What problems should be paid attention to during pregnancy?

Patient's question:

Detailed medical condition and consultation purpose: Can sexual activity be performed after being pregnant for 40 weeks?
Duration of the current illness:
Current general condition: Severe vomiting
Medical history:
Previous diagnoses and treatment history and effectiveness:
Auxiliary examinations:
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Doctor's answer:

Hello:
Generally speaking, sexual activity is not advisable during pregnancy, especially in the first three months and the last three months. Although some believe that sexual intercourse during pregnancy is not a major concern, in fact, many cases of miscarriage, premature birth, premature rupture of membranes, and postpartum infections are caused by sexual activity. The main risks of sexual activity during pregnancy include:
1. Increased risk of uterine contractions leading to miscarriage or premature birth. There are two main reasons: First, the mechanical stimulation during sexual intercourse causes congestion in the external genitalia and pelvic organs. During orgasm, the perineum, vagina, and pelvic floor muscles contract rhythmically, and even the uterus may contract, making miscarriage or premature birth more likely. Second, male semen is rich in prostaglandins, which can stimulate uterine contractions, causing the placenta to detach from the uterine wall, leading to miscarriage, premature rupture of membranes, or premature birth due to cervical dilation.
2. Potential for antenatal, intrapartum, and postpartum infections. This is because both male and female external genitalia often carry bacteria. Sexual intercourse can easily lead to premature rupture of membranes, and the alkaline amniotic fluid that leaks out provides a favorable environment for bacterial growth, causing intrauterine infection. Postpartum cervical lacerations also provide an opportunity for bacteria to enter, making infection more likely.
If sexual activity occurs occasionally during the second trimester of pregnancy, the following two points should be noted:
(1) Pay attention to the cleanliness of the sexual organs; both partners must clean their external genitalia before intercourse.
(2) Be cautious and gentle, especially avoiding rough movements from the male partner. It is best to avoid the male-on-top sexual position.

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