Breastfeeding with HSV-2

Herpes Simplex Virus Type 2 (HSV-2) is primarily known as a sexually transmitted infection affecting the genital area, but it's important for mamas to understand how it can impact breastfeeding. If you're navigating through the challenges of breastfeeding and HSV-2, there are a few key points to consider for the health and safety of you and your baby.

What is HSV-2 and how can it affect breastfeeding?

HSV-2 is a virus that causes genital herpes, leading to painful blisters or sores in the genital area. When it comes to breastfeeding, the primary concern is the potential transmission of the virus to the baby. However, HSV-2 primarily affects the genital area, so the risk of transmitting the virus through breast milk is very low. The main concern arises if you have or develop herpes sores on your breasts.

Can I breastfeed if I have HSV-2?

Yes, you can breastfeed with HSV-2 as long as you do not have any sores on your breasts. You should follow proper hygiene practices to prevent the transmission of the virus to your baby through other means. If you have active genital lesions, careful handling and hygiene are essential to prevent spreading the virus, especially during delivery and postpartum.

What precautions should I take while breastfeeding?

1. Inspect your breasts regularly for any signs of sores or blisters. If you find any, cover them with a clean dressing and consult with a healthcare provider immediately.
2. Practice good hand hygiene by washing your hands thoroughly with soap and water before and after touching your baby, your breasts, or any sores you may have.
3. Use separate towels for your baby and yourself to avoid spreading the virus.
4. Avoid breastfeeding if you have sores on your breasts. Pump or express your milk to maintain your supply, but discard the milk to prevent any risk of transmission.

When should I seek medical advice?

• If you develop sores or blisters on your breasts.
• If you're experiencing a primary outbreak of HSV-2 near your delivery date, as it may influence your delivery plan.
• If you're concerned about your baby's health and the risk of transmission.

Are there other breastfeeding-related issues to consider?

If you have genital herpes, there's a risk of neonatal herpes for your baby, particularly if you have an active outbreak during delivery. Neonatal herpes is a serious condition that requires immediate medical attention. Discuss your health status with your healthcare provider to manage risks during delivery.

Breastfeeding with HSV-2 might seem overwhelming, but with careful management and precautions, you can safely breastfeed your baby. Always consult with healthcare professionals and an IBCLC if you have concerns or questions about breastfeeding and managing HSV-2. They can provide tailored advice and support to ensure the health and well-being of both you and your baby.

Sources

• https://breastfeeding.support/herpes-and-breastfeeding/
• https://www.verywellhealth.com/breastfeeding-and-herpes-49580
• https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/maternal-or-infant-illnesses/herpes.html

Laura Franchow

RN, BSN, IBCLC, CEIM
NICU nurse since 2016, lactation specialty since 2020.