Association of Fetal Gender With Maternal Complications and Pregnancy Outcomes In Primigravida

Safia Bibi, Khanda Gul, Rozina Khan, Fozia Muhammad Bakhsh

Abstract

Objective

To determine the association of fetal gender with maternal complications and pregnancy outcomes in primigravida.

Study design

Retrospective observational study.

Place & Duration of study

Department of Obstetrics and  Gynecology Unit 2, Bolan Medical Complex Hospital Quetta, from January 2022 to December 2022.

Methods

The clinical records of all the primigravida with singleton pregnancy who visited the emergency ward were reviewed. Variables recorded were sex of the fetus, pregnancy-induced pathologies and fetal outcomes. Data were entered into Microsoft Excel 13 software and analyzed to determine the relationship between the gender of the fetus and various pregnancy outcomes.

Results

Out of 1949 babies delivered there were 1009 (51.8%) males and 940 (48.2%) females. Male fetus had increased incidence of eclampsia (p=0.007), emergency cesarean section (p=0.001), elective cesarean section (p=0.04), instrumental vaginal delivery (p=0.04), obstructed labor (p=0.007), meconium stained liquor (p=0.003), stillbirth (p=0.009) and IUGR (p=0.02). Preeclampsia, preterm and post-term births and induction of labor were not statistically significant.

Conclusion

The primigravida having a male fetus had a poor pregnancy outcome with a higher rate pregnancy related complications.

Key words

Eclampsia, Fetal gender, Maternal complications, Primigravida, Pregnancy outcome.