Over the past 15 years, successful antiviral therapy of herpes simplex
virus (HSV) infection has emerged with safe therapeutics. Despite the
major impact of acyclovir on the severity of HSV infection, morbidity
and mortality from neonatal herpes exist. The development of therapeu
tics that impact on the natural history of HIV and AIDS just now are b
eing realized, nearly a decade after the first beneficial effects of t
herapy were reported. Early investigations of antiviral agents in preg
nant women and children must occur more promptly as the field of antiv
iral therapy advances. Improved therapeutics are likely to emerge over
the next decade for both pregnant women and their offspring.