Abstract
Genital herpes in pregnancy frequently complicates management, although neonatal herpes, a potentially catastrophic complication, is rare1,2. Maternal acquisition of genital herpes simplex virus (HSV) type 1 or 2 near the time of delivery accounts for most neonatal herpes. Neonatal HSV incidence has been stable in recent decades, although a shift toward more HSV-1 infections has been reported1,3. Concurrently, a decline in HSV-1 seroprevalence, but not HSV-2, has been noted among reproductive-aged women in nationwide surveys4,5. We determined trends in the seroprevalence of HSV-1 and HSV-2 among pregnant women delivering in a single urban academic center during two decades in Seattle, Washington.
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