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Z Geburtshilfe Neonatol 2023; 227(02): 134-140
DOI: 10.1055/a-2019-5031
Original Article

The Effect on the Birth Process of Endogenous Oxytocin Release Via Coitus at Home in Pregnant Women in the Latent Phase

Begum Kurt 
1   Department of Obstetrics and Gynecology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Turkey
,
Gulbahtiyar Demirel
2   Department of Midwifery, Sivas Cumhuriyet University, Sivas, Turkey
,
Ilkin Seda Caglayan
1   Department of Obstetrics and Gynecology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Turkey
,
Adem Doganer
3   Department of Biostatistics and Medical Informatics, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
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Abstract

Objectives This study was conducted to determine the effect of endogenous oxytocin release via coitus at home on the delivery process in pregnant women who were not hospitalized in the latent phase.

Background For healthy pregnant women who can deliver spontaneously, it is recommended to be admitted to the delivery room during the active phase of labor. When the pregnant woman is admitted to the delivery room in the latent phase before the active stage, pregnant women spend more time in the delivery room, which makes medical intervention inevitable.

Methods 112 pregnant women for whom hospitalization in the latent phase was recommended were included in the randomized controlled study. They were divided into two groups in which sexual activity in the latent phase was recommended (n=56) and the control group (n=56).

Results In our study, the duration of the 1st stage of labor was found to be significantly shorter in the group in which sexual activity in the latent phase was recommended, compared to the control group (p=0.001). Again, the need for amniotomy, labor induction with oxytocin, analgesics and episiotomy decreased.

Conclusion Sexual activity can be considered as a natural way to speed up labor, reduce medical interventions, and prevent postterm pregnancy.

