Much of the advice with regards to sexual activity during pregnancy results in overemphasis on caution or social taboos. With some exceptions, intercourse should be allowed any time during pregnancy, and also allowed for the recently delivered female. There is no evidence that intercourse in a woman with intact membranes, a competent cervical os, which is neither dilated or effaced late in gestation presents a hazard to the mother or fetus, either from the trauma of coital thrusting or from infection. Intercourse should be proscribed in the presence of ruptured membranes, pain, and uterine bleeding of any kind. Additionally, since uterine contractions occurring during orgasm may precipitate labour in certain predisposed individuals, orgasm should be proscribed in women who have previously delivered prematurely, who are found to have a dilated or effaced cervix or any other finding suggesting premature labour, or carrying a fetus estimated to weigh less than 2,500 grams. Couples should be cautioned against certain sexual practises which are potentially dangerous to the pregnant female, such as blowing air into her vagina which may cause a fatal air embolism. Additionally, couples should be advised about the alteration in sexual drive experienced by some pregnant females and their husbands, their respective emotional needs and vulnerabilities during the pregnancy, as well as post-partum sexual and emotional adjustment problems.
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