Preventing neonatal herpes - current strategies

Article Abstract:

No effective strategy exists for preventing infection with herpes simplex virus type 2 (HSV-2) in newborns whose mothers have genital herpes. From the 1970s to 1988, doctors recommended that pregnant women with a history of genital herpes be tested every week, and have a cesarean section in the event they are infected. A test has been developed that detects antibodies against HSV-2. It has been used to screen pregnant women and their sexual partners for HSV-2. Widespread use of the test would allow identification of at-risk women, and early detection of infants exposed to HSV-2. Other researchers have recommended a physical examination at the onset of labor to prevent transmission of HSV-2 to newborns. A better understanding of HSV infection in newborns may be the most effective method for controlling the disease. Another strategy to decrease the incidence of HSV-2 infection in newborns is preventing HSV-2 transmission among sexually active individuals.

Editorial, Prevention, Diseases, Herpes genitalis, Genital herpes, Neonatal diseases

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Respiratory distress and seizure in a neonate

Article Abstract:

A newborn baby was admitted to an intensive care unit because of respiratory depression. Artificial ventilation improved his breathing. Shortly after birth he had a seizure and slight paralysis on his left side. A CT scan of his brain revealed that he had suffered a stroke. His family history appeared to be positive for a blood coagulation disorder. A blood clot that traveled to his brain could have caused his stroke and his physicians assumed the stroke happened in utero. Analysis of the placenta revealed blood clots and a special stain revealed the presence of Listeria monocytogenes.

Diagnosis, Complications and side effects, Stroke (Disease), Stroke, Newborn infants, Listeriosis

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Case 27-2007: a 30-year-old pregnant woman with intrauterine fetal death

Article Abstract:

A case study of a 30-year-old pregnant woman with intrauterine fetal death is presented.

United States, Case studies, Pregnant women, Fetal death, Case study

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