Abstract

Case Report

Orgasmic coitus triggered stillbirth via placental abruption: A case report

Attila Pajor*, Semmelweis University Faculty of Medicine, Department of Obstetrics and Gynecology, Budapest, Hungary, Márton Vezér, Henriette Pusztafalvi, Bianka Pencz, Semmelweis University II. Department of Pathology, Budapest and Hungary

Published: 23 December, 2019 | Volume 3 - Issue 1 | Pages: 056-058

Sexual activity during healthy pregnancy is safe. There are little data on how coital activity affects outcome of the high-risk pregnancies. Hereby we report a case demonstrating that orgasmic coitus triggered placental abruption resulting in preterm stillbirth.

A 38-year-old 8-para, 12-gravida woman lived unmarriedly with a constant partner in low socioeconomic conditions. Her previous pregnancies included 7 deliveries without complication, two early miscarriages and two pregnancy terminations. Her present pregnancy was complicated with gestational hypertension successfully treated with nifedipine. She had coitus 2 to 4 times a month, mostly without orgasm. The last coitus which happened in side-by-side position was accompanied by orgasm which continued in uterine hypertonicity and massive vaginal bleeding at 29 weeks gestation. Two hours subsequently, on admission to hospital, placental abruption and fetal demise were diagnosed. At the emergency cesarean section, a dead female infant weighing 1,510 g was born. Fetal pathology was not discovered. Placental histopathology showed retroplacental hematoma, intervillous and decidual hemorrhages, focal distal villous hypoplasia and avascular villuses. Patient’s recovery rapidly occurred after intensive care.

Placental abruption complicates 0.4% - 1.0% of deliveries. It is known that most cases of abruption cannot be predicted and prevented. Our report suggests that orgasmic coitus may be a trigger for placental abruption in those women who have gestational hypertension and multiple risks for placental abruption. We infer from the above case that sexual intercourse is advised to avoid during pregnancy of such women in order to prevent placental abruption.

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Keywords:

Orgasm; Coitus; Stillbirth; Preterm; Placental abruption

References

  1. Oyelese Y, Ananth, CV. Placental abruption. Obstet Gynecol. 2006; 108: 1005-1016. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17012465
  2. Tikkanen M. Placental abruption: epidemiology, risk factors and consequences. Acta Obstet Gynecol Scand. 2011; 90: 140-149. PubMed: https://www.ncbi.nlm.nih.gov/21241259
  3. Ananth CV, Vintzileos AM. Ischemic placental disese: epidemiology and risk factors. Eur J Obstet Gynecol Reprod Biol. 2011; 159: 77-82. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21839575
  4. Boisramé T, Sananès N, Fritz G, Boudier E, Aissi G, et al. Placental abruption: risk factors, management and matenal-fetal prognosis. Cohort study over 10 years. Eur J Obstet Gynecol Reprod Biol. 2014; 179: 100-104. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24965988
  5. Ananth CV, Oyelese Y, Prasad V, Getahun D, Smulian JC. Evidence of placental abruption as a chronic process: associations with vaginal bleeding early in pregnancy and placental lesions. Eur J Obstet Gynecol Reprod Biol. 2006; 128: 15-21. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16513243
  6. Omar NS, Tan PC, Sabir N, Yusop ES, Omar SZ. Coitus to expedite the onset of labour: a randomised trial. Br J Obstet Gynaecol. 2013; 120: 338-345. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23145957
  7. Carbone L, De Vivo V, Saccone G, D’Antonio F, Mercorio A, et al. Sexual intercourse for induction of spontaneous onset of labor: A systemic review and meta-analysis of randomized controlled trials. J Sex Med. 2019; 16: 1787-1795. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31521572
  8. Sayle AE, Savitz DA, Thorp JM Jr, Hertz-Picciotto I, Wilcox AJ. Sexual activity during late pregnancy and risk of preterm delivery. Obstet Gynecol. 2001; 97: 283-289. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/11165596
  9. Aziken ME. Abruptio placenta following sexual intercourse: case report. Niger Postgrad Med J. 2003; 10: 113-114. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/14567049
  10. Naeye RL. Coitus and antepartum haemorrhage. Br J Obstet Gynaecol. 1981; 88: 765-770. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7248236
  11. Brink AL, Odendaal HJ. Risk factors for abruptio placentae. S Afr Med J. 1987; 72: 250-252. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3616809
  12. Räisänen S, Gissler M, Nielsen HS, Kramer MR, Williams MA, et al.Social disparity affects the incidence of placental abruption among multiparous but not nulliparous women: a register-based analysis of 1,162,126 singleton births. Eur J Obstet Gynecol Reprod Biol. 2013; 171: 246-251. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24094822
  13. Morales-Roselló J, Khalil A, Akhoundova F, Salvi S, Morlando M, et al. Fetal cerebral and umbilical Doppler in pregnancies complicated by late-onset placental abruption. J Matern Fetal Neonatal Med. 2017; 30: 1320-1324. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27484964
  14. Chahal HS, Gelaye B, Mostofsky E, Sanchez SE, Mittleman MA. et al. Physical exertion immediately prior to placental abruption: A case-crossover study. Am J Epidemiol. 2018; 1287: 2073-2079. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29992226
  15. He S, Kosatsky T, Smargiassi A, Bilodeau-Bertrand M, Auger N, et al. Heat and pregnancy-related emergencies: Risk of placental abruption during hot weather. Environ Int. 2018; 111: 259-300. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29146008
  16. Polomeno V. Sex and pregnancy: A perinatal educator’s guide. J Perinatal Educ. 2000; 9: 15-27. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595041/
  17. Chayen B, Tejani N, Verma UL. Fetal heart rate changes and uterine activity during coitus. Acta Obstet Gynecol Scand. 1986; 65: 853-855. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3825526
  18. Goodline RC, Schmidt W, Creevy DC. Uterine tension and fetal heart rate during maternal orgasm. Obstet Gynecol. 1972; 39: 125-127. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/5008272
  19. Odame Anto E, Owiredu WKBA, Sakyi SA, Turpin CA, Ephraim RKD, et al. Adverse pregnancy outcomes and imbalance in angiogenic growth mediators and oxidative stress biomarkers is associated with advanced maternal age births: A prospective cohort study. PLoS One. 2018; 13: e0200581.PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30016351
  20. Palmeri ST, Kostis JB, Casazza L, Sleeper LA, Lu M, et al. Heart rate and blood pressure response in adult men and women during exercise and sexual activity. Am J Cardiol. 2007; 100:1795-1801. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18082530

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  • Orgasmic coitus triggered stillbirth via placental abruption: A case report
    Attila Pajor*, Semmelweis University Faculty of Medicine, Department of Obstetrics and Gynecology, Budapest, Hungary, Márton Vezér, Henriette Pusztafalvi, Bianka Pencz, Semmelweis University II. Department of Pathology, Budapest and Hungary Attila Pajor*,Semmelweis University Faculty of Medicine, Department of Obstetrics and Gynecology, Budapest, Hungary,Márton Vezér,Henriette Pusztafalvi,Bianka Pencz,Semmelweis University II. Department of Pathology, Budapest, Hungary . Orgasmic coitus triggered stillbirth via placental abruption: A case report. . 2019 doi: 10.29328/journal.acr.1001026; 3: 056-058

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