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Discussion Starter · #1 ·
Has anyone run into this? I was talking with a friend who says that her OB was going to prescribe Valtrex beginning at 33 weeks because she has gotten occasional cold sores in the past.<br><br>
It is not like she has genital herpes; she gets a mouth sore once or twice a year.<br><br>
Is this a new protocol I've missed or is the OB totally coming from another planet? <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">:<br><br>
Sweetpea
 

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I don't know about this but wanted to wish you luck finding your answers!<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Could embarassment be a factor in this? Perhaps she is not telling you that she does, indeed, have gential herpes? There's quite the stigma associated with it, still.<br><br>
If she doesn't have genital herpes, then it's INSANE for them to ask her to take a med like Valtrex. My sister gets cold sores frequently and they clear up easily with lysine.
 

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Discussion Starter · #4 ·
Well, she prefaced her statement to me that she did not have genital herpes, and I have no reason to believe that she would lie, when she was asking me my "professional" opinion. So I think it's just the oral cold sore issue.<br><br>
My first reaction was "WTF???" <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/censored.gif" style="border:0px solid;" title="censored"> , but decided to investigate further... I have already given her the "informed decision-making, you are the consumer" speech, so she's prepared to question the OB at her next appt anyway.<br><br>
Thanks for your response! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Cold sores that are present with a newborn can cause the baby to have a systemic infection. I think that if she takes something like Lysine it can help prevent them - or if she knows when the sores appear in relation to things she eats, stress, etc.
 

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Well, huh! I learned something new today! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Wendy, thanks for sharing! I hope all goes better next time. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2">s intorainbox. That sounds really traumatic.
 

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Some OB's run a blood panel test for HSV 1 and 2 with the first prenatal panel. There are women with a positive antibody test who've never had an outbreak. There are women with type 2 (typically genital) on their face, and women with type 1 (typically oral) on their genitals. It's possible he's treating a lab test instead of a symptom.<br>
Babies who get either type at birth are at serious risk for a severe viral illness with high fever and risk of brain damage or other organ damage. With the newer antivirals, getting IV therapy at the hospital helps a ton. But they are miserable. Both babies I've seen with herpes after birth were covered with sores all over.
 

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Seems like a good plan - you have the advantage of knowing that birth is a stressor for you that makes an outbreak more likely. Still, I would hope that another plan could be devised for a mama wtih a cold sore - prehaps a full OR scrub with mask, gloves, hat, etc would have allowed your daughter to be safe and yet you to see her. After all, the baby with herpes was in a hospital with other babies and those precautions were considered adequate to keep the nurses from taking the virus to other babies.
 

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But surely, the medical personnel would be going in and out of the isolation room? Do these people not have mothers?
 

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The few times I have heard about a newborn with a herpes infection at our hospital even with the isolation room ( and that means going in with the correct infection control gear masks gowns etc that are bagged a certain way afterward...it takes a long time sometimes to get in and out of such a room) well, with newborns the idea of spreading an infection so serious is so scary that the baby usually gets a one to one assignment. I don't work in NICU but work in labor.<br><br>
Also do see a lot of moms on Valtrex.<br><br>
Also if a nurse has a even hint of a cold sore she can't work.
 

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Wow...never heard of this. Interesting. What about homebirthers? I've not run across this yet but wondering for the future if a protocol including preventive valtrex is something homebirth midwives do? Or is there something more natural to boost the immune system and treat cold sore outbreaks?
 
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