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Practice Bulletins #220 - Published May 2020 1. Herpes simplex virus (HSV) is transmitted directly from lesions to mucosa or open skin: this includes cold sores to mucosa, active lesions on the skin, or ulcers on or inside the genitals. 2. Infection of babies generally occurs during passage of the newborn through mom's GU tract, not in-utero. 3. Neonatal herpes infections carry relatively high mortality and morbidity. 4. Active or recurrent infections in pregnancy should be treated with antiviral therapy. Suppression therapy should be given to all women with history of HSV starting at 36 wga and continued until birth. 5. Women who have active genital HSV infections manifested as active lesions or prodromal vulvar symptoms at the onset of labor should be counseled against vaginal birth.Show Notes **Visit our friends at www.intimatewellnessshop.com for bushels of sex positivity, including toys, massage oils, self-care products, and more! Use code MOREWINE at checkout for 15% off your purchase!** Wine pairing: 2017 Armando Bonarda from La Posta Vineyards Theme music by Evan Handyside Logo design by JD Dotson (jddotson1@gmail.com)