Can You Pass Herpes to Your Baby During Pregnancy?

Yes, herpes can be transmitted to babies during pregnancy, labor, or delivery. Transmission occurs in approximately 1 in 3,200 births in the United States. The highest risk occurs when mothers have their first herpes outbreak during late pregnancy, with transmission rates up to 50%. Existing infections pose much lower risks, around 1-3%. Cesarean delivery is typically recommended if active lesions are present during labor. Antiviral medications like acyclovir can reduce outbreak frequency and viral shedding during pregnancy. Early prenatal care and honest communication with your healthcare provider about herpes history are essential for developing an appropriate delivery plan.