I am currently 34 weeks pregnant. On Thursday morning, I noticed a small amount of blood on my underwear, so I washed my hands and inserted my finger into my vagina to make sure it was not vaginal bleeding (which was not).
The same evening, I felt tingling on my lower lip and realized that I was developing a cold sore. I have had cold sores multiple times previously before pregnancy. I have not touched my genitals for a couple of hours before the tingling sensation started and have not touched it after it started.
The following morning I called my OBGYN and was put on Acyclovir 400mg TID x 5 days for the cold sore
What is the chance that I could autoinoculate myself with hsv genitally by doing a vaginal exam couple of hours before cold sore symptoms occur if I touched my lip between washing hands and vaginal exam and didn’t realize it?
If autoinoculation occured, is it considered a primary infection or a recurrent infection outbreak?
Is there a risk for a baby?
It's even lower since you didn't touch an active sore.
You also washed your hands, which would kill any virus you might have had on them.
Even if all the things come together and somehow you got genital herpes type 1, your antibodies cross the placenta, and your baby also have them. That would offer your baby significant protection, so the only danger would be if you had an outbreak during delivery.
Keep in mind, though, that the chances that you'd autoinoculate with an established infection is so, so low it might as well be zero.
This isn't anything I'd worry about at all.
Good luck with the rest of your pregnancy. :)