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Medical Forum / Diseases and Disorders / Herpes / December 2003

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another question about this virus

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Joanne - 07 Dec 2003 00:07 GMT
Hi,

I have Dr Stephen Sacks book and in it he says that the herpes virus
is so small it can pass through a coffee filter.  Well, if it is THAT
small, couldn't it pass through the amniotic sac during pregnancy?  If
there is a lesion inside the cervix from a recurrence it seems likely
to me that the tiny virus could slip right throught the membranes.
What do you think?
Grant - 07 Dec 2003 00:12 GMT
Hi Joanne,

I don't have any science to share with you on this.  But others here will.
My opinions are simple, really.

The first opinion I will share with you is that it doesn't pay to worry
about things that are out of our control.

My second opinion is that if the scenario you described is so easy and
common, then more babies would be born with herpes.

My third opinion is kind of more of a fact.  Hundreds...thousands...of
babies are born extremely healthy to parents who have herpes.

Take care,
ar

> Hi,
>
[quoted text clipped - 4 lines]
> to me that the tiny virus could slip right throught the membranes.
> What do you think?
M.L.S. - 07 Dec 2003 01:58 GMT
>Hi,

>I have Dr Stephen Sacks book and in it he says that the herpes virus
>is so small it can pass through a coffee filter.  Well, if it is THAT
>small, couldn't it pass through the amniotic sac during pregnancy?  If
>there is a lesion inside the cervix from a recurrence it seems likely
>to me that the tiny virus could slip right throught the membranes.
>What do you think?

A coffee filter would look like the Grand Canyon to a herpes virus,
but there's a whole bunch of reasons the scenario you've cooked up
doesn't happen, the main one being that herpes doesn't produce lesions
on or near or "inside" the cervix.

Is there something specific you want to know, Joanne?

Mike
Joanne - 07 Dec 2003 03:04 GMT
>>Hi,
>
[quoted text clipped - 13 lines]
>
>Mike

Well, my midwife claims she saw a lesion inside my cervix.  For some
reason I had a HUGE recurrence and she looked with a speculum.  She
was able to grasp part of my cervix (with some tool)  and open it a
bit, and she claims she saw a lesion.  I asked her if it could get to
the baby since it was SO CLOSE to the baby, and she said "maybe".  So,
I am a bit freaked.  Granted, midwives probably aren't the most
updated people on herpes, but she's all I got for now.  So, I referred
back to my book and got scared.  It makes it sound like the virus is
so tiny it can pass through anything.
M.L.S. - 07 Dec 2003 03:57 GMT
>>>Hi,

>>>I have Dr Stephen Sacks book and in it he says that the herpes virus
>>>is so small it can pass through a coffee filter.  Well, if it is THAT
>>>small, couldn't it pass through the amniotic sac during pregnancy?  If
>>>there is a lesion inside the cervix from a recurrence it seems likely
>>>to me that the tiny virus could slip right throught the membranes.
>>>What do you think?

>>A coffee filter would look like the Grand Canyon to a herpes virus,
>>but there's a whole bunch of reasons the scenario you've cooked up
>>doesn't happen, the main one being that herpes doesn't produce lesions
>>on or near or "inside" the cervix.

>>Is there something specific you want to know, Joanne?

>Well, my midwife claims she saw a lesion inside my cervix.  For some
>reason I had a HUGE recurrence and she looked with a speculum.  She
[quoted text clipped - 5 lines]
>back to my book and got scared.  It makes it sound like the virus is
>so tiny it can pass through anything.

That's what I thought.  You're still an idiot and a troll, just like
you were back in March.

According to your recent posts in misc.kids you're not pregnant, and
can't even have any more children.  

Your nonsense about a midwife seeing lesions on your cervix is pure
unadultered idiocy.

Go away.

Mike
r. - 08 Dec 2003 04:14 GMT
ARGH, that makes me  mad.  =/  

>>>>Hi,
>
[quoted text clipped - 34 lines]
>
>Mike
r. - 07 Dec 2003 04:17 GMT
From what I have read and I am NO OB or MW, it seems that if you have
had herpes for a while, and have built up some anti-bodies, the risks
are extremely low because the fetus gets your antibodies.  The only
risks I saw were if a baby was delivered vaginally during an
outbreak....which makes sense for mums to have C-sections.  

Midwives are probably as educated about the transmission of herpes to
a fetus as an OB, if not more in many cases.  Midwives, on an average,
spend much more time with their patients as many OBs do.

It is scary to think about the "what if's"  when you are
pregnant....and the only things  that will alleviate that worry are:  

1.  Talk to the midwife.  Seriously.  Make an appointment, phone her,
send a fax, ANYTHING....but do it *MONDAY* and make yourself feel
better.  Don't let her get off that easily if she has rattled you.
Part of her job as a practitioner is to answer questions and keep her
mums-to-be happy physically and mentally.

