Intended for healthcare professionals

Rapid response to:

Clinical Review ABC of sexual health

Sexual problems associated with infertility, pregnancy, and ageing

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7465.559 (Published 02 September 2004) Cite this as: BMJ 2004;329:559

Rapid Response:

Coitus is not contraindicated in twin pregnancy

We read with great interest the clinical review on ABC of sexual
health which is informative and educational.
We are however concerned with one of the sections which lists the
indications for abstaining from intercourse in pregnancy.
The author states that intercourse in multiple pregnancy is
contraindicated.We are surprised by this as our experience in this group
of women is that they need not abstain from intercourse in the absence of
pregnancy complications like placenta praevia,ruptured membranes or
premature dilatation of cervix.
Indeed a published report supports this view.1
We therefore would like to bring this to the notice of all health care
advisors that intercourse need not be discouraged in women with
uncomplicated twin pregnanacies.

Reference
1.Neilson JP,Mutambira M.American Journal of obstetrics and
Gynecology.1989 February;160(2):416-8.
2.British Medical Journal 2004;329:559-561(4 September)

Competing interests:
None declared

Competing interests: No competing interests

04 October 2004
Margaret A Perumalla
Specialist Registrar in O&G
Mr.Ellis Downes ,Janet Stamford
Chasefarm Hospital,The Ridgeway,Enfield,Middlesex,EN2 8NQ