LYCOS RETRIEVER 
Genital Herpes: Women
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If a pregnant woman has a history of genital herpes, her health care provider will examine her carefully for any signs of infection when she goes into labor. When a woman has an active infection (primary or recurrent) at the time of delivery, her baby usually can be protected from infection by a cesarean delivery. A vaginal delivery is safe for most women with recurrent herpes as long as they don't have signs of infection at delivery.
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In addition, genital HSV can cause potentially fatal infections in babies. It is important that women avoid contracting herpes during pregnancy because a first episode during pregnancy causes a greater risk of transmission to the baby. If a woman has active genital herpes at delivery, a cesarean delivery is usually performed. Fortunately, infection of a baby from a woman with herpes infection is rare.
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In the early 1980s, weekly cervical cultures starting at 34 weeks were the standard in pregnant women with a history of genital HSV. If the last culture prior to labor was positive for HSV, a cesarean delivery was recommended. However, later studies demonstrated that most women with asymptomatic antepartum shedding were culture-negative during labor. Additionally, those women with positive intrapartum cultures were often negative during the antepartum period.
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In women who already have genital herpes prior to becoming pregnant, most can experience a safe pregnancy and vaginal delivery. There is only a very small risk of the baby being affected. It is important that the diagnosis is discussed with the lead maternity carer so that consideration can be given to Caesarean section if there are lesions present during labour.
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Because the typical herpes treatments are not necessarily suitable for pregnant women, typical genital herpes treatment in pregnancy involves extra monitoring by your health care professional. So long as you do not have a herpes outbreak at the time of delivery, it is generally thought to be safe to have a vaginal birth.
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In addition to a rash in the genital area, women can ... get swollen lymph nodes in the groin and burning with urination. Complications of the first outbreak in women include difficulty urinating in 10 percent to 15 percent of women and meningitis, an inflammation of the fluid surrounding the brain in up to 1 out of 4 women.
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