Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-22T09:11:47.313Z Has data issue: false hasContentIssue false

Chapter 16 - Preterm Birth and Sex

from Section 2 - Specific Issues

Published online by Cambridge University Press:  09 November 2022

Dan Farine
Affiliation:
Mount Sinai Hospital, Toronto
Pablo Tobías González
Affiliation:
Hospital Universitario Infanta Cristina de Parla, Madrid
Get access

Summary

While there is a physiological basis for the concern about preterm birth with sex in pregnancy, this risk has not been demonstrated in retrospective and prospective studies. In fact, in low-risk patients, sexual activity is typically associated with a decrease in preterm birth. In patients with a history of preterm birth, there is also no evidence that sexual activity increases the risk of preterm birth. Sexually transmitted infections (STIs) should be avoided in pregnancy due to the well-documented increased risk of preterm birth. Notably, sexual cohabitation for 12 months prior to conception (with maternal exposure to sperm) leads to a decrease in preeclampsia and likely to the risk of preterm birth.

Type
Chapter
Information
Sex and Pregnancy
From Evidence-Based Medicine to Dr Google
, pp. 112 - 119
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

MacPhedran, S. E.. Sexual activity recommendations in high-risk pregnancies: what is the evidence? Sex Med Rev 2018;6:343–57.Google Scholar
Ahmadi, A., Ramazanzadeh, R., Sayehmiri, K., Sayehmiri, F., Amirmozafari, N.. Association of Chlamydia trachomatis infections with preterm delivery: a systematic review and meta-analysis. BMC Pregnancy Childbirth 2018;18:240.Google Scholar
Li, D.-K., Raebel, M. A., Cheetham, T. C., et al. Genital herpes and its treatment in relation to preterm delivery. Am J Epidemiol 2014;180:1109–17.CrossRefGoogle ScholarPubMed
Read, J. S., Klebanoff, M. A.. Sexual intercourse during pregnancy and preterm delivery: effects of vaginal microorganisms. Am J Obstet Gynecol 1993;168:514–19.Google Scholar
Berghella, V., Klebanoff, M., McPherson, C., et al. Sexual intercourse association with asymptomatic bacterial vaginosis and Trichomonas vaginalis treatment in relationship to preterm birth. Am J Obstet Gynecol 2002;187:1277–82.CrossRefGoogle ScholarPubMed
Carey, J. C., Klebanoff, M. A., Hauth, J. C., et al. Metronidazole to prevent preterm delivery in pregnant women with asymptomatic bacterial vaginosis. N Engl J Med 2000;342:534–40.Google Scholar
Di Mascio, D., Saccone, G., Bellussi, F., Vitagliano, A., Berghella, V.. Type of paternal sperm exposure before pregnancy and the risk of preeclampsia: a systematic review. Eur J Obstet Gynecol Reprod Biol 2020;251:246–53.CrossRefGoogle ScholarPubMed
Olayemi, O., Strobino, D., Aimakhu, C., et al. Influence of duration of sexual cohabitation on the risk of hypertension in nulliparous parturients in Ibadan: a cohort study. Aust NZ J Obstet Gynaecol 2010;50:40–4.Google Scholar
Sayle, A. E., Savitz, D. A., Thorp, J. M., Hertz-Picciotto, I., Wilcox, A. J.. Sexual activity during late pregnancy and risk of preterm delivery. Obstet Gynecol 2001;97:283–9.Google Scholar
Ekwo, E., Woolson, R., Long, C. R., Moawad, A.. Coitus late in pregnancy: risk of preterm rupture of amniotic sac membranes. Am J Obstet Gynecol 1993;168:2231.Google Scholar
Harger, J. H., Hsing, A. W., Tuomala, R. E., et al. Risk factors for preterm premature rupture of fetal membranes: a multicenter case-control study. Am J Obstet Gynecol 1990;163:130–7.Google Scholar
Hernández-Díaz, S., Boeke, C. E., Romans, A. T., et al. Triggers of spontaneous preterm delivery: why today? Paediatr Perinat Epidemiol 2014;28:7987.Google Scholar
Petridou, E., Salvanos, H., Skalkidou, A., et al. Are there common triggers of preterm deliveries? BJOG 2001;108:598604.Google Scholar
Purisch, S., Brandt, J., Srinivas, S., Bastek, J.. 829: Is frequency of sexual intercourse during pregnancy associated with preterm birth? Am J Obstet Gynecol 2014;210(1 Suppl):S403.Google Scholar
Zhang, Y. P., Liu, X. H., Gao, S. H., et al. Risk factors for preterm birth in five maternal and child health hospitals in Beijing. PLoS ONE 2012;7:e52780.Google Scholar
Meuleman, T., Baden, N., Haasnoot, G. W., et al. Oral sex is associated with reduced incidence of recurrent miscarriage. J Reprod Immunol 2019;133:16.CrossRefGoogle ScholarPubMed
Garnier, F., Masson, G., Bedu, A., et al. Maternofetal infections due to Eikenella corrodens. J Med Microbiol 2009;58:273–5.Google Scholar
Yost, N. P., Owen, J., Berghella, V., et al. Effect of coitus on recurrent preterm birth. Obstet Gynecol 2006;107:793–7.CrossRefGoogle ScholarPubMed
Neilson, J. P., Mutambira, M.. Coitus, twin pregnancy, and preterm labor. Am J Obstet Gynecol 1989;160:416–18.CrossRefGoogle ScholarPubMed
Stammler-Safar, M., Ott, J., Weber, S., Krampl, E.. Sexual behaviour of women with twin pregnancies. Twin Res Hum Genet 2010;13:383–8.Google Scholar
Grobman, W. A., Gilbert, S. A., Iams, J. D., et al. Activity restriction among women with a short cervix. Obstet Gynecol 2013;121:1181–6.Google Scholar
Norwitz, E. R.. Transvaginal cervical cerclage. 2020. www.uptodate.com/contents/transvaginal-cervical-cerclage (accessed April 24, 2021).Google Scholar
Alexander, J. M., Mercer, B. M., Miodovnik, M., et al. The impact of digital cervical examination on expectantly managed preterm rupture of membranes. Am J Obstet Gynecol 2000;183:1003–7.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×