- Screening and Counseling: Pregnant women should be screened for HSV and counseled on the risks of transmission. - Cesarean Delivery: May be recommended for women with active genital lesions at the time of labor to reduce the risk of neonatal transmission. - Antiviral Prophylaxis: Pregnant women with a history of HSV may be prescribed antiviral medications in the third trimester to reduce viral shedding and the risk of transmission.