Slim chance: Your baby will not automatically have herpes because you have herpes. It is more likely for your baby to become infected if you have an active lesion/ outbreak at the time of delivery. In this case, your doctor will recommend c-section for delivery. To prevent outbreaks close to time for delivery, you should take an antiviral such as Valtrex (valacyclovir) in the 3rd trimester.
Answered 2/18/2015
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Manageable risks: If a mother delivers vaginally with her first genital outbreak, there is ~30% risk the baby could get it and have a terrible illness. If a recurrent outbreak, this drops to ~4% but suppression of outbreaks (meds) or c-section delivery before the membranes are open 4 hours can cancel the risk. Rarely, some women shed herpes without an outbreak and could pass it , baby sick around 2 wks.
Answered 1/16/2018
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