Which of the following conditions may necessitate a discussion on the risks during pregnancy?

The presence of herpes during pregnancy can significantly impact both maternal and fetal health, making it essential to discuss the risks associated with this condition. Herpes simplex virus (HSV) can be particularly concerning if a woman is experiencing an active outbreak or has a history of genital herpes when she goes into labor. If a baby is exposed to the virus during delivery, there is a risk of neonatal herpes, which can lead to serious complications for the newborn, including severe illness or even death. Therefore, healthcare providers need to thoroughly discuss the implications of herpes and possibly recommend preventive measures, such as a cesarean delivery if there are active lesions at the time of labor.

Hypertension and diabetes also present risks during pregnancy and require management; however, the direct urgency of discussing the risks specifically associated with herpes during pregnancy, particularly regarding transmission during delivery, sets it apart as a condition that necessitates thorough discussion.