are commonly referred to as herpes are called herpes simplex virus type 1 and herpes simplex virus type 2. Most neonatal herpes especially the serious cases occur when a woman acquires genital HSV infection during pregnancy especially during the last 2-3 months. The risk with recurrent herpes is very low.
But thre risk isnt zero and there is a disproportionate risk for HSV-1 compared with HSV-2. Neonatal herpes may be caused by herpes simplex virus type 1 HSV-1 or herpes simplex virus type 2 HSV-2 as either viral type can cause genital herpes in the mother. Approximately 50 of neonatal herpes is due to HSV-1 and 50 due to HSV-25 Most cases of neonatal herpes occur as a result of.
Many women who have their first outbreak of genital herpes during pregnancy do not actually have a new infection instead the outbreak is the first symptomatic recurrence of a longstanding infection. If you experience your first outbreak late in pregnancy get a Western blot serology if at all possible. Also if you get genital herpes for the first time late in pregnancy and blood tests confirm youve never had it before most experts recommend having a cesarean section even if you dont have symptoms when you go into labor.
Thats because the first outbreak of herpes usually lasts longer and is more severe than repeat outbreaks and its more likely that youll still be shedding virus during labor. Because the infection is common in women of reproductive age it can be contracted and transmitted to the fetus during pregnancy and the newborn. Herpes simplex virus is an important cause of neonatal infection which can lead to death or long-term disabilities.
Rarely in the uterus it occurs frequently during the transmission delivery. The risk of passing herpes to your baby is low if you have been infected before your pregnancy. Your doctor will advise you about how to reduce this risk further.
For men with herpes whose partner becomes pregnant and has not already been infected with herpes it is very important that she does not catch herpes during the pregnancy. In response to these questions we summarize previous reports on herpes simplex virus 1 HSV-1 oral disease in pregnancy and briefly present 2 cases of primary gingivostomatitis in the first trimester of pregnancy resulting in a favourable outcome for both mother and infant. If you have genital herpes during pregnancy theres a risk your baby could develop a serious illness called neonatal herpes.
This can be fatal but most babies recover with antiviral treatment. The risk of your baby getting neonatal herpes is low if you have had genital herpes before. Its higher if you get genital herpes for the first time in pregnancy.