Patient's question:
I was diagnosed with positive IgM for both Type I and Type II during the prenatal screening at 14 weeks. Later, I had a 4D ultrasound which showed no abnormalities. Around 23 weeks, I took acyclovir for 18 days, but a week after stopping, the blood test still showed positive results. Can I still carry this pregnancy to term? Should I undergo any tests to determine if the fetus is infected?Doctor's answer:
Herpes virus can infect the fetus through the bloodstream or through the vagina. You can undergo ultrasound and cord blood to check if the fetus is infected.A person with simple herpes cannot get pregnant, as this virus has a significant impact on both the fetus and the newborn. The rate of teratogenesis is very high in fetuses. The mortality rate for newborns from oral simple herpes in adults is 17.6%. It is essential to treat it before trying to conceive. In the future, people with simple herpes should not come into contact with newborns until the condition is fully cured. Otherwise, even if pregnancy occurs, there is a high likelihood of miscarriage or giving birth to a malformed child.