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8443 Gynaecology & Obstetrics

A woman complains of discharge and soreness in the vulval region at a POA of 36 weeks. Examination reveals small discreet, tender ulcers in the labia majora, minora and perineum. She has not had a similar episode previously. On viral culture and serological testing she did not have antibodies against the infecting strain.What is the best treatment option?

APerform a cesarean section immediately
BTreat with oral acyclovir and induced labour as soon as the ulcers heal
CTreat with oral acyclovir and await spontaneous onset of labour
DTreat with oral acyclovir and perform an elective cesarean section at 38 weeks
Gynaecology & Obstetrics
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