Correlation between Physiological State and Hormonal Levels with Fetal Gender During First Trimester of Pregnancy Iraqi Women

Authors

  • Kaniaw R. Khafar Sulaimani Polytechnic University, Halabja Technical Institute, Nursing Department

Keywords:

Fetal sex, Hemodynamic parameters, Anthropometric measurements, β-hCG, Testosterone

Abstract

Physiological and hormonal changes during pregnancy are common, but whether maternal
physiological and hormonal status could affect fetal gender remains unclear. To examine the links
between physiological and serum hormonal status with fetal sex in the first trimester. A cross-sectional
research involving 75 healthy young pregnant women (20-35 years) were selected after ultrasound
confirmation of gestational age at conception to 12 weeks of conception. Participants were divided into
2 groups: 38 carried a male fetus, and 37 carried a female fetus. The data acquired through hemodynamic
parameters, anthropometric measurements, and determinations of serum glucose, β-hCG, and
testosterone levels. Statistical analysis was performed by using SPSS (version 20). The average β-hCG
level of male fetuses was lower than that of female fetuses (18129±402 vs 27732±452 U/L, p<0.005).
Of note, maternal serum testosterone level was significantly different in those with male and female
fetuses (1.49±0.15 vs 2.61±0.14 nmol/L, p<0.05). No significant association was found between
maternal glucose concentration and fetal gender. Also, no statistically significant differences were found
for hemodynamic parameters (including diastolic pressure, systolic pressure, and mean arterial
pressure) and anthropometric measurements (mother's: height, weight, and body mass index)
when compared between two groups. It can be said that maternal serum β- hCG and total testosterone
levels are a good predictor of fetal sex in the first trimester

References

P. Soma-Pillay, C. Nelson-Piercy, H. Tolppanen, and Mebazaa A, "Physiological changes

in pregnancy," Cardiovascular Journal of Africa, vol. 27, pp. 89-94, 2016. doi: 10.5830/CVJA2016-021.

J. M. Kepley, K. Bates, and S. S. Mohiuddin, "Physiology, Maternal Changes. [Updated

Mar 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan".

Available from: https://www.ncbi.nlm.nih.gov/books/NBK539766/.

A. M. Mitchell, M. Palettas, and L. M. Christian, "Fetal sex is associated with maternal

stimulated cytokine production, but not serum cytokine levels, in human pregnancy," Brain

Behavior and Immunity, vol. 60, pp. 32-37, 2017. doi: 10.1016/j.bbi.2016.06.015.

M, Al-Qaraghouli, and Y. M. V. Fang, "Effect of Fetal Sex on Maternal and Obstetric

Outcomes," Frontiers in Pediatrics, vol. 19, pp. 144. doi: 10.3389/fped.2017.00144.

H, Cokmez, and S. T. Yozgat, "The effect of fetal gender on the biochemical markers of

the first-trimester screening," Saudi Medical Journal, vol. 43, pp. 348-352, 2022. doi:

15537/smj.2022.43.4.20210906.

J. A. Lee, and R. Ramasamy. "Indications for the use of human chorionic gonadotropic

hormone for the management of infertility in hypogonadal men," Translational Andrology and

Urology, vol. 7, pp. S348-S352, 2018. doi: 10.21037/tau.2018.04.11.

Y. Yaron, O. Lehavi, A. Orr-Urtreger, I. Gull, J. B. Lessing, A. Amit, et al., "Ben-Yosef

D. Maternal serum HCG is higher in the presence of a female fetus as early as week 3 postfertilization," Human Reproduction, vol. 17, pp. 485-9, 2002. doi: 10.1093/humrep/17.2.485.

S. Lin, R. Li, Y. Wang, M. Li, L. Wang, X. Zhen, et al., "Increased maternal serum hCG

concentrations in the presence of a female fetus as early as 2 weeks after IVF-ET," Journal of

Gynecology Obstetrics and Human Reproduction, vol. 50, pp. 102053, 2021. doi:

1016/j.jogoh.2020.102053.

