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Chapter 16 - Preterm Birth and Sex

from Section 2 - Specific Issues

Published online by Cambridge University Press:  09 November 2022

By
Julia Burd  and
Vincenzo Berghella
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

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.

Keywords

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

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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;168:22–31.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;28:79–87.Google Scholar
Petridou, E., Salvanos, H., Skalkidou, A., et al. Are there common triggers of preterm deliveries? BJOG 2001;108:598–604.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;133:1–6.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

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