it's very obvious when a newborn contracts herpes. typically it presents within 24 hours to a few days after birth. they get very sick , very fast :( Since their immune systems aren't functioning properly, they are susceptible to meningitis and encephalitis very easily and there's no missing that - that's sick you can't miss in a baby.
neonatal herpes acquired from a mother's genital herpes infection presents within the first 3 weeks of life. after that, any herpes infections are typically hsv1 from others kissing the baby and transmitting their hsv1 oral infections to the baby.
Grace, thank you so much for taking the time to answer both our questions. I wanted to ask you, as you have experience with children in a hospital setting... do you know what Terri means by, "if he shows normal development?" If it had affected his brain, wouldn't he have had encephalitis, or meningitis by now? Working in a pediatric hospital have you ever seen a child show symptoms at 2 months?
the rates of transmission aren't much higher with a well established infection and active lesions. I can't recall them off the top of my head but they are also fairly low.
enjoy your family - time flies by so quickly and before you know it they are off to college and leaving mom behind....sigh
Hi Grace, I wouldn't be concerned and grilling you on here if I didn't have an undetected lesion during birth, but you have calmed some of my anxiety. I had a wonderful day with my family, which I haven't been able to have for 2 months! You are a wonderfully kind woman for what you do, and I greatly appreciate your advice as a pediatric nurse and as a very knowledgeable person concerning herpes. Knowing your background I feel much more confident in your statements, and I thank you.
I had a fetal scalp monitor my 2nd delivery too. everything turned out just fine with my daughter :) 1 out of every 4-5 women in the US alone have hsv2. how many folks do you know have had babies with herpes infections soon after birth? The risk of transmission is less than 1% with a well established hsv2 infection and no obvious lesions at the time of delivery. You are more likely to give birth to a child with a birth defect than you are to transmit your genital herpes to your child during delivery.
no need for swabbing any orifices dear. your baby is fine from a herpes stand point :) Now go hug the stuffing out of him and go have fun!!!!
I ask that because you said, that is how they detect it in babies. I am sure you are going to say that it is not necessary at this point though huh?
should I have them culture orifices? or is it too late
Grace. Thanks again for your quick response! I will try not to worry. Everything that could have gone wrong with my delivery did. An internal fetal monitor was even used... that, with a lesion, could have been a disaster. I have just been hoping God, and my antibodies keep him safe.
In the US we don't have any herpes igg blood testing that is approved for children under the age of 14. in general, we don't use blood testing for herpes on infants. we culture/pcr body orifices as well as culture/pcr cerebral spinal fluid to diagnose herpes infections in newborns.
It's always very obvious when an infant has a herpes infection and it's apparent within a few days to weeks of life - you would've known by now if your baby had contracted it from you. I'm not saying this just to make you feel better, I'm saying it as a pediatric nurse with 25 years of experience in a major children's hospital - cross this off your list of worries!!!
Thank you Grace for your quick responses! Absolutely on more thing... I was reading on Uwashington's site that the WB can distinguish between maternal antibodies and infant antibodies... if this is true would it be possible to test a child?
no we do not watch babies for a few years when their momma's have genital herpes!!!!
Hi Grace. One more thing. I am sorry. I was talking with someone who said the doctors may want to watch him for a few years. Why would this be? Is it possible that he could be affected without showing any symptoms? I greatly appreciate your expertise!
Thank you Grace. I hope you are right.
there is no way to test your baby . your baby is fine from a herpes stand point!
Is there any way to test a baby? I would feel so much better if I knew that it wasn't laying dormant somewhere.
I wouldn't be concerned at all at this point. your baby would've been ill long before now if he had contracted your herpes during delivery.
congrats on your healthy baby boy :)
grace