Sexual activity during pregnancy

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Most women can continue to engage in sexual activity during pregnancy, including sexual intercourse. [1] Most research suggests that during pregnancy both sexual desire and frequency of sexual relations decrease. [2] [3] In context of this overall decrease in desire, some studies indicate a second-trimester increase, preceding a decrease during the third trimester. [4] [5]

Contents

Sex during pregnancy is a low-risk behavior except when the healthcare provider advises that sexual intercourse be avoided for particular medical reasons. [1] For a healthy pregnant woman, there is a variety of safe ways to have sex during pregnancy. [1]

Desire and frequency

Most research suggests that, during pregnancy, sexual desire and frequency of sexual relations decrease. [2] [3] In context of this overall decrease in desire, some studies indicate a second-trimester increase, preceding a decrease. [4] However, these decreases are not universal: a significant number of women report greater sexual satisfaction throughout their pregnancies. [6]

Safety

Sex during pregnancy is a low-risk behaviour except when the physician advises that sexual intercourse be avoided, because it may, in some pregnancies, lead to serious pregnancy complications or health issues such as a high-risk for premature labour or a ruptured uterus.[ citation needed ] Such a decision may be based upon a history of difficulties in a previous childbirth. However, it has been observed that evidence in this area is lacking and physicians' advice is more likely to be based on supposition than scientific knowledge. [7]

Fetus protected by amniotic fluid

During pregnancy, the fetus is protected from sexual thrusting and unwanted semen by the amniotic fluid in the womb and by the cervical mucus plug in the woman's cervix, which forms shortly after conception. [8] [9]

Benefits

Psychological usefulness

Sex positions for pregnant women Pregnancy - Vaginal Sex.png
Sex positions for pregnant women

Some studies in the 1980s and 1990s contend that it is useful for pregnant women to continue to be sexually active, specifically noting that overall sexual satisfaction was correlated with feeling happy about being pregnant, feeling more attractive in late pregnancy than before pregnancy, and experiencing orgasm. [4] Sexual activity has also been suggested as a way to prepare for induced labor; some believe the natural prostaglandin content of seminal liquid can favor the maturation process of the cervix making it more flexible, allowing for easier and faster dilation and effacement of the cervix. However, the efficacy of using sexual intercourse as an induction agent "remains uncertain". [10]

Prevention of pre-eclampsia

There is tentative evidence for exposure to partner's semen as prevention for pre-eclampsia, largely due to the absorption of several immune modulating factors present in seminal fluid. [11] [12]

After pregnancy

Sexual intercourse after giving birth can begin when the couple are both ready. However most American couples wait six weeks. [13] Ovulation and thus pregnancy can begin prior to a return to regular menses.

See also

Related Research Articles

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Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field.

<span class="mw-page-title-main">Pre-eclampsia</span> Hypertension occurring during pregnancy

Pre-eclampsia is a disorder of pregnancy characterized by the onset of high blood pressure and often a significant amount of protein in the urine. When it arises, the condition begins after 20 weeks of pregnancy. In severe cases of the disease there may be red blood cell breakdown, a low blood platelet count, impaired liver function, kidney dysfunction, swelling, shortness of breath due to fluid in the lungs, or visual disturbances. Pre-eclampsia increases the risk of undesirable as well as lethal outcomes for both the mother and the fetus including preterm labour. If left untreated, it may result in seizures at which point it is known as eclampsia.

<span class="mw-page-title-main">Vaginal lubrication</span> Vaginal lubrication

Vaginal lubrication is a naturally produced fluid that lubricates vagina. Vaginal lubrication is always present, but production increases significantly near ovulation and during sexual arousal in anticipation of sexual intercourse. Vaginal dryness is the condition in which this lubrication is insufficient, and sometimes artificial lubricants are used to augment it. Without sufficient lubrication, sexual intercourse can be painful. The vaginal lining has no glands, and therefore the vagina must rely on other methods of lubrication. Plasma from vaginal walls due to vascular engorgement is considered to be the chief lubrication source, and the Bartholin's glands, located slightly below and to the left and right of the introitus, also secrete mucus to augment vaginal-wall secretions. Near ovulation, cervical mucus provides additional lubrication.

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Obstetric ultrasonography, or prenatal ultrasound, is the use of medical ultrasonography in pregnancy, in which sound waves are used to create real-time visual images of the developing embryo or fetus in the uterus (womb). The procedure is a standard part of prenatal care in many countries, as it can provide a variety of information about the health of the mother, the timing and progress of the pregnancy, and the health and development of the embryo or fetus.

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Prelabor rupture of membranes (PROM), previously known as premature rupture of membranes, is breakage of the amniotic sac before the onset of labor. Women usually experience a painless gush or a steady leakage of fluid from the vagina. Complications in the baby may include premature birth, cord compression, and infection. Complications in the mother may include placental abruption and postpartum endometritis.

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<span class="mw-page-title-main">Non-penetrative sex</span> Sexual activity that usually does not include sexual penetration

Non-penetrative sex or outercourse is sexual activity that usually does not include sexual penetration. It generally excludes the penetrative aspects of vaginal, anal, or oral sexual activity, but includes various forms of sexual and non-sexual activity, such as frottage, mutual masturbation, kissing, or cuddling. Some forms of non-penetrative sex, particularly when termed outercourse, include penetrative aspects, such as penetration that may result from forms of fingering or oral sex.

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<span class="mw-page-title-main">Circumvallate placenta</span> Medical condition

Circumvallate placenta is a rare condition affecting about 1-2% of pregnancies, in which the amnion and chorion fetal membranes essentially "double back" on the fetal side around the edges of the placenta. After delivery, a circumvallate placenta has a thick ring of membranes on its fetal surface. Circumvallate placenta is a placental morphological abnormality associated with increased fetal morbidity and mortality due to the restricted availability of nutrients and oxygen to the developing fetus.

Early pregnancy bleeding refers to vaginal bleeding before 14 weeks of gestational age. If the bleeding is significant, hemorrhagic shock may occur. Concern for shock is increased in those who have loss of consciousness, chest pain, shortness of breath, or shoulder pain.

The anomaly scan, also sometimes called the anatomy scan, 20-week ultrasound, or level 2 ultrasound, evaluates anatomic structures of the fetus, placenta, and maternal pelvic organs. This scan is an important and common component of routine prenatal care. The function of the ultrasound is to measure the fetus so that growth abnormalities can be recognized quickly later in pregnancy, to assess for congenital malformations and multiple pregnancies, and to plan method of delivery.

References

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  8. Sex During Pregnancy - March of Dimes
  9. "Superfetation: Pregnant while already pregnant".
  10. Methods for Cervical Ripening and Induction of Labor - May 15, 2003 - American Family Physician
  11. Sarah Robertson. "Research Goals --> Role of seminal fluid signalling in the female reproductive tract". Archived from the original on 2012-03-29.
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