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[quote=Anonymous][quote=Anonymous]
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]

Not really. You might think so, until you look at the data. These are evidence-based guidelines derived from population-based data.

When you chase information for the sake of information (without looking at whether it positively affects outcomes), you end up introducing unnecessary procedures and having a lot of unintended negative consequences. I mean, women are free to request the testing. Clinicians are free to offer the testing. But when you do it in the absence of symptoms brought up by the patients, or symptoms elicited in questions by the clinician, or physical exam findings noted at the regularly scheduled visits, you tend to have worse outcomes overall. You introduce more problems than you fix.

Of course, if a given individual has a more high-risk history than average, or if there is something else that makes them atypical, clinical judgment comes even more into play. You can't standardize that.

But when it comes to typical cases, this stuff isn't always intuitive -- sometimes it's counterintuitive. That's why professional organizations have published guidelines and why they lay out the level of evidence and track the studies for those who want to dig deeper. [/quote]

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