2.  Secondly, the unfortunate truth is that you will not feel fully
relieved until you see and hold that healthy bub and know that all is
ok.  That is the sucky part of being pregnant.  You just have a bigger
dose because of what you are dealing with.  But remember, stress is
also bad bad bad for a baby too and can increase outbreaks.  So find
the answers you need more specifically.  

Also, do go to the archives and do a search on pregnancy.  The posts
are very informative....and will probably ease your mind.  

http://groups.google.com/groups?hl=en&lr=&ie=UTF-8&oe=UTF-8&group=alt.support.herpes

Make sure to select the button for "Search only in alt.support.herpes"

=)

The stats are there that so many ladies have had happy, healthy babies
sans HSV.  You have to trust in that....

From:  http://falcao.best.vwh.net/Midwife/herpes.html

But the new study, funded by the National Institute of Allergy and
Infectious Diseases, found that among the 7,046 women tested, 2
percent came down with oral or vaginal herpes during pregnancy and
their babies showed no signs of unusual problems. Apparently the
mother's immune system was able to launch a counterattack long before
delivery, doctors said.

AND

The only babies in the study who contracted neonatal herpes were born
to women who acquired genital herpes near the onset of labor and who
had not yet developed antibodies. No baby of the 94 women who
seroconverted during pregnancy developed herpes; neither was an
increased risk of preterm labor, intrauterine growth retardation, or
spontaneous abortion found. -New England Journal of Medicine, 1997,
Vol. 337 No. 8  

AND

Neonates delivered vaginally during a recurrent episode have an
infection risk of only 1% to 4%.  So the risk of infection for an
asymptomatic woman is less than 0.02% to 0.08% on average, and even
less than that for older women who did not acquire herpes recently.

r.

>>>Hi,
>>
[quoted text clipped - 23 lines]
>back to my book and got scared.  It makes it sound like the virus is
>so tiny it can pass through anything.
Joanne - 07 Dec 2003 20:56 GMT
> From what I have read and I am NO OB or MW, it seems that if you have
> had herpes for a while, and have built up some anti-bodies, the risks
[quoted text clipped - 5 lines]
> a fetus as an OB, if not more in many cases.  Midwives, on an average,
> spend much more time with their patients as many OBs do.

Thanks for all the info.  Actually I think I am going to get rid of
the midwife and start seeing an OB/GYN.  My midwife is very negative
about this disease.  Maybe an OB would be better.  Thanks again.
Angela - 09 Dec 2003 01:23 GMT
R,

Actually . . . moms with genital herpes give birth vaginally all the time
without anything bad happening to the baby.
Just because a woman might have genital herpes doesn't mean that she will
always have to have a c-section.
All this coming from somebody who is 39 weeks pregnant, about to give birth
any day now, and have had genital herpes for eight years.

Angela
www.yoshi2me.com
Angela - 09 Dec 2003 01:20 GMT
Joanne,

How far along are you in your pregnancy and how long have you had genital
herpes?
How did you finally confirm that you actually have herpes?
FYI, it doesn't sound like your midwife knows too much about herpes and
pregnancy.

Angela
www.yoshi2me.com
Angela - 09 Dec 2003 01:09 GMT
Joanne,

You say you have the book "The Truth About Herpes."
Well, why don't you read the pregnancy section?
There is an entire pregnancy section listed in the back of the book.
Simply do a search on the keyword "Pregnancy."

You need to continue your research on herpes and pregnancy.
It's clear that you don't have all the information necessary to make up your
own mind.
There are lots of helpful links listed on this page:
http://www.yoshi2me.com/page4.html

Good Luck,

Angela
www.yoshi2me.com
Joanne - 09 Dec 2003 02:52 GMT
>Joanne,
>
[quoted text clipped - 13 lines]
>Angela
>www.yoshi2me.com

I have read the pregnancy section in this book countless times.  Most
of it is reassuring except for a few paragraphs.  Mainly where he says
the herpes virus is extremely tiny and could fit through a coffee
filter.  If that is so, then why could it not slip through the
amniotic sac?  If one has the virus on the cervix, or really close to
the membranes, what's to stop the virus from penetrating the bag of
water?  Furthermore, you do not pass on antibodies to the baby until
26-28 weeks of pregnancy (I can't remember exactly when).  So there
are no antibodies protecting the fetus before that time.  
Angela - 09 Dec 2003 04:05 GMT
Joanne,

It's very clear to me that you know nothing about the sharing of antibodies
during pregnancy.
It's also very clear to me that you know nothing about herpes. Hopefully you
will take more time out to learn about these two things . . . it will save
you much grief in the end.

