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Updated: Jul 14, 2026

Accurate and Phenol Free DNA Sexing of Day 30 Porcine Embryos by PCR
Published on: February 14, 2016
Does fetal sex affect pregnancy outcome?
Gian Carlo Di Renzo1, Alessia Rosati, Roberta Donati Sarti
1Department of Obstetrics and Gynecology and Center for Perinatal and Reproductive Medicine, Univesity of Perugia, Perugia, Italy. direnzo@unipg.it
Male fetuses face higher risks during pregnancy, including preterm birth and complications. Female fetuses generally experience better perinatal outcomes, especially after preterm birth, indicating a sex-based advantage.
Area of Science:
- Maternal-Fetal Medicine
- Perinatal Outcomes
- Sex Differences in Health
Background:
- Gender differences in pregnancy outcomes are frequently observed in maternal-fetal medicine.
- These variations impact various stages of pregnancy, from conception to birth.
Purpose of the Study:
- To review fetal sex-dependent differences in pregnancy outcomes.
- To synthesize findings on gender-based variations from conception through birth.
Main Methods:
- Comprehensive literature search of MEDLINE, EMBASE, and Current Contents (1985-2006).
- Utilized keywords: fetal gender, sex ratio at birth, pregnancy outcome, preterm birth, stillbirth.
- Included examination of bibliographies of relevant articles for comprehensive data capture.
Main Results:
- Higher male-to-female ratio observed in early gestation, stabilizing at term.
- Increased incidence of preterm birth and premature rupture of membranes in male pregnancies.
- Male fetuses associated with higher rates of gestational diabetes, macrosomia, labor complications, and cesarean sections.
Conclusions:
- Male sex is identified as an independent risk factor for adverse pregnancy outcomes.
- Female fetuses demonstrate a survival advantage, particularly in the perinatal period and after preterm birth.
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