What potential outcome is associated with herpes outbreaks just before birth?

The potential outcome associated with herpes outbreaks just before birth is an increased chance of passing it onto the baby. When a woman has an active herpes outbreak during the late stages of pregnancy or just before delivery, the risk of vertical transmission of the virus to the newborn is heightened. This is because the baby may come into direct contact with the lesions in the birth canal during delivery, which can lead to neonatal herpes. Neonatal herpes can result in severe complications, including the potential for serious illnesses in the newborn, such as neurologic damage or even death.

In contrast, if there is no active outbreak at the time of labor, the risk of transmission is significantly lower. Understanding this critical factor helps to guide clinical decision-making regarding delivery methods and the management of herpes in pregnant individuals, emphasizing the importance of monitoring and potentially planning for a cesarean section if lesions are present at the time of delivery.