Is Maternal infection for HSV 1 Safe in Breastfeeding

I am a breastfeeding mother and i want to know if it is safe to use Maternal infection for HSV 1? Is Maternal infection for HSV 1 safe for nursing mother and child? Does Maternal infection for HSV 1 extracts into breast milk? Does Maternal infection for HSV 1 has any long term or short term side effects on infants? Can Maternal infection for HSV 1 influence milk supply or can Maternal infection for HSV 1 decrease milk supply in lactating mothers?

• DrLact safety Score for Maternal infection for HSV 1 is 5 out of 8 which is considered Unsafe as per our analyses.
• A safety Score of 5 indicates that usage of Maternal infection for HSV 1 may cause serious side effects in breastfed baby.
• Our study of different scientific research indicates that Maternal infection for HSV 1 may cause moderate to high side effects or may affect milk supply in lactating mother.
• Our suggestion is to use safer alternate options rather than using Maternal infection for HSV 1 .
• It is recommended to evaluate the advantage of not breastfeeding while using Maternal infection for HSV 1 Vs not using Maternal infection for HSV 1 And continue breastfeeding.
• While using Maternal infection for HSV 1 Its must to monitor child for possible reactions. It is also important to understand that side effects vary largely based on age of breastfed child and time of medication in addition to dosage.
• Score calculated using the DrLact safety Version 1.2 model, this score ranges from 0 to 8 and measures overall safety of drug in lactation. Scores are primarily calculated using publicly available case studies, research papers, other scientific journals and publically available data.

Herpes simplex virus (HSV) causes oral (HSV type I) and genital lesions (HSV types II and I). It is considered a sexually transmitted virus. The neonatal infection is more common in case of primary infection of the mother than in case of recurrent herpetic lesions (50% vs. 5%).Most transmissions occur at the time of the partum by contact with genital lesions (Tremolada 2008).During the neonatal period the disease can be very serious; beyond this period it does not usually have serious consequences. Although HSV DNA 1 and 2 are frequently found in breast milk (Kotronias 1999), there is only one allegedly documented case of transmission of HSV-1 through breast milk in the absence of skin, oral or genital lesions in the mother (Dunkle 1979).In other cases the transmission was due to herpetic lesions in the breast (Field 2016, Parra 2013, Sullivan 1983, Quinn 1978).There are also published cases of reverse infection: oral lesions of an infant with herpetic gingivostomatitis were transmitted to the nipple of the mother (Sealander 1989 Dekio 1986) and a sexually transmitted herpetic mastitis (Brown 1996). Breastfeeding is contraindicated only if there are lesions on the breast, but it should be allowed to breastfeed a baby from the unaffected breast (Garcia-Loygorri 2015, Lawrence 2004, Henrot 2002, Grossman 1981). For other locations standard preventive measures should be taken: thorough hand washing, covering the lesions so that the infant does not come into contact with them; wear masks and avoid lip contact (kissing) if the mother has herpes in the lips or stomatitis.