Medical Forum / Diseases and Disorders / Herpes / December 2003
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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