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The study aims to investigate the impact of fetal sex on the mode of delivery and associated complications.

A rough start – especially for boys: the influence of fetal sex on delivery mode

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The study aims to investigate the impact of fetal sex on the mode of delivery and associated complications.
Conducted a retrospective, single-center analysis of 11,749 singleton live births in Vienna, Austria.
Included maternal, obstetric, and neonatal parameters for analysis.
Analyzed rates of instrumental vaginal delivery and emergency cesarean sections based on fetal sex.
Male fetuses had a higher rate of instrumental vaginal delivery (6.8%) compared to females (4.8%).
Emergency cesarean sections were more common in males (9.4%) than in females (8.2%).
Males showed a significant increased risk for both delivery modes after accounting for confounding factors.

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Retrospective analysis shows male fetuses experience more obstetric interventions, suggesting higher birth complication rates.

Wildner et al. (2026) studied this question.

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