Herpes during pregnancy


Infections arising in the body of a woman during gestation are monitored by doctors to avoid complications of the prenatal period. Herpes during pregnancy – a dangerous disease that can provoke embryo mutations in the first trimester, pathological birth earlier than the established date.

Types of Herpes Viruses

A dangerous pathogen lives in the body of every second person throughout life, but its increased activity and destructive effect on the body is associated with certain circumstances – factors that provoke the disease. Herpes in pregnant women can be of several types, each of which has its own ways of infection, features, health effects:

  1. Herpes of type 1 is popularly called a “cold”, since it appears on the lips, looks like small sores with the further formation of blisters.
  2. Herpes of type 2 affects the reproductive system or organs of the rectum, girdles, causing discomfort to the pregnant patient. These are small red sores that are very itchy and have a moist structure..

Herpes on the lips during pregnancy is transmitted by airborne droplets and by contact, has pronounced symptoms and a certain intensive care regimen for patients in an “interesting position”. Medical diagnostics and medical history data collection are the basis for successful treatment at home. Genital herpes during pregnancy is transmitted exclusively through sexual contact, does not reveal itself for a long time, and is asymptomatic in the female body. In addition, it may disguise itself as signs of another disease..

What is dangerous herpes

If you do not recognize the symptoms of the disease at the very beginning of the infection, the consequences of herpes during pregnancy for the health of mom and baby can be unpredictable, fatal. Complete infection of the blood occurs: the virus penetrates the placental barrier and destroys the immune system of the embryo. Antibodies of the child’s body are not developed in sufficient quantities, therefore, resistance to herpes is impossible. Among the possible complications for a child, doctors distinguish the following pathologies:

  • microcephaly (organic damage to the brain of the fetus);
  • early miscarriage;
  • frozen pregnancy;
  • heart defects;
  • congenital viral pneumonia;
  • developmental abnormalities;
  • external deformities;
  • stillbirth of the child;
  • pathological and premature birth.

Herpes when bearing a fetus adversely affects the newborn’s body, especially with significantly weakened immunity. Among the possible complications with children’s health, specialists recall the following pathological processes of the body:

  • sudden death syndrome of newborns;
  • cerebral palsy;
  • epilepsy;
  • protracted and complicated jaundice;
  • hemorrhagic syndrome;
  • extensive lesions of the central nervous system;
  • hydrocephalus;
  • congenital deafness and blindness;
  • hepatosplenomegaly;
  • external deformities of the child.

With exacerbation of herpes during pregnancy, a woman can feel fine, while she does not even know what irreversible pathological processes occur in her body. In the absence of positive dynamics, intoxication with embryo decay products progresses. This once again proves that before conceiving a child it is advisable to undergo a complete diagnosis of the body, to perform preventive vaccination.

IUI during pregnancy

An intrauterine infection when bearing a fetus is dangerous at any obstetric week, so the expectant mother should double control her health. Worrying requires bacteria viruses, protozoa and fungi. Herpes in pregnant women belongs to the category of viruses whose activity is caused by a weakened immune system, chronic diseases, a genetic predisposition and other provoking factors.

Doctors systematized IUI into one group, which in medical practice is called TORCH. If we talk about a detailed decryption, the secret is extremely simple: the first letter corresponds to the name of the pathogenic infection. From here, the following pathogenic microorganisms with increased activity in the pregnant body can be distinguished:

  • T – toxoplasmosis;
  • About – Others;
  • R is rubella;
  • C – cytomegalovirus infection;
  • N – herpes.

How to treat herpes during pregnancy

With increased activity of herpes, intensive therapy with the participation of medicines of various pharmacological groups is necessary. Before starting treatment, it is necessary to perform a blood test for antibodies, PCR, Wright cytomorphological examination, immunofluorescence microscopy in laboratory conditions. These are simple and affordable methods with high efficiency, which further determine the optimal regimen of conservative therapy when deviating from normal values. The main purpose of the prescribed herpes medicines:

  • acceleration of tissue repair processes in places where ulcers appear;
  • reduction in the number of seizures;
  • weakening anxiety symptoms;
  • moderate exposure to the disease virus;
  • speeding up the healing process.

The basis of the chosen therapy is the suppression of the activity of the herpes virus type 1 or 2 during pregnancy with antiherpetic agents. Such antiviral drugs are highly effective and have a targeted effect on the focus of pathology. During pregnancy, they are prescribed with extreme caution due to existing contraindications, side effects..

Ointment Acyclovir

Such a medicine has anti-inflammatory and regenerative properties, is effective for any form of herpes in a progressive pregnancy. This is a time-tested remedy that has virtually no contraindications, with the exception of hypersensitivity in pregnancy. It is recommended to expectant mothers to smear sores daily several times a day, but do not engage in superficial self-treatment. The duration of intensive care is 7-10 days, after which you need to consult a doctor again for a diagnosis.


This is an analogue of the previous medication with enhanced anti-inflammatory effect on the focus of pathology. The drug for herpes is available in the form of tablets, intended for oral administration for 5 days. If during this time there are no changes for the better, it is advisable to change the prescribed treatment regimen. The daily dose and number of approaches are due to the characteristics of the disease, the state of the woman’s body during pregnancy. On average, it is necessary to take 200 mg up to 5 times per day.


The drug has several forms of release, and all of them successfully treat progressive genital and herpes zoster during pregnancy. For women in an “interesting position” it is best to choose a gel for external use, with which to lubricate wet sores daily. The duration of therapy is up to 10 days, and due to the low absorption of the active components, the threat and negative effect on the fetus are completely absent. The medication is the main or auxiliary treatment for herpes in the first and subsequent pregnancy, it is characterized by the absence of a toxic composition.

Herpes Prevention

To avoid herpes infection during pregnancy, you must responsibly approach the planning of this crucial moment. It is very important to pass a laboratory blood test for the herpes virus, so that when carrying the fetus to avoid unpleasant surprises. In addition to preventive vaccination, it is necessary to abandon bad habits, strengthen immunity by folk and official methods, distribute physical activity and choose the right diet.


Maria, 31 years old: I had HSV during pregnancy, but then I did not immediately understand what it was. A rash appeared on the nose that scratched heavily. I thought it was just an allergy, but the wounds became larger, spread throughout the body. I went to the doctor, was treated, the child was born without pathologies. The problem arose at 33 obstetric week.

Anna, 27 years old: Due to herpes, her first pregnancy was interrupted for 8 weeks. The doctor after the ultrasound said that the embryo has extensive pathologies, and there is simply nothing to save there. Then and now for me it is a very big tragedy. The second time, I took a more responsible approach to the issue of pregnancy planning, but the first mistake was expensive.

Sveta, 35 years old: Herpes in the second half of pregnancy is not so terrible for the fetus, the main thing is to start adequate treatment in time, choose a worthy drug. The drug Zovirax helped me at 28 obstetric week, although for a long time I doubted whether it should be taken or not..