• Anesthesia and analgesia · Nov 2010

    Review

    Focused review: neuraxial morphine and oral herpes reactivation in the obstetric population.

    • Jeanette R Bauchat.
    • Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA. jbauchat@gmail.com
    • Anesth. Analg. 2010 Nov 1;111(5):1238-41.

    AbstractNeuraxial morphine administration is a common strategy for providing postcesarean delivery analgesia. Morphine delivered via this route increases the risk of herpes labialis (oral herpes) reactivation, a disease common in women of childbearing age. A primary concern is risk of transmission to the neonate from maternal reactivation. The benefits to the mother of this form of analgesia outweigh the risk of neonatal herpes acquired postpartum from maternal recurrence because serious neonatal morbidity from recurrent herpes has not been described.

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