Treatment of genital herpes during pregnancy - is assigned individually
Treatment of genital herpes during pregnancy Genital herpes during pregnancy - is it dangerous? assigned individually and depends on many factors.Primarily, it depends on whether genital herpes in women this is a primary or recurrent disease, which it is caught before pregnancy.
Do I need to treat genital herpes during pregnancy
danger to pregnant women and the fetus is not relapsing, and primary genital herpes, which requires specific tactics of pregnancy and its treatment.If the primary genital herpes is detected in the first trimester (12 weeks), the woman is usually recommended to terminate the pregnancy - is too great a risk of development of various malformations in the baby.
at a later date is the treatment of pregnant women, the purpose of which - the suppression of viable virus, reducing the severity of symptoms or their disappearance, reducing the number of relapses, the prevention of infection of the fetus and newborn.
In recurrent genital herpes, which arose before pregnancy, are also held courses of treatment, since it is impossible to completely eliminate virus from entering through the placenta to the fetus.In this case, you should consider the fact that during pregnancy there is a physiological depression of immunity, which increases the risk of infection of the fetus and the development of intrauterine infection.
Treatment of genital herpes antiviral agents
The use of antiviral drugs during pregnancy is possible only when the intended benefits tomother outweighs the potential risk of complications for the fetus.For the treatment of pregnant women is most commonly used antiviral drug acyclovir.It is believed that it has no teratogenic effects on the fetus (ie, does not cause malformations) and has no significant side effects.
Side effects of acyclovir during its ingestion include nausea, vomiting, diarrhea, abdominal pain, various skin rash, headache, dizziness, lethargy, weakness, sleep disturbances Dreams: how to understand our dreams ,decreased performance and concentration, hallucinations, fever, hair loss, transient disturbances of liver and kidney function, reduction of cellular elements (erythrocytes and leukocytes) in the blood.
Sometimes the treatment of pregnant women prescribed the antiviral drug such as valacyclovir.But its impact on a woman's body is even less studied than that of acyclovir.However, laboratory research and experience in the application of this drug for the treatment of pregnant women did not reveal his teratogenic properties.
for the topical treatment of genital herpes are widely used antiviral ointments and creams - acyclovir Acyclovir - as it is safe? , Zovirax Zovirax - time-proven antiviral drug , Viru-Merz gel serol and so on.They practically do not get into the blood and do not have the overall impact on the body of the pregnant woman and the fetus.To speed up the healing of skin and mucous membranes of the genital pregnant women used sea buckthorn oil and rosehip oil.
Assigning pregnant women with recurrent genital herpes treatment acyclovir month before birth can prevent relapse.This in turn will allow for delivery is a natural way, without the need for cesarean section.
Treatment of genital herpes immunomodulators
The structure of a conventional complex treatment of genital herpes certainly include drugs with immunomodulatory effects.
But during pregnancy is not desirable to use immunomodulators, since their effects on the mother and the child is not fully understood, especially the long-term effects of these drugs on the child's body.It is not necessary to use any of the vaccine, gamma globulin, and so on.
Application immunostimuljatorov plant (Eleutherococcus, ginseng, Rhodiola rosea, etc.) are also questionable - in the pharmacy instructions to these drugs in pregnancy is indicated list of contraindications.
When shown a cesarean
Cesarean delivery is recommended in the case where the high risk of infection of the child during the passage through the birth canal of the mother.In order to determine how big this risk, four weeks before the birth the woman examined and if mucosal herpes virus is detected, a course of antiviral treatment.
If the threat of infection persists, the delivery was performed by caesarean section.
Any treatment of a pregnant woman may only be carried out by her doctor appointment.