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Pérez-Vizcaı́no et al., 2002)

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As noted above, in this situation, cesarean section (ideally, before rupture of membranes) is recommended for any pregnant woman with active genital herpes lesions or prodromal symptoms at the time of delivery.[154] In addition, if possible, use of invasive monitors during delivery should be limited.[149] Delivery by cesarean section does not completely eliminate the risk for HSV transmission to the infant.[151,154] Most experts recommend that women with first-episode genital HSV infection near term should be managed in consultation with maternal-fetal medicine and infectious diseases specialists