This is important even if you've never had symptoms or haven't had a recurrence in a long time. The doctor might arrange a test to see if virus is present when you go into labor. In addition, you should be examined to see if you have herpes at labor and should notify the doctor if you think you have active symptoms at that time. If no virus is found in the birth canal and there are no symptoms or signs of an outbreak, a vaginal delivery is considered safe. If herpes is present in the birth canal near the time of delivery, a cesarean section might be necessary to protect the newborn from coming into direct contact with the virus.
Babies also can get herpes if they are kissed by someone with a cold sore.
A young baby cannot fight off infections as easily as an adult can, so serious problems might result. It's important that you do not kiss a baby when you have a cold sore. Since early cell changes can be detected by Pap smears, all women should have regular Pap tests at least once a year. This may be because sores create breaks in the skin of the genitals and make it easier for HIV to get into the body. Given that herpes causes such lesions, it is extremely important to avoid sex during outbreaks.