Being nine months pregnant means you probably have a lot on your mind. You're preparing yourself and your home for the arrival of your new baby. But no matter how busy you might be washing onesies and shopping for diapers, your womanly needs haven't gone anywhere. When the mood strikes, you can rely on sex moves when you're nine months pregnant to get the job done. Although your situation may call for a few modifications or thinking slightly outside the box when getting it on, your ultimate goal is to enjoy some good lovin' before that newborn makes her appearance.
Once you're nine months along in your pregnancy, you may be more focused on preparing for the baby to arrive than getting it on with your partner. So strike when the mood moves you. If you're feeling ready to go, grab your SO for a quickie and enjoy the moment.
If you're exhausted and uncomfortable at the nine month mark, make friends with your new sex move BFF: spooning. According to Fit Pregnancy magazine, variations of spooning are great for pregnant women since it allows for more shallow penetration. This is a nice balance since the baby will be putting a lot of pressure on your lady parts at this time.
You don't have to turn down oral sex, even if you're nearing the end of your pregnancy. As long as your partner is careful not to blow air into your vagina, oral sex is safe at nine months, as Mayo Clinic reported.
Staying comfortable and keeping pressure off your back and belly will make sex at nine months pregnant enjoyable. Use pillows to prop yourself up or support your baby bump (depending on the position) as What To Expect's website suggested.
This classic sex move isn't off limits when you're pregnant. You and your partner can use role play to heat things up in the bedroom. Start with a few flirty text messages throughout the day to set the stage for the main event that night.
Much like using pillows to prop you up, you can take advantage of couches, chairs, and benches to help you explore more comfortable sex positions that will accommodate your pregnant shape while still giving you pleasure.
Breastmilk is good for babies aged 0-6 months, and can be given until the baby is 2 years old with compatible weaning food. Giving breastmilk provides lots of benefits, including strengthening the bond between Mom and child.
The fetus will change a lot throughout a typical pregnancy. This time is divided into three stages, called trimesters. Each trimester is a set of about three months. Your healthcare provider will probably talk to you about fetal development in terms of weeks. So, if you are three months pregnancy, you are about 12 weeks.
Herpes simplex virus type 2 (HSV-2) is the leading cause of genital ulcer disease worldwide. The virus can be transmitted to neonates and there are scarce data regarding incidence of HSV-2 among women in pregnancy and after childbirth. The aim of this study is to measure the incidence and risk factors for HSV-2 infection in women followed for 9 months after childbirth.
Pregnant women were consecutively enrolled late in pregnancy and followed at six weeks, four and nine months after childbirth. Stored samples were tested for HSV-2 at baseline and again at nine months after childbirth and HSV-2 seropositive samples at nine months after childbirth (seroconverters) were tested retrospectively to identify the seroconversion point.
One hundred and seventy-three (50.9%) of the 340 consecutively enrolled pregnant women were HSV-2 seronegative at baseline. HSV-2 incidence rate during the 10 months follow up was 9.7 (95% CI 5.4-14.4)/100 and 18.8 (95% CI 13.9-26.1)/100 person years at risk (PYAR) at four months and nine months after childbirth respectively. Analysis restricted to women reporting sexual activity yielded higher incidence rates. The prevalence of HSV-2 amongst the HIV-1 seropositive was 89.3%. Risk factors associated with HSV-2 seropositivity were having other sexual partners in past 12 months (Prevalence Risk Ratio (PRR) 1.8 (95% CI 1.4-2.4) and presence of Trichomonas vaginalis (PRR 1.7 95% CI 1.4-2.1). Polygamy (Incidence Rate Ratio (IRR) 4.4, 95% CI 1.9-10.6) and young age at sexual debut (IRR 3.6, 95% CI 1.6-8.3) were associated with primary HSV-2 infection during the 10 months follow up.
Earlier studies in Zimbabwe reported an HSV-2 prevalence of 42.2% amongst women of childbearing age , prevalence and incidence rates of 39.8% and 6.2/100 PYAR respectively amongst male factory workers . The major public health importance of HSV-2 relates to its potential role in enhancing HIV transmission. The population attributable risk for HIV-1 due to HSV-2 in Zimbabwe is estimated at 65%  and for that reason HSV-2 infection should be recognized as a much greater public health problem than is currently the case. There are currently no studies in the sub-Saharan Africa to measure HSV-2 incidence rates and risk factors amongst women who have recently given birth. The postpartum period is a time when women are potentially more susceptible to STIs due to the traumatic nature of the vaginal delivery  and subsequent lack of oestrogen during lactation. Furthermore there may be unprotected sex among couples that ignore the dual protection against pregnancy and STIs offered by condoms and use them for contraceptive purposes only since part of this period is often considered \"safe\" from falling pregnant. The purpose of this study is to measure the incidence rate and prevalence of HSV-2 among women followed 9 months after childbirth.
