Which of the following should be informed to the pregnant client with genital herpes to protect the foetus ?

Option 2 : Caesarean section will be needed in the case of vaginal lesions

Concept-

• Genital herpes is a common sexually transmitted infection marked by genital pain and sores.
• It is caused by simplex virus, the disease can affect both men and women.
• Genital herpes lie dormant in body, symptoms can recur for an year. 

Explanation-

• Cesarean section can't completely prevent herpes transmission but it substantially decreased risk to baby.
• Genital herpes can cause sever illness in newborn such as: 

1. blindness 
2. deafness
3. seizures 
4. recurrent sore on the skin, eye, mouth,and genital.

• The increase in size of vaginal cyst can be hypothesize to be due to increased vascular supply during pregnancy.

-

• Total abstinence is necessary during pregnancy - total abstinence from alcohol consumption during pregnancy, absolute absence of any effect in fetus and child.
• Daily intake of acyclovir - acyclovir is used to treat viral infection such as herpes zoster, genital herpes, use of acyclovir in first trimester does not increased any birth defect
• Four hourly sitz bath - sitz bath increased the blood flow to the perineal area and promote faster healing and reduce the risk from infection.