[Herpes in the pregnant XXXX and the newborn @entity1 ].

@entity1 @entity1033 @entity12949 @entity12881 @entity458
Herpesvirus infection of the newborn is a rare though extremely grave disease that poses difficult problems for the obstetrician. It is nearly always due to @entity12881 during pregnancy though in more half the cases this was unsuspected by the mother. Prophylactic measures exist--disinfection of the genital tract, elective cesarean section, administration of antivirals and @entity1033 in particular. The main difficulty resides in making the correct decision and the excessive recourse to cesarean section should not be replaced by the unreasoned prescription of antivirals taking into account the current uncertainly about their real efficacy and their long-term effects after administration in early life. The risk of @entity12949 should therefore be evaluated from the clinical findings and 4 categories of @entity1 may be defined: those with the clinical manifestations of primary @entity12881 on delivery or during the month before; those with the clinical manifestations of recurrent @entity12881 on delivery or during the week before; those with only a previous @entity12881 and finally all other @entity1 with no clinical manifestations or @entity12881 . Only first two categories benefit from cesarean section and @entity1033 is only prescribed in exceptional cases as complementary therapy for the newborn @entity1 . In the third category, clinical and virological monitoring alone is required and is currently prescribed during the perinatal period as it is reasonable to stop the systematic weekly virological monitoring at the end of pregnancy when this has been shown to be inappropriate. However, it remains true that more than half the cases of @entity12949 arise in @entity1 in the fourth category. The only means of prevention that can be proposed is that they refrain from @entity458 during the last two months of pregnancy. According to our current knowledge, @entity1033 remains contraindicated during pregnancy except in exceptional cases when the mother's life is in danger.
