Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Jan 2008)
RELATIONSHIP BETWEEN FETAL GENDER AND SOME PERINATAL COMPLICATIONS
Abstract
BACKGROUND AND OBJECTIVE: Recognition of risk factors which affected fetal health may be helpful in prevention, early diagnosis and treatment of irreversible fetal damages. Gender is a risk factor for many of fetal and neonatal problems. This study was performed to determine the relationship between fetal gender and some perinatal complications.METHODS: This is an analytical study which accomplished in 2004 based on existing data. The study population were 1600 newborns which born in Dezyani medical-educational centre of Gorgan. Based on including criteria, that is, being full term and singleton, absent of addiction or systemic diseases history of mothers during pregnancy, newborns records were studied. Fetal gender, fetal distress, 5th minute apgar score, delivery modes, amniotic fluid status and perinatal death were essential variables of this study.FINDINGS: Data analysis showed that 51% of newborns were male and male to female ratio was 1.04. From all newborns, 479 (29.94%) suffered from fetal distress and odds of female involvement was 1.13 times more than males (CI 95%=0.91-1.41, p<0.05). Mode of delivery in 37% of all were cesarean section and 53.37% of neonates were male (OR=1.72, CI 95%=1.04-2.85). Rate of cesarean due to fetal distress was more in pregnancies with male fetuses (p<0.05). In 206 (12.9%) of births, amniotic fluid was meconial and 108 (52.42%) of which were in pregnancies with female fetus.CONCLUSION: According to sex difference in some perinatal complications such as fetal distress, cesarean section delivery, consideration to fetal gender as a risk factor during prenatal and intrapartal management is suggested.
