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Practice Guideline
. 2020 May;135(5):e193-e202.
doi: 10.1097/AOG.0000000000003840.

Management of Genital Herpes in Pregnancy: ACOG Practice Bulletinacog Practice Bulletin, Number 220

No authors listed
Practice Guideline

Management of Genital Herpes in Pregnancy: ACOG Practice Bulletinacog Practice Bulletin, Number 220

No authors listed. Obstet Gynecol. 2020 May.

Abstract

Genital herpes simplex virus (HSV) infection during pregnancy poses a risk to the developing fetus and newborn. Genital herpes is common in the United States. Among 14- to 49-year-old females, the prevalence of HSV-2 infection is 15.9%. However, the prevalence of genital herpes infection is higher than that because genital herpes is also caused by HSV-1 (). Because many women of childbearing age are infected or will be infected with HSV, the risk of maternal transmission of this virus to the fetus or newborn is a major health concern. This document has been revised to include that for women with a primary or nonprimary first-episode genital HSV infection during the third trimester of pregnancy, cesarean delivery may be offered due to the possibility of prolonged viral shedding.

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Comment in

  • ACOG Practice Bulletin No. 220: Management of Genital Herpes in Pregnancy.
    Urato AC. Urato AC. Obstet Gynecol. 2020 Oct;136(4):850-851. doi: 10.1097/AOG.0000000000004115. Obstet Gynecol. 2020. PMID: 32976371 No abstract available.
  • In Reply.
    Hollier LM, Jamieson DJ, Caughey AB, Zahn CM. Hollier LM, et al. Obstet Gynecol. 2020 Oct;136(4):851. doi: 10.1097/AOG.0000000000004114. Obstet Gynecol. 2020. PMID: 32976372 No abstract available.

References

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    1. Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2017. Atlanta, GA: CDC; 2018. Available at: https://www.cdc.gov/std/stats17/toc.htm. Retrieved October 2, 2019. (Level III)
    1. Bernstein DI, Bellamy AR, Hook EW III, Levin MJ, Wald A, Ewell MG, et al. Epidemiology, clinical presentation, and antibody response to primary infection with herpes simplex virus type 1 and type 2 in young women. Clin Infect Dis 2013;56:344–51. (Level I)
    1. Pertel PE, Spear PG. Biology of herpesviruses. In: Holmes KK, Sparling PF, Stamm WE, Piot P, Wasserheit JN, Corey L, et al, editors. Sexually transmitted diseases. New York, NY: McGraw-Hill Medical; 2008. p. 381–97. (Level III)
    1. Brown ZA, Gardella C, Wald A, Morrow RA, Corey L. Genital herpes complicating pregnancy [published errata appear in Obstet Gynecol 2007;109:207; Obstet Gynecol 2006;107:428]. Obstet Gynecol 2005;106:845–56. (Level III)

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