G. Nabi, T. Aziz, M. Amin, and A. Ali khan A, "Effect of Fetal Sex on Total Levels of

Maternal Serum Testosterone," Journal of Biology and Life Science, vol. 5, pp. 58-64, 2014. doi:

5296/jbls.v5i2.5228.

A. M. Attia, T. A. Omar, and M. A. El-Melegy, "Effect of fetal sex on maternal total

testosterone level," Menoufia Medical Journal, vol. 34, pp. 9-12, 2021. doi:

4103/mmj.mmj_108_19.

D. DeMers, and D. Wachs, "Physiology, Mean Arterial Pressure. [Updated 2023 Apr 10],"

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan. Available from:

https://www.ncbi.nlm.nih.gov/books/NBK538226/.

C. B. Weir, and A, Jan, "BMI Classification Percentile And Cut Off Points," 2023. PMID:

S. Nouri, M. H. Kalantar, F. Safi, and A. Almasi-Hashiani, "The role of fetal heart rate in

first trimester sonograms in prediction of fetal sex: a systematic review and meta-analysis," BMC

Pregnancy Childbirth, vol. 12, pp. 582, 2023. doi: 10.1186/s12884-023-05908-8.

M. Odeh, V. Granin, M. Kais, E. Ophir, and J. Bornstein, "Sonographic fetal sex

determination," Obstetrics & Gynecological Survey, vol. 64, pp. 50–57, 2009. doi:

1097/OGX.0b013e318193299b.

Z. N. Pascual, and M. D. Langaker, "Physiology, Pregnancy. [Updated 2023 May 16]," In:

StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from:

https://www.ncbi.nlm.nih.gov/books/NBK559304/.

N. E. W. D. Teulings, A. M. Wood, Sovio U, S. E. Ozanne, G. C. S. Smith, and C. E.

Aiken. Independent influences of maternal obesity and fetal sex on maternal cardiovascular

adaptation to pregnancy: a prospective cohort study," International Journal of Obesity, vol. 44, pp.

–2255, 2020. doi: 10.1038/s41366-020-0627-2.

S. Manzanares, A. Benítez, M. Naveiro-Fuentes, M. S. López-Criado, and M. SánchezGila, "Accuracy of fetal sex determination on ultrasound examination in the first trimester of

pregnancy," Journal of Clinical Ultrasound, vol. 44, pp. 272-7, 2016. doi: 10.1002/jcu.22320.

M. Bralewska, T. Pietrucha, A. Sakowicz, A. Chromogranin, "An Endocrine Factor of

Pregnancy," International Journal of Molecular Sciences, vol. 24, pp. 4986, 2023. doi:

3390/ijms24054986.

R. Tal, and H. S. Taylor, "Endocrinology of Pregnancy. [Updated 2021 Mar 18]. In:

Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]," South Dartmouth

(MA): MDText.com, Inc.; 2000-. Available from:

https://www.ncbi.nlm.nih.gov/books/NBK278962/.

P. Alur, "Sex Differences in Nutrition, Growth, and Metabolism in Preterm Infants,"

Frontiers in Pediatrics, vol. 7, pp. 22, 2019. doi: 10.3389/fped.2019.00022.

R. Retnakaran, and B. R. Shah, "Fetal Sex and the Natural History of Maternal Risk of

Diabetes During and After Pregnancy," Journal of Clinical Endocrinology & Metabolism, vol.

, pp. 2574-80, 2015. doi: 10.1210/jc.2015-1763.

C. Stern, S. Schwarz, G. Moser, S. Cvitic, E. Jantscher-Krenn, M. Gauster, et al., "Placental

Endocrine Activity: Adaptation and Disruption of Maternal Glucose Metabolism in Pregnancy and

the Influence of Fetal Sex," International Journal of Molecular Science, vol. 22, pp. 12722, 2021.

doi: 10.3390/ijms222312722.

Downloads

Published

2024-01-02

Issue

Section

ARTICLE