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|At the same time, babies delivered vaginally, even in the presence of active lesions have an infection rate of only 0.25%-5%."Every center that does research has cases where a lesion is identified after delivery," explains Brown. "The obstetrician will notice it while stitching the mother after an episiotomy, for example. In most cases, those babies don't get infected". This again shows the protective power of maternal antibodies.|
Originally Posted by Mallory
While the rates of transmission are very low, neonatal herpes has terrible consequenses. That is why any sign of sores means an automatic c-section for most OB and midwifes. And why even many natural mamas who have lots of outbreaks during pregnancy just go for a c-section. It is a hard decision to make.
Neonatal herpes Cutaneous lesions are usually noted at day 4 to 7 of life. The initial lesions are often noticed at sites of trauma, such as at the sites of scalp electrodes. In addition to cutaneous lesions, diffuse encephalitis may result. This carries a prognosis of 15% mortality even with appropriate antiviral therapy with intravenous acyclovir dosed at 250 mg/m2 every 8 hours. Disseminated infection involves multiple organ systems, with disseminated intravascular coagulation, hemorrhagic pneumonitis, and encephalitis. This clinical picture carries a 60% mortality, again, even in the setting of appropriate antiviral therapy.
I hope I haven't taken over too much, I just feel like this is a hard thing to decide about and since I was diagnosed I have been reading as much as I can. I personally am of the feeling that even if I have sores I would like to vaginally deliver, I hope that my midwife is open to that. I will also probably take the Acyclovir as a kind of back up, because I really feel the risks of it are less then a c-section.
Please don't take my advice for it though do your own studing and soul searching and figure out what will work for you.
Homeschooling, Homesteading Mama to DD ('02) and DS ('04)
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