علاج الهربس التناسلي المتكرر أثناء الحمل

References

DOI: 10.1111/jdv.20450

1. Daily suppressive aciclovir 400 mg three times a day from 36 weeks gestation should therefore be offered to all women with a history of genital herpes (1, A).
2. This may be started earlier if there is any risk of prematurity such as from 32 weeks gestation and from 22 weeks in those identified as being at particularly high risk of premature delivery; and should be guided by national neonatal HSV epidemiology.
3. Caesarean section may be considered for women with recurrent genital herpes lesions at the onset of labour but the risk of neonatal herpes following vaginal delivery is small and must be set against risks to the mother of caesarean section.
4. For women with a history of recurrent genital herpes, the use of antiviral suppression has been demonstrated to reduce asymptomatic HSV shedding and lesions at term, and may also reduce premature delivery, but have not been studied sufficiently to definitively demonstrate prevention of neonatal HSV disease.