الهربس التناسلي في أولى نوباته المكتسب خلال الحمل: الإدارة المبنية على الأدلة

DOI: 10.1111/jdv.20450

Management of the woman should be in line with her clinical condition and will often involve the use of either oral or intravenous aciclovir in standard doses (Figure 4).

Daily suppressive aciclovir 400 mg three times a day from 36 weeks gestation may prevent HSV lesions at term and hence the need for delivery by caesarean section (1, A).

In countries where the risk transmission in premature neonates is particularly high, suppressive therapy should be started at an earlier time such as from 32 weeks gestation and from 22 weeks in those identified as being at particularly high risk of premature delivery.

Caesarean section should be considered for all women, particularly those developing symptoms within 6 weeks of delivery, as the risk of viral shedding in labour is very high (1, A).