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Genital Herpes in Pregnancy
A healthy pregnancy is what every expecting mother wishes for, but there are few conditions that can be a cause for concern during pregnancy. One such condition is genital herpes. It is a sexually transmitted infection caused by HSV or herpes simplex virus.
Pregnancy and Genital Herpes
Genital herpes can be caused by two types of viruses, HSV 1 and HSV 2. The symptoms include blisters or sores in and around the genital area, which can sometimes be found around the anal area and even thighs. A pregnant woman with genital herpes can transfer this virus to her newborn baby if there is an outbreak just before birth. Therefore, if you are pregnant with genital herpes then you need to exercise great caution so that the infection does not get passed on to the baby.
How Does It Spread?
Genital herpes can spread after coming in physical contact with the infected person. The HSV-1 and HSV-2 can both cause genital herpes. The herpes simplex virus or HSV can be transferred from a person who has genital herpes to a healthy person through vaginal, anal or oral sex.
This virus cannot be passed on by using common toilet seat, bathtub or toiletries as the HSV is unable to survive long on non-living objects.
Symptoms
The symptoms of genital herpes in the first stage often go unnoticed and unrecognised as people often mistake it for an itch, insect bite, abrasions or yeast infection.
However, the very first symptoms of genital herpes can be visible as early as two to three days of catching the infection or as late as after a month. There is an outbreak of blisters and sores in and around the genital area. The symptoms are as follows:
There is a tingling sensation or itching before the outbreak of any blister occurs.
The appearance of the blisters can be seen on vagina, anus, and buttocks. If the infection is through oral sex then the lips, mouth, and face get affected.
The blisters at a later stage turn into ulcers.
These oozing ulcers form a crust after a few days.
There may be swelling and pain in the lymph glands.
Causes
The main cause of genital herpes is the HSV- 2 which can be passed during vaginal or anal sex. HSV-1 which causes oral herpes can also become the cause of genital herpes in some cases. The HSV-1 virus can be passed from the mouth to the genitals during oral sex. Thus HSV-1 and HSV-2 can both be a cause of genital herpes.
In cases of recurrent infections, the following may be possible triggers:
Weak immune system makes it easier for the virus to attack the body and place itself.
Consuming excessive amounts of alcohol can harm your immune system and thus trigger the virus
Stress is known to be a trigger for herpes. Scientists are still to find a reason as to why it is caused but studies have proven that it does have an impact
Any surgical procedure on the genital area may cause herpes to return because the nerve cells around the area could get inflamed and activate the dormant virus.
Complications
In most cases, genital herpes does not cause serious complications but in some cases it does. .
Genital herpes during pregnancy may cause serious complications leading to
Infection in new born babies- Herpes virus can be passed on to the baby during birth which may lead to blindness, brain damage and in some cases death.
Meningitis- Herpes virus may even lead to inflammation of membranes around the brain and spinal cord, which may result in this fatal condition.
Sexually transmitted disease- This infection may increase your chances of catching or transmitting other sexually transmitted diseases.
Problems in the bladder- Herpes may cause inflammation around bladder also, which can be extremely painful and discomforting.
Diagnosis
The physical examination and few lab tests will help a doctor diagnose genital herpes. The tests include:
Blood test- It will help determine the presence of HSV.
PCR (Polymerase Chain Reaction) Test- This is used to copy DNA from the blister, blood or fluid from the spine to find out which type of HSV is present.
Tissue Culture- A tissue scrapped from the sore or blister can be examined.
Treatments
Treatment for genital herpes include separate treatments for
1. Primary Infections
If someone is infected for the first time (primary infection), the doctor will administer oral anti-viral medicine can be prescribed depending on the severity of the infection.
2. Recurrent Infections
In case of recurrent infections the anti-viral medicine can be prescribed for a longer duration along with few precautions that need to be exercised on regular basis such as
Cleaning the affected area with warm water: This ensures hygiene and can also help allieveate the effects of the infection and discomfort.
Applying ice packs: Cold treatment around the affected area on a regular basis helps provide relief.
Applying prescribed ointments: These are medicated ointments that help dry the ulcers and treat the affected region.
Drinking plenty of fluids: Keeping yourself hydrated is the primary step to the treatment, which will also ensure the skin is well nourished.
Abstaining from wearing tight clothing: Tight clothing will put pressure on the affected area causing the pain, irritation and condition to worsen. Instead, opt for loosely fitted cotton or linen fabrics that allow the skin to breathe.
Can Herpes Affect the Baby?
Herpes can affect the newborn baby in the following ways
Skin, eyes and mouth infection – most babies may develop sores around their eyes, mouth and on their skin if they get infected. However no major complications arise if the baby receives prompt treatment.
Disseminated diseases- The baby with herpes virus may get disseminated disease that affects multiple organs, majorly lungs and liver. This is a fatal condition with low survival rate.
