Male fetus domination in total placenta previa cases

Objective: The aim of the study is to evaluate the effect of male gender in total placenta previa cases on maternal and perinatal outcomes. Methods: Total placenta previa cases followed up at the Clinic of Gynecology and Obstetrics between January 2011 and June 2014 were examined retrospectively. All cases were categorized in two groups as male fetus (Group 1) and female fetus (Group 2). Numbers of male and female fetuses, demographic findings, surgical and perinatal outcomes were evaluated among the groups. Results: 80 total placenta previa patients were included in the study. Out of all cases, 58 (72.5%) were male and 22 (27.5%) were female fetuses, and there was a significant difference between two groups (p<0.001). In male and female fetus groups, respectively, the mean parity was 2.6 and 2.2 (p=0.04), delivery week was 35.3 and 37.1 (p=0.004), mean birth weight was 2752 and 3096 g (p=0.03), number of delivery below 32 weeks was 10 (17%) and 0 (p=0.05), number of transfused patients was 20 (34.5%) and 2 (9%), mean transfusion of erythrocyte suspension was 0.9 and 0.3 (p=0.03) and operation durations in both groups were 70 and 59 minutes; in this regard, there was a significant difference between the groups (p=0.03). Conclusion: In our study, a distinctive domination of male fetuses was observed in total placenta previa cases. Also, it was found that male fetuses increased poor gestational outcomes in placenta previa.