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[quote=Anonymous][quote=Anonymous][quote=Anonymous]If you look at the complications that can arise in newborns exposed to Herpes...it is sort of crazy that it isn't standard procedure to test for it.  [/quote]

It's not crazy if the information would not cause you to do anything differently. It only makes sense if there is something you could do differently, as a medical care provider, to help improve outcomes.

You can't clear herpes with treatment. It's not like knowing she tested positive would mean you could "fix it."

[u]If there are active lesions[/u], or if there is a primary infection (which means active lesions and a viral syndrome with sick symptoms) during the pregnancy, [u]then[/u] you manage the pregnancy differently -- depending on the timing, for example, you might recommend a C-section. But just having an HSV+ history without active lesions does not mean you improve outcomes by doing a C-section.

And you don't do antiviral suppressive therapy just for the hell of it, in case she is shedding virus but without active lesions. The risk-benefit analysis doesn't support it -- medications come with their own side effects.

https://www.guidelinecentral.com/summaries/management-of-herpes-in-pregnancy/#section-420
American College of Obstetricians and Gynecologists (ACOG). Management of herpes in pregnancy. Washington (DC): American College of Obstetricians and Gynecologists (ACOG); 2007 Jun. 10 p. (ACOG practice bulletin; no. 82). [68 references]

Excerpts:

[quote]
Recommendations:

Women with [b]active recurrent genital herpes [/b]should be offered suppressive viral therapy at or beyond 36 weeks of gestation.

Cesarean delivery is indicated in women with[b] active genital lesions or prodromal symptoms[/b], such as vulvar pain or burning at delivery, because these symptoms may indicate an impending outbreak.

Cesarean delivery is not recommended for women with a history of HSV infection but [b]no active genital disease[/b] during labor.[/quote]

And especially --

[quote]
[b]Routine antepartum genital HSV cultures in asymptomatic patients with recurrent disease are not recommended.[/b]

AND

[b][u]Routine HSV screening of pregnant women is not recommended.[/b][/u]

[/quote][/quote]

Wouldn't it be good information for a pregnant woman to be aware of?  So many weird changes happen to your body when you're pregnant.  If a woman knew that she tested positive for Herpes then she would know how important it was to report outbreaks to her doctor.

I've known people who have gone into labor at home and didn't make it to the hospital in time and wound up delivering at home or they were crowning by the time they got to the hospital with no time for a c-section.[/quote]

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