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Chapter 14 - Sex with Bleeding in the Second and Third Trimesters

from Section 2 - Specific Issues

Published online by Cambridge University Press:  09 November 2022

By
Hisham T. Nasief ,
Duaa M. Bahkali  and
Lawrence W. Oppenheimer
Edited by
Dan Farine  and
Pablo Tobías González
Dan Farine
Affiliation:
Mount Sinai Hospital, Toronto
Pablo Tobías González
Affiliation:
Hospital Universitario Infanta Cristina de Parla, Madrid
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Summary

This chapter addresses the issue of what advice to give pregnant women who are at risk of bleeding or who have experienced vaginal bleeding (antepartum hemorrhage) during pregnancy. Topics covered include local causes of bleeding (e.g cervix), abruption, and placenta previa. We review the published evidence, which is very limited, for the basis of any recommendations regarding sex and bleeding in pregnancy. The recommendations provided in the chapter regarding sexual activity are tailored to the various clinical presentations of antepartum hemorrhage. This includes advice for patients who are at risk of bleeding as well as those who have already experienced an episode of antepartum hemorrhage. In a unique approach using the classification of placenta previa by transvaginal ultrasound, recommendations for sexual activity are related to the risks of hemorrhage based on distance of the placental edge from the internal cervical os.

Keywords

second pregnancy trimesterthird pregnancy trimesterpregnancy complicationsplacenta previaplacental abruptioncoitusvaginal bleedinguterine bleeding
Type
Chapter
Information
Sex and Pregnancy
From Evidence-Based Medicine to Dr Google
 , pp. 97 - 103
Publisher: Cambridge University Press
Print publication year: 2022

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