Between April and September 2002, 354 consecutive pregnant women seeking routine antenatal services from three randomly selected primary health care clinics in two of Harare's peri-urban high density suburbs were invited to participate in the study on average four weeks before childbirth. Five (5) of the women refused to participate, six (6) agreed but did not turn up for any of the scheduled visits and three (3) only turned up at the six week visit but no samples were taken. This analysis was based on the 340 women (173 HSV-2 uninfected and 167 HSV-2 infected) that came at all the scheduled visits.
The women were enrolled from the national program for the prevention of mother to child transmission of HIV at around 36 weeks of gestation and were followed up to investigate the role of STIs and micronutrients on mother to child transmission of HIV. The women were enrolled if they were pregnant, willing to undergo HIV counseling and testing, had no history of complications with the current pregnancy and were planning to deliver at any of the three randomly selected clinics. HSV-2 was tested at baseline and samples that were HSV-2 seronegative were tested for HSV-2 seroconversion at nine months after childbirth. Samples that were seropositive at nine months were tested retrospectively at four months and six weeks to identify the last seronegative and first seropositive visit. The study participants were encouraged to bring their male partners for counseling, testing and treatment of curable STIs. All the participants consented to long term storage and future testing of their samples. All participants provided written informed consent and the study was approved by both the Medical Research Council of Zimbabwe and the Norwegian Ethical Committee.
Data were analyzed with the Statistical Package for Social Sciences (SPSS) version 16.0 (SPSS, IL, USA) and STATA version 10.0, Texas, USA. Incidence, as a percentage and expressed as person years at risk (PYAR) was calculated for everyone and restricted analysis was done on participants that reported having resumed sexually activity after childbirth. Time of infection was assumed to have occurred mid point between last negative and first positive test. Because the HSV-2 prevalence was high we calculated prevalence risk ratios (PRR) using log binomial regression with the generalized linear model (glm) function in STATA. Poisson regression and the robust option of estimating variance-covariance matrix was used to calculate incidence rate ratios (IRR) for factors associated with HSV-2 acquisition over the ten months follow up period. Multivariate regression with cut off set at p = 0.25 was performed in STATA to investigate independent predictors of HSV-2 seropositivity. Statistical significance was set at p < 0.05 and Fisher's exact p-values were used where appropriate.
Three hundred and forty (340) pregnant women agreed to participate and had samples collected during the 10 months follow-up period from enrolment to nine months after childbirth. The median age of the participants at enrollment was 23.0 years with an interquartile range of 20-28 years; median number of pregnancies (including current pregnancy) was 2.0 and median number of living children was 1.0. The majority of the women (97.9%) were married but of note were the 9% (95% CI 6.0-12.1) who were in polygamous marriages. Although the participants were encouraged to bring their male partners only 43 males (12.6%) attended.
The prevalence of HSV-2 and HIV-1 amongst participants at enrollment was 49.1% and 24.7% respectively whilst the prevalence of HSV-2 among the 43 male partners was 46%. The prevalence of syphilis as confirmed by TPHA was 0.3%. Table 1 shows the characteristics that are associated with prevalent HSV-2 infection. Being in a polygamous marriage (PRR 1.4, 95% CI 1.1-1.9), having other sexual partners in the past 12 months (PRR 1.8, 95% CI 1.4-2.4), having ever used contraceptives (PRR 1.5, 95% CI 1.2-2.0), being infected with Trichomonas vaginalis (PRR 1.7, 95% CI 1.4-2.1) and HIV-1 (PRR 2.5 95% CI 2.1-3.0) all have statistically significant association with HSV-2 prevalence in univariate analysis.
During the 10-month follow-up period, 20 of the 167 seronegative women acquired HSV-2, seven (7) was detected at four months and 13 at nine months after childbirth. At six weeks three (3) had an index value > than 1.1 but < 3.5 and were therefore considered not seroconverted at that visit but were confirmed and included in the four months visit. Table 2 shows the incidence rate of HSV-2 seroconversion per 100 PYAR for all seronegative mothers and for those that reported being sexually active at different times after childbirth. From four months to nine months after childbirth, sexually active mothers reported a higher incidence rate of 21.2/100 PYAR (table 2). The cumulative incidence rate during the 10 months was 13.9/100 PYAR. Nineteen (19) of these seroconverters (11.6%) were among the 164 HIV-1 negative women while one seroconverter occurred among the 9 (11.1%) HIV-1 positive women, p = 0.955. Most of the seroconverters (80%) were below 25 years of age. 153554b96e