Evaluation of the relationship between fetal sex and primary cesarean section rates
Zeynep Kamil Medical Journal, cilt.56, sa.1, ss.27-31, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 56 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.14744/zkmj.2024.20053
- Dergi Adı: Zeynep Kamil Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.27-31
- Anahtar Kelimeler: Adolescent pregnancy, adult pregnancy, male sex, primary cesarean section
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To investigate the existence of a relationship between fetal sex and primary cesarean section (C/S) rates. Material and Methods: The demographic characteristics, birth records, and medical characteristics of 58,897 patients who gave birth in our hospital between January 2013 and December 2022 were retrospectively evaluated. A total of 14,045 patients who had a C/S during their previous births were excluded from the study. C/S rates and indications were evaluated according to the presence of male and female fetuses. Pregnancy outcomes of pregnant women in adolescent and adult groups were also assessed. Results: The mean birth length and birth weight in the adult group were found to be significantly higher (p<0.001 and p=0.008, respectively). The 1st-minute and 5th-minute APGAR scores of the adult group were significantly higher than those of the adolescent group (p<0.001 and p<0.001, respectively). A significant difference was found in the probability of primary C/S delivery between male and female fetuses in both the adolescent and adult age groups, with a significantly higher C/S rate observed in male fetuses (p<0.001 and p<0.001, respectively). Conclusion: C/S rates are becoming a public health problem in developing countries. It should be kept in mind that fetal sex influences pregnancy outcomes and C/S rates. Additionally, the frequency of some maternal, perinatal, and neonatal complications may be higher in adolescent mothers.