Key words

birth process - endogenous oxytocin - coitus - latent phase - pregnancy


Publication History

Received: 28 October 2022

Accepted: 14 December 2022

Article published online:
20 February 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 World Health Organization. WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva: World Health Organization. License: CC BY-NC-SA 3.0 IGO, 2018. Available from: http://www.who.int/reproductivehealth/publications/intrapartumcare-guidelines/en/
    PubMed
  • 2 Charles C. Labor and normal birth. In: Chapman V, Charles C (eds.). The Midwife’s Labor and Birth Handbook. 3rd ed.. Southern Gate, Chichester: Wiley-Blackwell Publishing Ltd.; 2013: 1-32
    Google Scholar
  • 3 Kobayashi S, Hanada N, Matsuzaki M. et al. Assessment and support during early labor for improving birth outcomes. Cochrane Database Syst Rev 2017; 4: CD011516
    PubMedGoogle Scholar
  • 4 Rahnama P, Ziaei S, Faghihzadeh S. Impact of early admission in labor on method of delivery. Int J Gynaecol Obstet 2006; 92: 217-220
    CrossrefPubMedGoogle Scholar
  • 5 Berghella V, Baxter JK, Chauhan SP. Evidence-based labor and delivery management. Am J Obstet Gynecol 2008; 199: 445-454
    CrossrefPubMedGoogle Scholar
  • 6 Balcik CM, Öztürk Can H. Effects of the time of pregnant women’s admission to the labor ward on the labor process and interventions. Health Care Women Int 2021; 42: 563-579
    CrossrefPubMedGoogle Scholar
  • 7 Clark SL, Miller DD, Belfort MA. et al. Neonatal and maternal outcomes associated with elective term delivery. Am J Obstet Gynecol 2009; 200: 156
    CrossrefPubMedGoogle Scholar
  • 8 Martin JA, Hamilton BE, Sutton TD. et al. Births: final data for 2006. Natl Vital Stat Rep 2009; 57: 1-102
    PubMedGoogle Scholar
  • 9 Reisner DP, Wallin TK, Zingheim RW. et al. Reduction of elective inductions in a large community hospital. Am J Obstet Gynecol 2009; 200: 674
    CrossrefPubMedGoogle Scholar
  • 10 Cunningham FG, Leveno KJ, Bloom SL. et al. Williams Obstetrics. 23rd edition. Çev. Ceylan Y, Yıldırım G, Gedikbaşı A et al. (translators). İstanbul: Nobel Tıp Kitabevi; 2010: 500-510
    Google Scholar
  • 11 Wilson BL, Effken J, Butler JR. The relationship between section and labor induction. J Nurs Scholarsh 2010; 42: 130-138
    CrossrefPubMedGoogle Scholar
  • 12 Demirel G, Guler H. The effect of uterine and nipple stimulation on induction with oxytocin and the labor process. Worldviews Evid Based Nurs 2015; 12: 273-280
    CrossrefPubMedGoogle Scholar
  • 13 Chapman L, Durham FR. Labor Interventions, Maternal–Newborn Nursing. Philadelphia: F.A. Davis Company; 2010: 203-211
    Google Scholar
  • 14 Lothian JA. Why natural childbirth?. J Perinat Educ 2000; 9: 44-46
    CrossrefPubMedGoogle Scholar
  • 15 Cabıoğlu T. Endojen opioidler. Genel Tıp Derg 2008; 11: 161-167
    PubMedGoogle Scholar
  • 16 Uzun M, Sulu N. Oksitosin ve fizyolojik etkileri. Kafkas Ünv Vet Fak Derg 2002; 8: 91-97
    PubMedGoogle Scholar
  • 17 Akalın PP, Başpınar N, Bucak NM. et al. Hayvanlarda beta- endorfinin üreme sistemi ile ilişkisi. Erciyes Üniv Vet Fak Derg 2011; 8: 53-61
    PubMedGoogle Scholar
  • 18 Schaffir J. Survey of folk beliefs about induction of labor. Birth 2002; 29: 47-51
    CrossrefPubMedGoogle Scholar
  • 19 Kavanagh J, Kelly AJ, Thomas J. Breast stimulation for cervical ripening and induction of labour. Cochrane Database Syst Rev 2005; 3: CD003392
    PubMedGoogle Scholar
  • 20 Mozurkewich EL, Chilimigras JL, Berman DR. et al. Methods of induction of labour: a systematic review. BMC Pregnancy Childbirth 2011; 11: 84
    CrossrefPubMedGoogle Scholar
  • 21 Taylor PL, Kelly RW. 19-Hydroxylated E prostaglandins as the major prostaglandins of human semen. Nature 1974; 250: 665-667
    CrossrefPubMedGoogle Scholar
  • 22 Cenedella RJ. Prostaglandins and male reproductive physiology. Adv Sex Horm Res 1975; 1: 325-358
    PubMedGoogle Scholar
  • 23 Toth M, Rehnstrom J, Fuchs AR. Prostaglandins E and F in cervical mucus of pregnant women. Am J Perinatol 1989; 6: 142-144
    Article in Thieme ConnectPubMedGoogle Scholar
  • 24 Goodlin RC, Schmidt W, Creevy DC. Uterine tension and fetal heart rate during maternal orgasm. Obstet Gynecol 1972; 39: 125-127
    PubMedGoogle Scholar
  • 25 Bartellas E, Crane JM, Daley M. et al. Sex and sexual activity during pregnancy. BJOG 2000; 107: 964-968
    CrossrefPubMedGoogle Scholar
  • 26 Tan PC, Yow CM, Omar SZ. Coitus and orgasm at term: effect on spontaneous labour and pregnancy outcome. Singapore Med J 2009; 50: 1062-1067
    PubMedGoogle Scholar
  • 27 Kavanagh J, Kelly AJ, Thomas J. Sexual intercourse for cervical ripening and induction of labour. Cochrane Database Syst Rev 2001; 2001: CD003093
    PubMedGoogle Scholar
  • 28 Schaffir J. Sexual intercourse at term and onset of labor. Obstet Gynecol 2006; 107: 1310-1314
    CrossrefPubMedGoogle Scholar
  • 29 Tan PC, Andi A, Azmi N. et al. Effect of coitus at term on length of gestation, induction of labor, and mode of delivery. Obstet Gynecol 2006; 108: 134-140
    CrossrefPubMedGoogle Scholar
  • 30 Tan PC, Yow CM, Omar SZ. Effect of coital activity on onset of labor in women scheduled for labor induction: a randomized controlled trial. Obstet Gynecol 2007; 110: 820-826
    CrossrefPubMedGoogle Scholar
  • 31 Atrian KM, Sadat Z, Rasolzadeh Bidgoly M. et al. The association of sexual intercourse during pregnancy with labor onset. Iranian Red Crescent Med J 2014; 17: e16465
    PubMedGoogle Scholar
  • 32 Foumane P, Mboudou ET, Sama JD. et al. Sexual activity during pregnancy and prognosis of labor in Cameroonian women: a cohort study. J Matern Fetal Neonatal Med 2014; 27: 1305-1308
    CrossrefPubMedGoogle Scholar
  • 33 Sekhavat L, Karbasi SA. Effect of coital activity on hastening onset of labor and prevention of postdate pregnancy. Iran J Obstet Gynecol Infertil 2010; 13: 13-16
    PubMedGoogle Scholar