Angela
www.yoshi2me.com

> I have read the pregnancy section in this book countless times.  Most
> of it is reassuring except for a few paragraphs.  Mainly where he says
[quoted text clipped - 5 lines]
> 26-28 weeks of pregnancy (I can't remember exactly when).  So there
> are no antibodies protecting the fetus before that time.
Joanne - 09 Dec 2003 22:22 GMT
>Joanne,
>
[quoted text clipped - 6 lines]
>Angela
>www.yoshi2me.com

Angela,

Show me a website or somewhere where it states herpes antibodies are
passed before the "20th something" week of gestation.  You will not
find that because antibodies are not shared to the fetus immediately.
Give me a little time and I will prove it to you.  Two doctors have
told me this, but I can't remember exactly which week the antibodies
start to get passed, but it was 20 something.  I want to say 26th week
but I'm not sure.  You are seriously mistaken if you think herpes
antibodies are passed from day 1.
Angela - 10 Dec 2003 06:16 GMT
Joanne,

You are completely missing the point here Joanne . . . a woman that
contracts herpes during her pregnancy need only be concerned if she
contracts it during the last tri-mester. There is not enough time to build
up *herpes antibodies* to share with the unborn child. The doctor will
probably opt to do a c-section if there is virus present in the birth canal.
In the meantime a woman that contracts herpes before or during the 1st and
2nd trimester will eventually share their *herpes antibodies* with their
unborn child.

Again ... how far along did you say you were?

Angela
Joanne - 10 Dec 2003 14:20 GMT
>Joanne,
>
[quoted text clipped - 10 lines]
>
>Angela

I didn't say but I am now 19 weeks.  The baby does not yet have my
antibodies.
Angela - 10 Dec 2003 16:31 GMT
Joanne,

Congratulations on your pregnancy!
Truly that is wonderful news.
You have to stop worrying about this and be positive.
The only time the baby has a chance to be exposed is during labor and
delivery and that's only if the virus is present and active. If you have
herpes right now . . . and you are 19 weeks . . . you really don't have
anything to worry about.
You can also go on suppression during the last few weeks of your pregnancy
to prevent any flare ups from happening during labor and delivery. Plus,
even if you have a flare up during labor and delivery the doctor will
probably opt to do a c-section. If there is no c-section the chances are
still in favor of your baby *not* getting herpes because you had herpes
prior to becoming pregnant. I hope you find all of my posts from today
because I do address the placenta issue and the fact that herpes is not a
blood borne virus. There is no need to be concerned until it's time to
actually give birth. Hopefully by then you will be relaxed on this issue.

If you don't like anything I have told you . . . then please go talk to
Terri Warren over on WebMD.

Angela
www.yoshi2me.com

.
Joanne - 09 Dec 2003 22:41 GMT
Angela-

Read this website.  Here is a quote from it.

http://www.herpes.com/pregnancy.shtml

"Babies born prematurely may be at a slightly increased risk, however,
even if the mother has a long-standing infection. This is because the
transfer of maternal antibodies to the fetus begins at about 28 weeks
of pregnancy and continues until birth. "Babies delivered at term
should be protected by antibodies -- but premature babies haven't
gotten a full load, "explains Brown."

There you go.  Antibodies ARE NOT PASSED until 28 weeks of gestation.
Be careful of what you are telling people.
Angela - 10 Dec 2003 06:31 GMT
Pregnancy:
http://www.westoverheights.com/freebooktext.html#pregnancy

Did You Know:
http://www.ashastd.org/hrc/educate.html#preg

Valtrex For Herpes OK While Breastfeeding:
http://my.webmd.com/content/article/24/1814_50265

Pregnancy & Genital Herpes:
http://www.valtrex.com/living/pregnancy.htm

Genital Herpes in Pregnancy:
http://www.emedicine.com/med/topic3554.htm

Effect of serologic status and cesarean delivery on transmission rates of
herpes simplex virus from mother to infant.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2517231&dopt=Abstract


A double-blind, randomized, placebo-controlled trial of acyclovir in late
pregnancy for the reduction of herpes simplex virus shedding and cesarean
delivery.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2634667&dopt=Abstract

M.L.S. - 09 Dec 2003 05:38 GMT
>I have read the pregnancy section in this book countless times.  Most
>of it is reassuring except for a few paragraphs.  Mainly where he says
>the herpes virus is extremely tiny and could fit through a coffee
>filter.  

Bacteria are hundreds and thousands of times larger than viruses and
they'll easily "fit through a coffee filter", too.  Dust mites can
probably fit through a coffee filter, too.  Amniotic fluid would
probably drip through a filter, too.  So?

