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Pregnant women with genital herpes should be careful about passing the virus on to the baby, but not overly worried about it.

A mother can infect her baby during delivery, often fatally. But if a woman had genital herpes before getting pregnant, or if she is first infected early in pregnancy, the chance that her baby will be infected is very low — less than 1%. Women with genital herpes are examined carefully for any symptoms before giving birth. If sores or signs that an outbreak is coming show up at the time of delivery, the baby may be delivered by cesarean section (also called a C-section).

The risk of infecting the baby is high (30% to 50%) when a woman is newly infected late in pregnancy, however. That’s because the mother’s immune system has not developed protective antibodies against the virus. Women with an older herpes infection have antibodies against the virus, which help protect the baby. If you are pregnant and you think you may have been infected recently, tell your doctor right away.

Ways to Avoid Risks of Getting Herpes While Pregnant

Women who don’t have genital herpes should be careful about sex during the third trimester. Unless you know for sure that your partner is herpes free, you should avoid sex altogether during the third trimester. If your partner gets cold sores (oral herpes), he or she should not perform oral sex on you during this time.

Some doctors think all women should be tested for herpes when they get pregnant, especially if their sex partners have herpes. Ask your doctor if you or your partner should be tested.

Treatment Issues

Women taking antiviral drugs for herpes — either daily suppressive therapy or occasional therapy for outbreaks — should consult their doctor about whether to take the drugs during pregnancy. The answer is not set in stone: You and your doctor have to discuss the risks and benefits to decide what’s right for you.

Herpes infection in a newborn is also serious. Do not allow anyone with a cold sore on the mouth to kiss the baby. If you have a cold sore, don’t kiss the baby, and wash your hands with soap and water before touching the baby.

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Outbreaks of genital herpes during pregnancy have been associated with miscarriage, stillbirth, prematurity, and herpes infection causing severe brain injury and possible blindness in the baby. Still, women with herpes can give birth to healthy babies. If you have herpes and plan to have children, discuss your illness with your doctor.

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There is no cure for congenital CMV because the virus damages the baby before birth. Antiviral drugs cannot undo this damage once the baby is born. Doctors have good results with two antiviral drugs—ganciclovir (Cytovene) and foscarnet (Foscavir)— for treating and curing CMV disease in AIDS patients. Both these drugs are used to treat CMV retinitis and must be given by IV.

Nursing Care

Babies with congenital CMV need hospital care. Nursing care will depend on which organs the virus has damaged. Transplant patients and AIDS patients also need hospital care. Patients with serious CMV pneumonia require intensive care.

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Babies. Almost all babies infected before birth are perfectly normal. Only about 10 percent of babies infected before birth are sick, and of these, 20 to 30 percent may die. Most survivors will have permanent damage. Some long-term studies suggest that a small number of apparently normal but CMV-infected babies at birth may have problems later in life. Congenital CMV has been linked to hearing loss and learning disabilities in children.

Children. Young children may have a mild cold or fever for a few days when first infected
with CMV.

Adults. CMV causes no signs or symptoms of illness in most adults. It will, however, cause an illness similar to mono  in about ten percent of young adults.

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You catch CMV from close, intimate contact with infected urine; saliva; respiratory, vaginal, or cervical secretions; breast milk; or semen. It can be sexually transmitted, but most people get CMV through close household contact. Poor people are much more likely to be infected as young children, probably because they live in crowded conditions.

Babies get it from their mothers before birth, during delivery, or in the first few weeks of life. The baby is infected during pregnancy if its mother has either a first-time CMV infection or a reactivation of a past one.

Women who have toddlers attending child care are often infected. CMV transmission is rapid in these places because urine and saliva are passed from child to child on dirty hands. Young children rarely have symptoms, but they excrete the virus in their urine and saliva for months to years. Anyone working in child care or in any area with lots of young diapered children is exposed to CMV.
It is often transmitted from blood transfusions because so many people, including blood donors, have CMV infections with no symptoms.

Most people are infected with CMV before they reach adulthood, but very few people experience any symptoms or signs of illness. People with AIDS and organ transplant recipients are at highest risk for serious CMV infection—either pneumonia or retinitis, an eye infection. Often, their own latent CMV infections will reactivate as their immune systems either weaken or are suppressed by drugs to prevent organ rejection.

People who need organ transplants are tested for antibodies to CMV. Doctors will try to match CMV-negative organ donors to CMV-negative organ recipients. But a match isn’t always possible and the CMV-negative organ recipient faces a risk of serious CMV infection from the transplanted organ weeks to months later. To prevent this, the doctor will give the transplant recipient an injection of CMV antibody.

