Effect of coitus at term on length of gestation, induction of labor, and mode of delivery
ABSTRACT To determine coital incidence at term and to estimate its effect on labor onset and mode of delivery.
Healthy women with uncomplicated pregnancies and established gestational age were recruited to keep a diary of coital activity from 36 weeks of gestation until birth and to answer a short questionnaire. Two hundred women with complete coital diaries were available for analysis. Outcome measures include coitus, postdate pregnancy (defined as pregnancy beyond the estimated date of confinement), gestational length of at least 41 weeks, labor induction at 41 weeks of gestation, and mode of delivery
Reported sexual intercourse at term was influenced by a woman's perception of coital safety, her ethnicity, and her partner's age. After multivariable logistic regression analysis controlling for the women's ethnicity, education, occupation, perception of coital safety, and partner's age, coitus at term remained independently associated with reductions in postdate pregnancy (adjusted odds ratio [AOR] 0.28, 95% confidence interval [CI] 0.13-0.58, P = .001), gestational length of at least 41 weeks (AOR 0.10, 95% CI 0.04-0.28, P < .001), and requirement for labor induction at 41 weeks of gestation (AOR 0.08, 95% CI 0.03-0.26, P < .001). At 39 weeks of gestation, 5 (95% CI 3.3-10.3) couples needed to have intercourse to avoid one woman having to undergo labor induction at 41 weeks of gestation. Coitus at term had no significant effect on operative delivery (adjusted P = .15).
Reported sexual intercourse at term was associated with earlier onset of labor and reduced requirement for labor induction at 41 weeks.
- Fuel and Energy Abstracts 12/2011; DOI:10.1016/j.jgyn.2011.09.021
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ABSTRACT: The aim of this study is to assess the opinions and the practice of pregnant women on sexuality during pregnancy in an african setting. It is a voluntary and anonymous cross sectional survey conducted in September 2004 in an antenatal clinic in Bobo Dioulasso, Burkina Faso. Data collected are analyzed using EPI INFO 2000. A total of 95 pregnant women were interviewed. The profile of the woman who participated in the study is as followed: a mean age of 25 years, having no formal literacy, mainly housewife and Muslim, engaged in a monogamous marriage in 50% of the cases and bearing a pregnancy of 5 months of gestational age. The women's opinions on sexuality during pregnancy are stated as followed: for 92.6% sexual intercourse is possible during pregnancy and that is not related to their instruction level (χ2=4.4 and p=0.81). In 85% of the cases, the women say that they have sexual intercourse during the time of the survey and that is related to the fact that they thought that sexual intercourse is possible during pregnancy (χ2=14.47 and p=0.005) but not related to the gestational age (χ2=13.2 and p=0.67). The majority of the women (60%) say that sexual intercourse has no harmful effect on the baby to be born. The two main reasons given by the women for sexual activity during pregnancy are the pleasure of the couple follow az ed by the pleasure of their partner.Sexologies 04/2007; 16(2):138-143. DOI:10.1016/j.sexol.2006.12.012
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ABSTRACT: To estimate the effect of coitus on the onset of labor. Women with a nonurgent labor induction at term were recruited. Women randomly assigned to the advised-coitus group were encouraged to have sex to promote the onset of labor. Controls were neither encouraged nor discouraged regarding coitus. Participants kept a coital and orgasm diary until delivery, and standard obstetric care was provided to both groups. Primary outcomes were reported coitus and spontaneous labor. Secondary outcomes included reported orgasms, initial Bishop score at the admission for induction, preterm rupture of membranes, use of dinoprostone, oxytocin, or epidural, meconium-stained amniotic fluid, cesarean delivery, maternal fever, and neonatal morbidity. One hundred eight and 102 women randomly assigned to advised-coitus and control groups, respectively, were available for analysis. Women assigned to the advised-coitus group were more likely to report coital activity before delivery (60.2% compared with 39.6%, relative risk 1.5, 95% confidence interval 1.1-2.0; P=.004), but the spontaneous labor rate was no different (55.6% compared with 52.0%, relative risk 1.1, 95% confidence interval 0.8-1.4; P=.68). Cesarean delivery rate and neonatal and other secondary outcomes were also not different. Among women scheduled for labor induction who were advised to have sex, the increase in sexual activity did not increase the rate of spontaneous labor. isrctn.org, http://isrctn.org, ISRCTN17998696Obstetrics and Gynecology 11/2007; 110(4):820-6. DOI:10.1097/01.AOG.0000267201.70965.ec · 4.37 Impact Factor