Managing Herpes During the 1st and 2nd Trimester Pregnancy

Managing Herpes During the 1st and 2nd Trimester Pregnancy


Acquisition of the first or second quarter

• The primary genital herpes in the first quarter, there is no evidence reported an increase in the risk of miscarriage.

• Women who suspect that genital herpes have should be directed to refute a genitourinary physician or confirm the viral diagnostic PCR (polymerase chain reaction), advice on combating genital herpes and creating a screen sexual transmission of other diseases.

• Second, the treatment should not be delayed. Gynaecology must be compatible with the clinical status and ordinarily include (decompose herpes), oral or intravenous use acyclovir 400 mg three times a day, usually for five days. The use of such an agent is associated with a decrease in the severity and duration of the symptoms of herpes and a reduction of viral shedding period.

For use in pregnant women acyclovir is not allowed, but it is considered safe and is not associated with an increased incidence of birth defects. was reported transient neutropenia in neonates, but not statistically significant maternal or neonatal effects were reported. Acyclovir is tolerated during pregnancy.

• A dose adjustment is not required for processing. No evidence of an increased risk of birth defects with acyclovir, valacyclovir or famciclovir as it is used in the first quarter.

• The safety data acyclovir can be generalized to valaciclovir during late pregnancy because it is the ester of valine, but since there is less experience and knowledge concerning the use of famciclovir or valacyclovir, which is not approved as a first-line treatment.

• The obstetrician should be informed.

• topical lidocaine gel 2% and paracetamol may be provided as relief of the symptoms. There is no evidence that any agent or other damage at standard doses pregnancy.

• Women who suspect that they have genital herpes and took care of a midwife must be submitted preferably after review of the treatment of a midwife, the genitourinary physician.

• If the delivery is not followed in the next six weeks, pregnancy should be managed proactively and planned vaginal delivery. No evidence was reported that the VHS incurred during pregnancy is associated with an increased incidence of birth defects.

• Following the acquisition of the first or second trimester, the suppressive acyclovir 400 mg three times a day starting at 36 weeks of pregnancy reduces injuries VHS term and therefore the need for a caesarean. It was also established to reduce asymptomatic shedding (similar results were observed with valaciclovir, although it is not recommended valaciclovir during pregnancy due to insufficient experience with the use of the product).

While herpes is not necessarily transmitted during pregnancy, we still can not ignore the risk and hope that every parent should know how transfer to avoid the disease during pregnancy. A healthy lifestyle and clean constantly take antiviral medications can certainly help prevent herpes infection. It would be better to do more research on the subject to get the best results.

Herpes erythematosus, which are present with hepatitis, encephalitis can be, skin lesions spread or merger of these disorders is rare in adults. It was also reported more frequently in pregnancy, especially in immunosuppression. Maternal mortality in this state is very high. More information about herpes and pregnancy

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