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Mother
• The risk of vertical transmission of genital herpes depends
whether it is the first episode or recurrent herpes
• It can be difficult to distinguish between recurrent and first
episode genital herpes; type-specific herpes simplex virus (HSV)
serology may be helpful
First episode
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Figure 11.3 Congenital syphilis of infant. Courtesy of CDC/Dr Norman Cob.
Give oral or intravenous aciclovir depending on the clinical
severity. (Aciclovir is not licensed for use in pregnancy but has
been used extensively in pregnant women with no reported
problems.)
Vaginal delivery should be planned
Daily suppressive aciclovir from 36 weeks reduces the likelihood
of HSV lesions at term and the need to offer caesarean section
(CS)
The risk of transmission is greater (up to 40%) when the first