LYCOS RETRIEVER 
Genital Herpes: Women
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Pregnant women with the herpes simplex infection should have weekly viral cultures of the cervix and outer genitals as the delivery date approaches. If the viral culture is positive for herpes, or active lesions are present at delivery, a cesarean delivery (C-section) is recommended to avoid infecting the newborn.
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It is important to remember that most women with genital herpes do not have signs of active infection with the virus at delivery. In the absence of symptoms of active infection, their babies can be safely delivered vaginally.
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About 1 in 4 pregnant women has been infected with genital herpes, although most do not know it (1). Fortunately, only a small minority will pass the infection on to their babies.
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In 1996, Randolph and colleagues performed a cost-effectiveness decision analysis of 4 strategies designed to reduce neonatal HSV infections in women with a history of genital HSV. The 4 strategies were as follows:
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