A 32-year-old woman develops genital herpes in the third trimester of pregnancy (first episode at 36 weeks). What is the recommended management regard...

Question

A 32-year-old woman develops genital herpes in the third trimester of pregnancy (first episode at 36 weeks). What is the recommended management regarding delivery?

Accepted Answer

A first episode of genital herpes in the third trimester (particularly after 28 weeks) carries a high risk of neonatal herpes; caesarean section should be considered. Oral aciclovir should be commenced

Answer

Vaginal delivery is safe regardless of timing of herpes acquisition

Answer

Topical aciclovir only is needed

Answer

Delivery should be delayed until the lesions resolve

Answer

No treatment is needed during pregnancy

uk-dfsrh MCQ (SBA): Genital Herpes Third Trimester First Episode

A 32-year-old woman develops genital herpes in the third trimester of pregnancy (first episode at 36 weeks). What is the recommended management regarding delivery?