>                           If that is so, then why could it not slip through the
>amniotic sac?  If one has the virus on the cervix, or really close to
>the membranes, what's to stop the virus from penetrating the bag of
>water?  Furthermore, you do not pass on antibodies to the baby until
>26-28 weeks of pregnancy (I can't remember exactly when).  So there
>are no antibodies protecting the fetus before that time.  

Could be that the uterus is inhospitible to viruses.

What's more clear is that you've been humping the same line of
questioning for over two years here.

On Nov 18, 2001 you asked this group:

"Hi, I am 25 weeks pregnant and have had genital herpes for 10 years.
I just had a really bad outbreak, the doctor said I even had lesions
on my cervix.  The cervix is SO close to the baby that I am worried it
could have infected the baby.  I keep thinking about all those sores
so close to my baby, and I can't even sleep.  I would like to hear
other people's thoughts even if they are negative.  Thanks."

On Sep 5, 2003, posting as "Jo" you asked:

"I have an 18 month old, so I know having a healthy baby is possible.
I've had herpes for 10 years. Here's my concern- I went in for my
first prenatal exam (pap smear, pelvic exam, etc) and I told the OB I
was in the middle of a herpes outbreak and did not think the exams
were a good idea. The OB said it would be fine and used the dreaded
speculums, did the exams, plus a pelvic exam. My worry is that the OB
could have pushed the active virus up into my cervix and uterus and
spread it to the baby. Did anyone else have an outbreak and an exam
like this at the same time? I am only 6 weeks along. Thanks."

This last week you claimed that your "midwife" spotted a lesion inside
your cervix and that you're worried about your baby, while at the same
time you are posting to misc.kids that you can't have any more
children and that you're "really just trying to explore the negatives"
related to raising an only child.

There's something wrong with it all, Jo, something a little sick, if
you ask me.  I don't know whether you have herpes or not (you denied
it in March of this year when your stupidity on the kids' groups
overflowed into a.s.h.) or whether you have one child or two or none
(you've made conflicting statements there, as well as on other
subjects), and I really don't care, but you've been told repeatedly
that the scenario you're obsessing over doesn't happen except in the
rarest of circumstances, and it just doesn't look like you're going to
get more of an answer than that.

Are you trying to unnecessarily scare any prospective mothers that
might be lurking here?  Or what?  Maybe you're just some weird kind of
hypochondriac who seeks attention by dwelling on hypothetical
negatives.  Or maybe you're just another stupid troll.

Fetuses are safe from herpes.  The biggest risk to babies acquiring
HSV is during delivery to a mother who is experiencing her Primary or
first ever genital outbreak, in which case, a Caesarian can be
performed, with only the usual Caesarian risk to the child and mother.

Prospective mothers with herpes should, of course, inform their
doctors of their condition, and be reassured that it is being taken
into consideration, and they should be reassured that healthy
deliveries are the overwhelming norm.

Mike
Angela - 09 Dec 2003 18:21 GMT
Mike,

One more thing about this coffee filter crap. lol
Even if the herpes virus could fit through it . . . it wouldn't move to do
so.
Why you ask? Because the virus doesn't live on "objects."
As for the troll . . . we've got her number now.
Thanks for the heads up!

Angela :)
www.yoshi2me.com
Joanne - 09 Dec 2003 22:30 GMT
>Mike,
>
[quoted text clipped - 7 lines]
>Angela :)
>www.yoshi2me.com

The fetus is not an "object".  It is a human being with skin cells
that can be infected.  I guess I don't understand your point.  What do
you mean it wouldn't "move to do so".  Why couldn't it float in the
fluid and attach to the baby?  5% of all neonatal herpes cases are "in
utero" from primary attacks, so obviously it can get in there.
Joanne - 09 Dec 2003 22:28 GMT
Snip

>Prospective mothers with herpes should, of course, inform their
>doctors of their condition, and be reassured that it is being taken
>into consideration, and they should be reassured that healthy
>deliveries are the overwhelming norm.
>
>Mike

I am not trying to scare prosective mothers.  But many of you are
stating things that are incorrect.  I don't have all the answers but I
do know that herpes antibodes are NOT PASSED to the fetus until the
late second trimester.  My book by Stephen Sacks claims that rarely
the virus can penetrate the amniotic sac and he even says maybe there
are small holes and that allows it to pass.  Don't scare mothers
because in most cases their babies will be fine, but many of you are
giving incorrect info, especially when you give the impression that
antibodies are passed to the baby right away.  That is not true and I
dare Angela to find me a webiste that says otherwise.  
 
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