Having sex will not start labour, according to researchers who combed through the evidence to debunk the commonly-held belief.
The old wives’ tale claims intercourse can trigger a birth in pregnant women at full term – around the 37-week mark.
Even Ross and Rachel’s doctor in hit TV series Friends recommended sex to speed up labour because Rachel was overdue.
It’s thought if the women orgasms, it will help trigger contractions. While semen is said to contain chemicals similar to those in drugs given to induce labour.
But, until now, there was little scientific proof on whether sex truly works. Italian scientists pooled the available evidence – and at last put the claim to bed.
Having sex will not start labour, according to researchers, going against the advice of Ross and Rachel’s doctor in Friends when Rachel wanted to speed up her labour
The team, led by Luigi Carbone at the University of Naples, said the theory has been circulating since around the 1970s.
‘There are many physiological explanations for this assumption,’ they wrote.
‘Semen is rich in prostaglandins E and F2α (in lower dosages), which are those used for induction of labor.
‘Coitus [sex] may have also mechanical effects, because there can be an increase in uterine contractions after it. Even female orgasm has been associated with uterine contractility.’
There is also evidence that, a few hours after sex, the concentration of lipids called prostaglandins, which control processes such as blood flow and the induction of labour, rise in the cervical mucus of pregnant women.
The team collected all the relevant trials on the technique published before June 2019.
There were only three that were of high enough quality to include in their analysis, suggesting the topic hasn’t been studied robustly.
Overall, 1,500 women each pregnant with one child were included in the studies, according to the paper published in The Journal of Sexual Medicine.
Two of the studies asked Malaysian women at full term to have sex as many times as possible, while the control group were neither encouraged nor discouraged.
Women in the third trial, from Portugal, were asked to have sex at least two times a week after full-term, or to avoid it completely.
According to the findings, there was no correlation between having sex and having a spontaneous labour or an artificial induction.
Women who were randomly put in the intercourse group had a similar incidence of spontaneous labour, compared with the no-sex group.
There didn’t seem to be any negative effects of sex, however, so the researchers said intercourse needn’t be restricted.
They wrote: ‘Further studies are needed to properly evaluate the impact of orgasm, penetration, condom use, frequency of intercourse and other factors on induction of labour at term.’
A limitation of all three studies is that the data is self-reported and no researchers checked how often the women were having sex.
The results are not only in stark contrast to the myth, but some small studies.
One study suggested sex reduces the need for a medical induction, while a singular Cochrane review, on only 28 women, did not draw any conclusions.
Despite the sex claim lacking proof, the researchers did note that nipple stimulation has been found to work.
Six trials, covering 719 women, found a minimum of one hour of nipple play for three days increased the number of women going into labour.
Because of the release of the ‘cuddle hormone’ oxytocin, nipple stimulation reportedly softens and widens the cervix, a natural process during labour called ripening.
The NHS say there are ‘no proven ways of starting your labour yourself at home’, and that herbal supplements, sex, acupuncture, hot baths and castor oil have no scientific support.
One in five labours are induced – medically started – in the UK.
It could be because the baby is weeks overdue, or for medical reasons such as if the mother has high blood pressure.
Induction is offered to all women who don’t go into labour naturally by 42 weeks because there’s a higher risk of stillbirth or problems for the baby.
The NHS says: ‘Having sex won’t cause harm, but you should avoid having sex if your waters have broken as there’s an increased risk of infection.’
Last Updated on August 2, 2021 by shalw