The Effects of Fetal Gender on Indications of Cesarean Section

Adnan Budak

Abstract


The purpose of this study was to evaluate the effect of fetal gender to indications of cesarean section (C-section). Clinical and demographical data of 5858 (53.3%) women carrying male fetuses (group 1) and 5132 (46.7%) women carrying female fetuses (group 2) were screened retrospectively. Demographic data, neonatal complications and C-section indications were used to compare the participants according to fetal gender. Median gestational age at delivery was 38 (24-41) weeks in group 1 and 39 (24-41) weeks in group 2. Mean birthweight was determined 3193 ±796.9 in group 1 and 3063 ± 744 in group 2. These differences were determined statistically significant too (p<0.001 and p<0.001 respectively).  Similarly, frequencies of macrosomia, preterm birth and NICU admission were determined statistically higher in Group 1 (p=0.05, p<0.001 and p<0.001). Severe intrauterine growth restriction (IUGR) and failure to progress during labor relative risks were determined significantly lower in Group 1 ( RR 0.95 (0.88-1.22) and RR 0.85 (0.75-0.97)), and suspected macrosomia relative risk was found statistically higher in group 1 (cRR 1.59 (1.40-1.80), ARR 1.14 (1.12-1.16)). Male gender has an effect on the C-section rate, but most C-section indications are not affected by fetal gender. Further studies are currently required in order to determine the relation between C-section indications and fetal gender.

Keywords


Gender, C-section, Male, Female, Labor

Full Text:

PDF

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
.