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Cited by 49Preterm Birth and ChorioamnionitisMaternal and Perinatal Health InterventionsInfant Development and Preterm Care

Coitus late in pregnancy: Risk of preterm rupture of amniotic sac membranes

Ekwo, Edem E., Gosselink, Carol A., Woolson, Robert, Moawad, Atef, Long, Cynthia R.·1993·American Journal of Obstetrics and Gynecology
DOI 10.1016/s0002-9378(12)90879-0
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Abstract

Objectives Coitus with or without orgasm in late pregnancy is inconsistently associated with preterm rupture of amniotic sac membranes. We tested the hypothesis that during late pregnancy sexual behaviors including sexual positioning relate to the occurrence of premature rupture of membranes.Study design Women aged 15 to 45 years having preterm premature rupture of membranes, term premature rupture of membranes, or preterm delivery without premature rupture of membranes were matched singly by age, race, and parity to control women delivered of term infants. Information about six sexual activities, obstetric history, cervical infections, smoking during pregnancy, and sociodemographic information was obtained by face-to-face interview.Results Only the male superior position was significantly associated with preterm premature rupture of membranes (odds ratio 2.40, 95% confidence interval 1.16 to 4.97) and preterm delivery without premature rupture of membranes (odds ratio 1.82, confidence interval 1.02 to 3.25) after confounding variables were controlled for. No sexual positioning or sexual activities related significantly to term premature rupture of membranes.Conclusion Most sexual positions and activities during late pregnancy are not associated with adverse pregnancy outcomes.

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Crossref · 10.1016/s0002-9378(12)90879-0

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  • Previous observational studies suggest that various factors (coitus, prolonged standing, infections, physical exertion, caffeine, smoking, cocaine, marijuana, alcohol, skipping meals, psychological stress) may trigger preterm delivery.

    “Previous observational studies suggest that coitus7, prolonged standing8,9, urinary tract and other infections10, physical exertion11,12, caffeine intake13, smoking14–16, cocaine use17, marijuana use18, alcohol use17, skipping meals19, and psychological stress20,21 may trigger preterm delivery.”

    From Triggers of Spontaneous Preterm Delivery – Why Today? (2014) · cites this paper as [7]

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Authors
Ekwo, E. E., Gosselink, C. A., Woolson, R., Moawad, A., & Long, C. R.
Affiliations
University of Chicago (US)
Corresponding author
Ekwo, Edem E.
ORCID
Long, Cynthia R.
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
1993-01
Volume
168
Issue
1
Pages
22-31
ISSN
0002-9378 (ISSN-L)
DOI
10.1016/s0002-9378(12)90879-0
OpenAlex
W2035022341
Cited by
49
References
32
Citations by year
2024: 1 · 2023: 6 · 2021: 1 · 2019: 2 · 2018: 1 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 5
FWCI
1.79
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01hd020361-05)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (5 R01 HD20361-02)
Topics
  • Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
preterm premature rupture of membranes, term premature rupture of membranes, preterm birth, sexual behavior in pregnancy, pregnancy outcomes
MeSH terms
Adolescent, Adult, Coitus, Female, Fetal Membranes, Premature Rupture, Premature Rupture of Fetal Membranes, Humans, Obstetric Labor, Premature, Orgasm, Posture, Pregnancy, Pregnancy Trimester, Third, Odds Ratio, Case-Control Studies

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