Herpes Simplex Virus Infection after Vacuum-assisted Vaginally Delivered Infants of Asymptomatic Mothers

Kohelet, David; Katz, Neriel; Sadan, Oscar; Somekh, Eli

doi:10.1038/sj.jp.7211069

Cited by 12 publications

(11 citation statements)

References 13 publications

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“…Among women with asymptomatic HSV in labor, invasive procedures such as amniotomy, the use of fetal scalp electrodes 24 and operative vaginal delivery 25 , should be avoided. This decreases fetal exposure to vaginal secretions potentially containing the virus.…”

Section: Herpes Simplex Virusmentioning

confidence: 99%

“…[19][20][21][22] When lesions or prodromal symptoms are present at the onset of labor, cesarean section is recommended to minimize the risk of viral exposure to the infant, even if suppressive therapy has been used. 23 Among women with asymptomatic HSV in labor, invasive procedures such as amniotomy, the use of fetal scalp electrodes, 24 and operative vaginal delivery, 25 should be avoided. This decreases fetal exposure to vaginal secretions potentially containing the virus.…”

Section: Introductionmentioning

confidence: 99%

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Viral Infections During Pregnancy

Silasi

Cardenas

Kwon

et al. 2015

American J Rep Immunol

438

367

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Viral infections during pregnancy have long been considered benign conditions with a few notable exceptions, such as herpes virus. The recent Ebola outbreak and other viral epidemics and pandemics show how pregnant women suffer worse outcomes (such as preterm labor and adverse fetal outcomes) than the general population and non-pregnant women. New knowledge about the ways the maternal-fetal interface and placenta interact with the maternal immune system may explain these findings. Once thought to be “immunosuppressed”, the pregnant woman actually undergoes an immunological transformation, where the immune system is necessary to promote and support the pregnancy and growing fetus. When this protection is breached, as in a viral infection, this security is weakened and infection with other microorganisms can then propagate and lead to outcomes, such as preterm labor. In this manuscript, we review the major viral infections relevant to pregnancy, and offer potential mechanisms for the associated adverse pregnancy outcomes.

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Section: Herpes Simplex Virusmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Viral Infections During Pregnancy

Silasi

Cardenas

Kwon

et al. 2015

American J Rep Immunol

438

367

View full text Add to dashboard Cite

show abstract

“…A wide difference in the prevalence of HSV infection among infants delivered by vacuum extraction (7/1000) and infants delivered spontaneously (0.95/1000) was previously reported by the authors [4]. To determine whether these observations remained valid, a convenience sample, during the same time frame, of 100 consecutive healthy women in active labor was set.…”

Section: Methodsmentioning

confidence: 94%

“…An incidental finding of five newborns who developed HSV infection following delivery by vacuum extraction prompted the authors to search for an association between operative vaginal delivery and neonatal HSV [4].…”

Section: Introductionmentioning

confidence: 99%

Vacuum extraction and herpes simplex virus infection

Sadan

Dishi

Somekh

et al. 2005

Intl J Gynecology & Obste

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“…Two of the five individuals who underwent VAD and had HSV had positive conjunctival HSV cultures. The age at diagnosis of the vesicular eruption of VAD ranged from 0.9 to 41.7 hours . In a follow‐up study at the same institution, the authors postulated that HSV might be colonizing the lesions rather than a pathologic process .…”

Section: Discussionmentioning

confidence: 99%

Vesicular Eruption of Vacuum‐Assisted Delivery

Chadwick

Heymann

2012

Pediatric Dermatology

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Vacuum-assisted delivery has been associated with several complications, including rare vesicular eruptions. Herpes simplex virus has been cultured in a substantial portion of these cases. A case of vesicular eruption from vacuum-assisted delivery is presented in a 1-day-old neonate. The patient was placed on empiric acyclovir until viral cultures and polymerase chain reaction for herpes simplex virus were found to be negative. The lesions resolved without sequelae. The vesicular eruption of vacuum-assisted delivery is probably secondary to mechanical trauma. Clinicians should be aware of the possible risk of herpes simplex virus infection, instituting antiviral therapy until this is excluded.

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Herpes Simplex Virus Infection after Vacuum-assisted Vaginally Delivered Infants of Asymptomatic Mothers

Cited by 12 publications

References 13 publications

Viral Infections During Pregnancy

Viral Infections During Pregnancy

Vacuum extraction and herpes simplex virus infection

Vesicular Eruption of Vacuum‐Assisted Delivery

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