Mother & Child Health Care Clinic

01/06/2026

11/05/2026

10/05/2026

Ge***al Herpes in Pregnancy: the guideline in one practical post 👇

This topic becomes much easier when you stop trying to memorise everything and focus on timing + type of infection.

# # # The 2 key questions
1. Is this recurrent herpes or a primary infection?
2. If primary, did it happen early in pregnancy or close to delivery?

That is the whole logic of management.

✅ Recurrent ge***al herpes
Usually carries a lower risk of neonatal transmission.
Treat symptomatic recurrences with standard aciclovir if needed.
Consider suppressive aciclovir from 32 weeks
or earlier if there is a high risk of preterm birth.
In most cases, vaginal delivery is acceptable.

✅ Primary infection in the 1st or 2nd trimester
Treat the acute episode with standard aciclovir.
Later in pregnancy, consider suppressive aciclovir from 32 weeks.
Because the infection happened earlier, there is usually time before delivery, so vaginal birth may still be possible.

🚨 Primary infection in the 3rd trimester
This is the group that matters most.
Why? Because primary infection near delivery carries the highest risk of neonatal herpes.
Management usually includes:
- treatment of the primary episode
- continuing aciclovir until delivery
- planned caesarean section, especially if infection occurs within 6 weeks of delivery

👶 After birth, the baby must not be forgotten
Always risk assess the neonate and follow local neonatal guidance for:
- investigations
- ongoing monitoring
- treatment when indicated

# # # Clinical pearl
The closer a primary maternal infection is to delivery, the greater the neonatal risk.

So if you remember only one sentence from the guideline, let it be this:

Recurrent = lower risk.
Primary near delivery = highest risk.

***alHerpes

02/05/2026

MATAAS ANG BP SA CLINIC PERO NORMAL BP SA BAHAY?

🚨Ang tawag dito ay WHITE COAT HYPERTENSION. 15-30% ng pasyente na mataas ang BP sa clinic o office ng doctor ay may ganito

🚨Sa WHITE COAT HYPERTENSION, ang clinic BP ay nasa ≥140/90 pero ang BP sa bahay ay palaging

23/04/2026

REVISING the module is different with

17/04/2026

05/04/2026

Happy Easter!