7 Safe and Comfortable Sex Positions During Pregnancy

7 Safe and Comfortable Sex Positions During Pregnancy

Sex during pregnancy is one of the most common questions we hear from families. The short answer is yes, in most healthy pregnancies, sex is safe. Research from the American College of Obstetricians and Gynecologists (ACOG) confirms that sexual activity does not harm the baby in low-risk pregnancies.

That said, comfort changes as your body changes. What worked before pregnancy may not feel good now. The goal is simple. Protect your body, stay comfortable, and maintain a connection with your partner.

Below are seven positions that many families find safe and comfortable throughout pregnancy.

Why This Matters

Intimacy during pregnancy is not just physical. It supports emotional bonding, reduces stress, and helps partners stay connected during a time of major change.

A 2019 review in the Journal of Sexual Medicine found that maintaining intimacy during pregnancy can improve relationship satisfaction and emotional well-being.

Preparing for birth and feeling unsure about your options? The Birth You Desire doulas support families in Phoenix, Washington, DC, and virtually.

1. Classic Missionary (Modified as Needed)

Best for: First and second trimester

Why it works:
Face-to-face contact builds emotional connection and allows full-body closeness.

What to watch:
Avoid lying flat on your back in later pregnancy. This can compress blood flow. Use pillows to elevate your upper body.

2. Spooning

Best for: All trimesters, especially the third trimester when your belly may feel uncomfortable.

Why it works:
Takes pressure off the abdomen and allows gentle, controlled movement.

What to watch:
Penetration may feel more shallow. Adjust positioning with pillows if needed.

3. You on Top

Best for: All trimesters

Why it works:
You control depth, speed, and movement. This often increases comfort and reduces pressure.

What to watch:
This can become tiring later in pregnancy. Switch to kneeling instead of squatting if needed.

4. Hands and Knees (Doggy Style)

Best for: All trimesters, especially the third trimester when your belly may feel uncomfortable.

Why it works:
Reduces pressure on the abdomen and can help with back discomfort.

What to watch:
Use pillows for wrist support. Communicate about depth to avoid discomfort.

5. Scissors (Side-by-Side Facing)

Best for: First and second trimester

Why it works:
Promotes closeness, eye contact, and gentle movement.

What to watch:
Limited space as your belly grows. Add pillows for support.

6. Sidesaddle

Best for: First and second trimester

Why it works:
Allows relaxation while your partner supports movement.

What to watch:
Avoid lying flat on your back in later pregnancy. Tilt to the left side for better circulation.

7. Modified Missionary

Best for: All trimesters with modification

Why it works:
Maintains intimacy while reducing pressure on your abdomen.

What to watch:
Use pillows to elevate your upper body and avoid dizziness.

When to Avoid Sex During Pregnancy

Most pregnancies allow safe sexual activity. By focusing on comfort and positioning, you can be comfortable throughout your pregnancy. For example, side-lying and supported positions are often best later in pregnancy. No matter what, communication with your partner is essential

Always check with your provider if you have:

• Placenta previa

• Risk of preterm labor

• Unexplained vaginal bleeding

• Cervical insufficiency

• Multiple pregnancy with complications

If you are unsure, ask. Personalized care matters.

How Birth You Desire Supports You

At Birth You Desire, we believe your body, your choices, and your experience matter. Intimacy, comfort, and connection are all part of a healthy pregnancy.

We walk beside you through every stage, from fertility to postpartum recovery, with evidence-based guidance and compassionate care.

Ready for more personalized support during pregnancy?

Visit BirthYouDesire.com to:

• Book a discovery call

• Explore childbirth classes

• Get matched with a doula who understands your needs

Your preparation matters. Your support changes outcomes.

Thanks to BabyCenter.co for the image!

Birth You Desire doulas have supported thousands of families through pregnancy, birth, and postpartum.

Have Questions About Your Birth Journey? Talk With A Doula.

The Birth You Desire team supports families in Phoenix, Washington DC, and virtually through pregnancy, birth, and postpartum. During a discovery call, we’ll talk about your goals and answer any questions you may have.