Central nervous system diseases- Babies may show lethargy, irritability, disinterest in feeding, fever or seizures if they catch herpes virus.
What If Women Get Herpes After Pregnancy?
Can herpes affect/ terminate pregnancy if a pregnant woman gets infected? No, it does not stop the pregnancy but if a pregnant woman gets genital herpes then there is a risk of transmitting the infection during labour/delivery. Though the chances are as dim as 1 in 10, the risk of passing the infection to a newborn baby increases if a pregnant woman gets herpes in the third trimester. Also, in rare cases when a pregnant woman gets infected in the first trimester, the virus may travel to the placenta and lead to miscarriage or cause birth defects.
What If Your Husband Has Herpes?
If your husband has herpes it is very important to exercise great caution throughout the pregnancy such as
Use condoms while having sex
Refrain from oral sex
Avoid any skin to skin contact with your husband’s genitals
Refrain from sexual intercourse and other sexual contacts in the third trimester.
If The Baby Catches Herpes Does It Affect The Baby?
When a newborn baby gets infected it is called neonatal herpes. It is a rare condition but this could result in skin, eyes or mouth infections. Herpes can also affect the baby’s brain, nerves, and other organs. A timely treatment can be helpful but certain conditions can become life-threatening.
Can Herpes Infected Moms Breastfeed?
It is safe to breastfeed if you have herpes, as the infection is not transferred through breast milk. However, you must exercise caution when you have a blister or sore on the following body-parts:
Mouth- Refrain from kissing the baby until it is cured.
Breast- If you have blisters on one breast, then you can feed from the other breast. If both breasts are infected then it is advised to give formula milk till the sores are completely healed.
Other parts of the body-Keep the area covered and do not let the baby touch it.
Ways To Avoid Herpes
Genital herpes spreads by the virus coming into contact with the infected person. This could be in the form of vaginal, anal and oral sex.
Therefore, if your husband has this infection then following are few ways to avoid getting this infection
Protected sex
Do not receive oral sex
The moment any symptom is observed, get medical help
Genital herpes and getting pregnant may pose some complications in the pregnancy. However, if you are wondering can I get pregnant if I have herpes, the answer is yes. However, you need to be careful throughout your pregnancy so that the infection is not passed on to your unborn child in the womb or while in labour.
A healthcare practitioner should be contacted as soon as you establish that you have genital herpes so that herpes pregnancy treatment can start without any delay.
Also Read:
Anal Sex While Pregnant
Bacterial Vaginosis in Pregnancy Read more
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Toys For Your Newborn - All You Need To Know
Much before your little one’s arrival the toys start arriving and lo and behold your bedroom transforms overnight into a fairytale nursery! You are all set to welcome the newest addition to the family. While your little angel will not be able to start playing immediately with most of these toys, these soft, glowy, squeaky toys will begin to play a big role in the overall development of your baby.
Newborn babies spend most of their initial weeks sleeping. Waking hours are mostly spent gazing at the mother’s face or listening to her sweet voice. In a couple of months when your baby becomes a little more alert, you can start interacting more by playing simple games and introducing some toys.
A newborn’s vision is fuzzy initially and can focus only till a distance of 8-12 inches. So it’s best to introduce your darling to toys which titillate the sense of hearing and are placed close to her vision.
Choose the Right Toys for Your Newborn Baby
You should find the following toys most suitable as the first toys for your little angel:
1. Baby Rattles
Babies are born with grasping reflex. Brightly coloured, lightweight rattles not only make for a great musical pastime but also help in developing co-ordination. Socks and wrist rattles are a great source of safe musical entertainment.
2. Cot Mobiles
Musical mobiles hung within your baby’s vision range which turn or sway and play a tune are great for entertaining your baby. Take care to hang them well out of reach of your baby and watch how he’s able to fix his attention gradually.
3. Soft Toys
While your little one’s grasp is not yet strong enough to hold onto toys, you can still use soft toys made of plush fabric. As your baby discovers different textures you can also discover her preferences for which toys she likes more.
4. Musical/Sensory Toys
Chiming toys, squeaky toys and music boxes which tweet or coo when pressed set the perfect tone for some fun time with your baby. Your baby can starts discovering different sounds as well as the phenomenon of cause and effect. Make sure you avoid sounds which are shrill and sudden and can startle your baby.
5. Soft Books
Brightly coloured books are a perfect way to start bonding emotionally with your baby. They will enjoy looking at the big bright pictures. Plus, hearing you read out helps them learn rhythm, language and speech in the future.
6. Baby Mirrors
Unbreakable baby mirrors can be fascinating for babies as they learn to discover themselves. Soon your baby might start a smiling friendship with her own reflection in the mirror!
7. Playmats
These are invaluable once your baby learns to turn on her sides or tummy. These soft textured mats come fitted with toys, squeakers, mirrors, rattles, etc. and are also portable. An absolute must have for your baby!
