Genital warts are common, and do not require a c-section except in rare instances where there are large warts preventing vaginal delivery. A history of genital warts is no reason for doing a c-section.
There is a rare condition where the HPV virus gets on a newborn's vocal cords, but it's so rare that I've never seen it.
HSV 1 can be very dangerous for a newborn, but most newborn infections develop when a woman first gets an HSV infection near the time of her delivery, before she has developed antibodies. A past history of genital herpes is no reason for doing a c-section.
If you developed a genital herpes infection at the time of delivery, a c-section would likely be necessary to prevent contact of your baby with the virus, but since you haven't had a recurrence in 4 years, the chance of one occurring near delivery is very small. I hope that's helpful.
Acyclovir use in late pregnancy seems to be very safe for the baby. We generally don't use it in someone like yourself with HSV-1 history and no recurrence, since you're very low risk, but it can be done.
Acyclovir is very effective in preventing an outbreak. It would generally be started around 36 weeks.
If there was an active outbreak at the time of delivery, a c-section would generally be done, regardless whether it was an initial or recurrent outbreak. We would not want to risk contact of the baby with herpes sores.
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