----- Original Message -----
Sent: Tuesday, June 03, 2003 11:00
AM
Subject: Re: [ozmidwifery] genital
herpes
Hello Jan, I would suggest you access the
Australian Herpes Management Forum via their website http://www.herpes.on.net and view the
section "Management of Genital Herpes Simplex Infection in Pregnancy". I
believe this provides the most objective and recent information on HSVII,
compared to the 'policies' of various institutions and colleges
etc.
The main question is whether this is a Primary
Episode, especially Third Trimester Acquisition, in which case the risk of
viral shedding during labour (if within 6 weeks of the lesions
appearing) is very high. However if the
primary episode of HSVII lesions occurred some time before the pregnancy and
symtomatic recurrence of genital herpes occurs during the pregnancy, then
vaginal delivery is appropriate if no lesions are present at delivery.
The website provides detailed pharmacological treatment regimes where
appropriate for mother and neonate.
There are also some homeopathic preparations
which have been found to be very helpful in reducing the incidence of
recurrence of HSVII in pregnancy - the name escapes me at present -
something with "H" in it - Mary M. will know - can you pls
advise, MM?
Reduction of stress factors and using dietary and
naturopathic methods of sustaining optimal immune systems are also
essential for the mother during pregnancy. It CAN be done, and I do
know of a homebirth which occurred in WA this year where these strategies
were employed and a safe and successful outcome was achieved. Best
wishes, Lois
----- Original Message -----
Sent: Monday, June 02, 2003 9:55
PM
Subject: [ozmidwifery] genital
herpes
GH at 36 weeks what would u do anticipating a
homebirth jan