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1、SOGCCLINICALPRACTICEGUIDELINESOGCCLINICALPRACTICEGUIDELINENo.208,June2008GuidelinesfortheManagementofHerpesSimplexVirusinPregnancyarticleswereidentifiedthroughthereferencesofthesearticles.AllThisguidelinehasbeenreviewedbytheInfectiousDiseasestudytypesandrecommend
2、ationreportswerereviewed.CommitteeandtheMaternalFetalMedicineCommitteeandValues:RecommendationsweremadeaccordingtotheguidelinesapprovedbytheExecutiveandCounciloftheSocietyofdevelopedbytheCanadianTaskForceonPreventiveHealthObstetriciansandGynaecologistsofCanada.Ca
3、re.PRINCIPALAUTHORSRecommendationsDeborahMoney,MD,VancouverBC1.Women’shistoryofgenitalherpesshouldbeevaluatedearlyinMarcSteben,MD,MontrealQCpregnancy.(III-A)INFECTIOUSDISEASESCOMMITTEE2.Womenwithknownrecurrentgenitalherpessimplexvirus(HSV)shouldbecounselledaboutt
4、herisksoftransmissionofHSVtoDeborahMoney,MD,VancouverBCtheirneonatesatdelivery.(III-A)MarcSteben,MD,MontrealQC3.Atdelivery,womenwithrecurrentHSVshouldbeofferedaThomasWong,MD,OttawaONCaesareansectionifthereareprodromalsymptomsorinthepresenceofalesionsuggestiveofHS
5、V.(II-2A)AndréeGruslin,MD,OttawaON4.WomenwithknownrecurrentgenitalHSVinfectionshouldbeMarkH.Yudin,MD,TorontoONofferedacyclovirorvalacyclovirsuppressionat36weeks’HowardCohen,MD,TorontoONgestationtodecreasetheriskofclinicallesionsandviralsheddingMarcBoucher,MD,Mont
6、realQCatthetimeofdeliveryandthereforedecreasetheneedforCaesareansection.(I-A)CatherineMacKinnon,MD,BrantfordON5.WomenwithprimarygenitalherpesinthethirdtrimesterofCarolinePaquet,RM,TroisRivièresQCpregnancyhaveahighriskoftransmittingHSVtotheirneonatesJulieVanSchalk
7、wyk,MD,VancouverBCandshouldbecounselledaccordinglyandshouldbeofferedaCaesareansectiontodecreasethisrisk.(II-3B)Disclosurestatementshavebeenreceivedfromallmembersofthecommittee.6.ApregnantwomanwhodoesnothaveahistoryofHSVbutwhohashadapartnerwithgenitalHSVshouldhave
8、type-specificserologytestingtodetermineherriskofacquiringgenitalHSVinAbstractpregnancybeforepregnancyorasearlyinpregnancyaspossible.Testingshouldberepeatedat32