CMV-negative organ recipients who need blood transfusions will receive CMV-negative blood. This blood is hard to come by and is saved for people who really need it. If no CMV-negative blood is available, the blood can be filtered to remove the cells containing CMV. Otherwise, transplant patients may become ill if they receive CMV-infected blood.

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A mother with genital herpes can easily deliver a healthy baby. And most can have a normal vaginal delivery. Less than 0.1 percent of infants born in the United States each year get infected with genital herpes during birth, according to the American Social Health Association.

A mother who was infected with herpes prior to getting pregnant passes herpes antibodies on to her fetus, protecting it from becoming infected with the virus. After birth, as the baby develops its own immune system, it loses these antibodies.

The danger period is late in pregnancy. The greatest chance of delivering a baby infected with herpes occurs in women who first become infected with genital herpes in the last trimester, says Zane Brown, M.D., professor of obstetrics at the University of Washington in Seattle. “The mother doesn’t have time to build up antibodies.”

For newborns infected with herpes, the consequences are devastating. “More than 40 percent die or have severe brain damage,” says Brown.

Brown recommends a cesarean section if the primary infection is in the latter half of the pregnancy, or if the mother with long-standing genital herpes has any symptoms of genital herpes at the time of labor. He also recommends that all expectant mothers get a type-specific blood test for herpes in the first trimester of pregnancy. If negative for both HSV-1 and HSV-2, her partner should be tested. If the partner has herpes, sexual contact that could put the mother at risk of acquiring genital herpes should be avoided in the last trimester of pregnancy.

For several months after birth, infants are at risk for getting herpes. People with oral herpes (cold sores) should avoid kissing the baby. Wearing a mask over the cold sore when around the baby is recommended.

If a baby is infected with herpes, early treatment is critical. The FDA has approved the drug acyclovir in injectable form to treat infants with herpes.

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Does genital herpes cause problems during pregnancy?

Yes. If the mother is having her first outbreak while she is pregnant, she is more likely to pass the virus to her baby. If the outbreak is not the first one, the baby’s risk of getting the virus is very low. Babies born with herpes may be premature or may die, or they may have brain damage, severe rashes, or eye problems. Doctors may do a C-section to deliver a baby if the mother has herpes lesions near the birth canal to help prevent passing the virus. Also, acyclovir can help babies born with herpes if they are treated right away.

It is not yet known if all genital herpes drugs are safe for pregnant women to take. Some doctors may recommend acyclovir be taken either as a pill or through an IV (a needle into a vein) during pregnancy. Let your doctor know if you have genital herpes, even if you are not having an outbreak. He or she will help you manage it safely during pregnancy. Most safe to use during the sypmtoms of Herpes is the natural product of Herpeset.

Can I breastfeed if I have genital herpes?

If you have genital herpes, you can keep breastfeeding as long as the sores are covered. Herpes is spread through contact with sores and can be dangerous to a newborn. If you have sores on your nipple or areola, the darker skin around the nipple, you should stop breastfeeding on that breast. Pump or hand express your milk from that breast until the sore clears. Pumping will help keep up your milk supply and prevent your breast from getting engorged or overly full. You can store your milk to give to your baby in a bottle at another feeding. If the parts of your breast pump that contact the milk also touch the sore(s) while pumping, you should throw the milk away.

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Herpes, both oral and genital, are highly communicable diseases caused by the two strains of the Herpes Simplex Virus: HSV-1 and HSV-2. Genital herpes is transmitted sexually and is rarely transmitted from a pregnant mother to her unborn child, but could prove fatal for the unborn infant if it is transmitted.

It is possible, though unlikely that someone can transmit the virus through the placenta during pregnancy. If this happens, chances of the baby being born with a defect or a miscarriage increase.

The transmission also depends upon the stage of pregnancy in which the primary episode of herpes sets in. If the women had primary genital herpes during the first trimester, then there are less chances of the baby being infected. This is because it usually takes the body three to four weeks to buildup antibodies against the virus.

So if herpes happens at the onset of pregnancy, the body gets enough time to build up the immune system. As a result, these antibodies are also passed onto the baby. Generally, mothers can have a normal vaginal delivery.

But this is not so if the woman gets the infection in the second or third trimester of pregnancy. If the blood tests confirm that the women has never had herpes before the experts will recommend a caesarian delivery. This is because at these stages, the body does not get enough time to build up the immune system and the chances of transmission are extremely high.

It is easier to prevent herpes than it is to cure it. The highest risk to an infant comes from an infected mother who contracts HSV-1 or 2 during pregnancy and the best way to avoid this is by preventing this situation. Since Genital Herpes is a sexually transmitted disease, steps should be taken to ensure that you don’t transmit herpes during this crucial time.

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