Safety Precautions You Must Observe with Newborn Toys
To enjoy hazard free, blissful playtime with your newborn, the following precautions should always be maintained:
Toys should be non-toxic, safe, durable, age specific and conform to quality standards.
Fabric toys should be kept away from fire.
All labels, ribbons and tags should be removed prior to playing.
All toys should be removed from baby’s sleep area prior to bedtime.
Toys with long hair or fibres are a strict no for newborns.
Never leave your baby unsupervised even if older children around.
Cot mobiles should be strictly out of reach of your baby.
A baby at home allows you to relive your childhood again. So, become a baby again with all those toys and enjoy your playtime with your little one! Read more
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How to Tolerate Your Baby's Tantrums in a Peaceful Manner
Babies are very curious by nature and they need attention. They like to explore their surroundings and do mischievous stuff. They are innocent and heavenly creatures. It is by God's blessings that we have babies and it is our duty to instil love, respect, kindness, and good manners in them. They don't learn things if you teach them and nag. Basically, they observe and learn from what you do. So it's on you to be a good human being and a role model for your kids. As mothers, working women, or housewives your primary duty is to take care of your little one. So invest time in them and learn from what they do. Observe their behaviour. If you have more than one baby don't take a side of one sibling, for instance, the little one. You should teach justice to your kids. See who is at fault. For example, if your little one tears his elder brothers notebook and you see your elder one complaining, explain him to not keep his books within the reach of his younger brother. Let him know that he will have to be careful. This way the elder one will learn to take care of his belongings as well as you can avoid the fight between the siblings.
Usually, children below 2 years of age are more likely to throw tantrums because they don't have a tolerance level. They can't communicate what they want, hence they throw tantrums. They may get irritated and yell. This behaviour of your child may frustrate you. But hold on and take a deep breath. Tell your little one politely that if he yells, you are not going to listen to him. He will yell sometimes but will eventually understand that this method of his will not work, and he will change his behaviour accordingly. Once he calms down, ask him what irritated him and let him know that's not the way to communicate. He will understand it when he will be in a good mood and this will help him to be a good person in the future.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her. Read more
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Sai Prasanthi R L has added a new answer
Guardian of 0 children
13 hours ago
Q. Hlw dr its my 6th month pregnency can i intimate with my partner
Sai Prasanthi R L
Mom of a 10 yr 2 m old boy
12 hours ago
A. Hello dear! If your pregnancy is going on fine without any high risk factors then it’s okay. Still, would advise you to check with your doctor once before going further. Maintain a good personal hygiene routine and a healthy lifestyle
Abhaya Rajput has added a new answer
Expecting Mom due this month
10 hours ago
Q. My breasts feel full and heavy, but there’s no milk when pumping and during feeding baby —what do I do?
Abhaya Rajput
Mom of a 14 yr 4 m old boy
3 hours ago
A. Hello there ma’am please do not worry about it too much. But it is really very difficult to say anything without proper examination. It is advisable to get yourself evaluated by a doctor and follow doctors advise properly. You can also book online doctor’s appointment on FirstCry where the doctor can help you and guide you properly.
Thanks and take care
Dr Disha Patel has added a new answer
Expecting Mom due in 6 months
10 hours ago
Q. can I take medicine pcm n citrazene in pregnancy fir sore throats n fever
Dr Disha Patel
Ayurvedic Physician
4 hours ago
A. dear mom.
better to take tab pcm for time being n do take steam inhakation couple of tines a day, follpw good home renedies for cold, taje more rest .
Swati Kar Samanta has added a new answer
Mom of a 9 m old child
3 hours ago
Q. hi everyone good morning,
sorghum can I give to my 10 month baby is it safe or not please revert I waiting for your reply
Swati Kar Samanta
Mom of a 2 m old girl
1 hour ago
A. Yes but first give in very small quantity to judge the reaction of your baby.
Rashmi has added a new answer
Expecting Mom due this month
1 hour ago
Q. #asktheexperts is it okay that the baby is kicking less than usual?
Rashmi
Mom of a 9 yr 7 m old girl
1 hour ago
A. Yes it is the what part is that your child is kicking if you feel that there is a movement of your child whether it is a cake or slight movement also you know that your child is doing fine so there is no problem in that if the movement is less it’s completely alright
Dr Sameer awadhiya has added a new answer
Guardian of 0 children
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Q. #asktheexperts what to do if the baby’s nose is blovked
Dr Sameer awadhiya
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28 mins ago
A. Nasal blockage is very common, specially in small children because of the narrow nasal cavity. Any kind of saline drops like nasal clear will be helpful in dissolving the stuffy secretions, which can be taken out by vnasal aspirator gently also steam inhalation will be helpful also, try to avoid keeping the child directly under the fan.
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