Joint British Association for Sexual Health and HIV and Royal College of Obstetricians and Gynaecologists national UK guideline for the management of herpes simplex virus (HSV) in pregnancy and the neonate (2024 update)

Int J STD AIDS. 2025 Jan;36(1):4-23. doi: 10.1177/09564624241280734. Epub 2024 Sep 30.

Abstract

This updated national UK guideline offers recommendations on the management of genital herpes simplex virus (HSV) in mothers and pregnant people during pregnancy and within 4 weeks following birth. It includes recommendations for first episode and recurrent HSV, HSV in preterm pre-labour rupture of membranes and in co-infection with HSV and HIV. Recommendations around management of the neonate are made, on prevention of postnatal transmission, management of breastfeeding, and the management of clinically discordant couples. This guideline is aimed at healthcare professionals working in sexual health clinics, maternity units, and those working on postnatal wards and neonatal units in the UK. However, the principles of the recommendations should be adopted across all services, including community care.

Keywords: Europe; HSV (herpes simplex virus); antiviral; pregnancy; viral disease; women.

Publication types

  • Practice Guideline

MeSH terms

  • Antiviral Agents / therapeutic use
  • Female
  • HIV Infections* / drug therapy
  • HIV Infections* / prevention & control
  • Herpes Genitalis* / therapy
  • Herpes Simplex* / diagnosis
  • Herpes Simplex* / prevention & control
  • Humans
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical* / prevention & control
  • Obstetricians
  • Pregnancy
  • Pregnancy Complications, Infectious* / prevention & control
  • Sexual Health
  • Simplexvirus
  • United Kingdom

Substances

  • Antiviral Agents