North American Registry of Midwives (NARM) Practice Exam

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For how long is sexual intercourse recommended to be avoided following a first trimester spontaneous abortion?

1-2 weeks
2-4 weeks
4-6 weeks
8 weeks or more

The correct answer is: 2-4 weeks

Following a first trimester spontaneous abortion, it is generally recommended to avoid sexual intercourse for a period of 2-4 weeks. This timeframe allows for adequate physical healing and minimizes the risk of infection. After a miscarriage, the body undergoes various changes, including the return to a pre-pregnancy state. Engaging in sexual intercourse too soon can interfere with this healing process and might lead to complications. Moreover, during this period, the body is more vulnerable to infections due to hormonal changes and potential remnants of pregnancy tissue that may need time to clear from the uterus. Following this guideline ensures that the person can physically recover and address any emotional aspects related to the loss. Options indicating a shorter timeframe of 1-2 weeks may not provide sufficient time for healing, while recommendations of 4-6 weeks or longer may be overly cautious for most individuals in a healthy recovery scenario. Hence, the 2-4 weeks recommendation strikes a balance between promoting healing and addressing concerns of infection.