java barcode library open source Herpes Genitalis in Objective-C

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Infection of the lower genital tract by herpes simplex virus type 2 (HSV-2) (see also 6) is a common STD of
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If a hypertensive woman is being managed successfully by medical treatment when she registers for antenatal care, one may generally continue the antihypertensive medication Diuretics may be continued in pregnancy Angiotensin-converting enzyme inhibitors should be replaced with a drug of another class because of reports of fetal and neonatal renal failure with these compounds Use of antihypertensive medications in preeclampsia remains controversial This should be attempted only with significant fetal prematurity, absence of fetal compromise, and close supervision of the patient Therapeutic abortion may be indicated in cases of severe hypertension during pregnancy If pregnancy is allowed to continue, the risk to the fetus must be assessed periodically in anticipation of early delivery An early second-trimester ultrasound examination will confirm the duration of pregnancy, and follow-up examinations after 28 weeks will evaluate intrauterine growth restriction
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Frishman WH et al Pathophysiology and medical management of systemic hypertension in pregnancy Cardiol Rev 2005 Nov Dec;13(6):274 84 [PMID: 16230884]
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potential seriousness to pregnant women and their newborn infants Although up to 20% of women in an obstetric practice may have antibodies to HSV-2, a history of the infection is unreliable and the incidence of neonatal infection is low (1:20,000 1:3000 live births) Most infected neonates are born to women with no symptoms, signs, or history of infection Women who have had primary herpes infection late in pregnancy are at high risk for shedding virus at delivery Some authors suggest use of prophylactic acyclovir, 400 mg orally twice daily, to decrease the likelihood of active lesions at the time of labor and delivery Women with a history of recurrent genital herpes have a neonatal attack rate of 5% and should be followed by clinical observation and culture of any suspicious lesions Since asymptomatic viral shedding is not predictable by antepartum cultures, current recommendations do not include routine cultures in individuals with a history of herpes without active disease However, when labor begins, vulvar and cervical inspection and cultures should be performed, with prompt treatment of a newborn after a positive culture For treatment, see 32 The use of acyclovir in pregnancy is acceptable when there is significant fetal or neonatal risk Cesarean section is indicated at the time of labor if there are prodromal symptoms, active genital lesions, or a positive cervical culture obtained within the preceding week
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Andrews WW et al Valacyclovir therapy to reduce recurrent genital herpes in pregnant women Am J Obstet Gynecol 2006 Mar;194(3):774 81 [PMID: 16522412] Brown ZA et al Genital herpes complicating pregnancy Obstet Gynecol 2005 Oct;106(4):845 56 [PMID: 16199646]
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9 Maternal Hepatitis B & C Carrier State
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There are an estimated 200 million chronic carriers of hepatitis B virus worldwide Among these people there is an increased incidence of chronic active hepatitis, cirrhosis, and hepatocellular carcinoma The frequency of the hepatitis B carrier state varies from 1% in the United States and Western Europe to 35% in parts of Africa and Asia All pregnant women should be screened for HBsAg Transmission of the virus to the baby after delivery is likely if both surface antigen and e antigen are positive Vertical transmission can be blocked by the immediate postdelivery administration to the newborn of 05 mL of hepatitis B immunoglobulin and hepatitis B vaccine intramuscularly The vaccine dose is repeated at 1 and 6 months of age Hepatitis C virus infection is the most common chronic blood-borne infection in the United States Risk factors for transmission include blood transfusion, injection drug use, employment in patient care or clinical laboratory work, exposure to a sex partner or household member who has had a history of hepatitis, exposure to multiple sex partners, and low socioeconomic level The average rate of hepatitis C virus (HCV) infection among infants born to HCV-positive, HIV-negative women is 5 6% However, the average infection rate increases to 14% when mothers are coinfected with HCV and HIV The principal factor associated with transmission is the presence of HCV RNA in the mother at the time of birth
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Santiago-Munoz P et al Prevalence of hepatitis B and C in pregnant women who are infected with human immunodeficiency virus Am J Obstet Gynecol 2005 Sep;193(3 Pt 2): 1270 3 [PMID: 16157150]
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