Herpesviridae Infection: Prevention, Screening, and Management

Clin Obstet Gynecol. 2018 Mar;61(1):157-176. doi: 10.1097/GRF.0000000000000335.

Abstract

Bacterial, viral, and parasitic pathogens add significant morbidity and even mortality to pregnancy-with adverse effects extending to both the gravida and the newborn. Three herpesviruses deserve considerable attention given the effects of perinatal infection on obstetric outcomes, specifically maternal and neonatal morbidity. In the following review, we will provide a description of cytomegalovirus, herpes simplex virus, and varicella zoster virus. For each viral pathogen, we will describe the epidemiology, natural history, screening and diagnosis modalities, treatments, and implications for antepartum care. Furthermore, we will highlight future directions of work in reducing the morbidities associated with these viral pathogens.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use
  • Chickenpox Vaccine
  • Female
  • Herpesviridae Infections / congenital
  • Herpesviridae Infections / diagnosis*
  • Herpesviridae Infections / therapy*
  • Herpesviridae Infections / transmission
  • Humans
  • Infectious Disease Transmission, Vertical / prevention & control
  • Maternal Exposure
  • Postnatal Care
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnosis*
  • Pregnancy Complications, Infectious / therapy*
  • Prenatal Care
  • Secondary Prevention

Substances

  • Antiviral Agents
  • Chickenpox Vaccine