Genital Herpes

Genital Herpes

To the Editor: Gnann and Whitley (Aug. 18 issue) 1 advocate cesarean delivery for all women with genital herpes simplex virus (HSV) lesions in labor to reduce vertical transmission. We believe it is time to revisit the practice of cesarean delivery for women with active, recurrent genital HSV infect...

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Veröffentlicht in:The New England journal of medicine 2016-11, Vol.375 (19), p.1906-1906
Hauptverfasser: Akileswaran, Chitra, Cohan, Deborah, Gnann, John W, Whitley, Richard J
Format: Artikel
Sprache:eng
Schlagworte:
Antiviral Agents - therapeutic use
Cesarean section
Disease transmission
Health risk assessment
Herpes Genitalis - drug therapy
Herpes simplex
Humans
Infections
Neonates
Recurrence
Recurrent infection
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Zusammenfassung:To the Editor: Gnann and Whitley (Aug. 18 issue) 1 advocate cesarean delivery for all women with genital herpes simplex virus (HSV) lesions in labor to reduce vertical transmission. We believe it is time to revisit the practice of cesarean delivery for women with active, recurrent genital HSV infection. One in three babies are born through cesarean delivery in the United States, reflecting a 50% rise in cesarean rates in the past 20 years. Approximately 85% of cases of neonatal HSV infection are contracted during delivery, with primary maternal HSV infection conferring the greatest risk. 2 In a cohort of more than . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMc1611877