Q: Can genital herpes create problems in early pregnancy or harm fetal development? Dangerous to baby-to-be?
A: Try to calm your fears. Stress itself can cause recurrent herpes outbreaks. About 80 percent of women with herpes 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 fetus 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 membranes or comes into contact with the fetus at delivery.
Some research shows a slightly increased risk of miscarriage or preterm labor if the initial outbreak of herpes occurs during pregnancy. No fetal anomalies have been identified with herpes during pregnancy.
Your care provider should know about all outbreaks or suspicious episodes. Cultures can be taken but generally, only active lesions or symptoms suspicious of an upcoming outbreak at the time of the delivery warrant cesarean birth.
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