Prediction of Fetal Gender Through Fetal Biometry

Fetal Gender Through Fetal Biometry

Authors

  • Muhammad Naveed Akbar Department of Radiography and Imaging Technology, Green International University, Lahore, Pakistan
  • Muhammad Uzair Department of Radiography and Imaging Technology, Green International University, Lahore, Pakistan
  • Syed Muhammad Yousaf Farooq Department of Radiography and Imaging Technology, Green International University, Lahore, Pakistan
  • Muhammad Irshad Ul Haq Office of Research Innovation and Commercialization, Green International University, Lahore, Pakistan
  • Samra Mubeen Department of Radiography and Imaging Technology, Green International University, Lahore, Pakistan
  • Zaryab Noor Department of Radiography and Imaging Technology, Green International University, Lahore, Pakistan
  • Anam Majeed Department of Radiography and Imaging Technology, Green International University, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v8i10.1305

Keywords:

Fetal Biometry, Ultrasonography Prenatal, Fetal Development, Sex Determination Analysis, Fetal Weight, Femur, Abdominal Circumference

Abstract

An important part of prenatal care is gender determination, which shows expectant parents and medical professionals significant personal and medical insights. It becomes extremely important to determine early fetal gender for enhancing treatment approaches for sex-chromosome-related illnesses, like X-linked disorders. Objectives: To investigate the relationship between fetal gender determination during the second and third trimesters of pregnancy and ultrasound-based fetal biometric parameters, including estimated fetal weight (EFW), femur length (FL), abdominal circumference (AC), head circumference (HC), and biparietal diameter (BPD). Methods: This cross-sectional comparative study was conducted at the Radiology Department of Meer Khan Children and Family Hospital. Women between 14–40 weeks of gestation undergoing ultrasound for fetal assessment were included. Data were analyzed using SPSS version 26.0, applying an independent samples t-test and one-way ANOVA with a significance level set at p<0.05. The Shapiro-Wilk test was used in order to evaluate the data distribution normality. Results: The study found biometric ultrasound measurements of 125 fetuses (63 male and 62 female). Three important metrics showed higher values were found in male fetuses: Male had significantly higher FL (p=0.002, 95% CI: 3.16–14.28 mm). The test also indicated male with significantly higher AC, p=0.005, 95% CI: 10.77–58.44 mm, also significantly higher HC (p=0.016), 95% CI: 5.06–48.10 mm, in male was observed. Conclusions: Male fetuses had increased BPD and EFW compared to the female fetuses, whereas EFW and BPD showed non-significant trends toward higher values in male. Moreover, male fetuses have significantly greater AC, FL, and head circumference HC than female fetuses.

 

References

Amankona E, Donkor A, Agyei BA, Anyitey-Kokor I, Odoi AT, Wiafe YA. Effectiveness of Prenatal Ultrasound in Fetal Sex Identification: A Systematic Review and Meta-Analysis. Journal of Ultrasound. 2025 Jan: 1-2. doi: 10.1007/s40477-024-00977-7.

Kumar N and Yadav A. Influence of Fetal Gender on Overall Perinatal Outcome: A Prospective Observational Study. Minerva Paediatrics. 2023 Dec; 75(6): 795-802. doi: 10.23736/S2724-5276.20.05650-9.

Broere-Brown ZA, Adank MC, Benschop L, Tielemans M, Muka T, Gonçalves R et al. Fetal Sex and Maternal Pregnancy Outcomes: A Systematic Review and Meta-Analysis. Biology of Sex Differences. 2020 May; 11(1): 26. doi: 10.1186/s13293-020-00299-3.

Khalid NH, Babiker JI, Fathelrahman SA. Relationship Between Placental Location and Fetal Gender Using Ultrasonography: A Prospective Study from the Maternity and Children’s Hospital, Najran, Saudi Arabia. African Journal of Reproductive Health. 2023; 27(12): 36-42.

Nouri S, Kalantar MH, Safi F, Almasi-Hashiani A. The Role of Fetal Heart Rate in First Trimester Sonograms in Prediction of Fetal Sex: A Systematic Review and Meta-Analysis. BioMed Central Pregnancy and Childbirth. 2023 Aug; 23(1): 582. doi: 10.1186/s12884-023-05908-8.

Schaefer EC, McKenna DS, Sonek JD. First Trimester Identification of Fetal Sex by Ultrasound. Archives of Gynecology and Obstetrics. 2024 Apr; 309(4): 1453-8. doi: 10.1007/s00404-023-07046-0.

Galjaard S, Ameye L, Lees CC, Pexsters A, Bourne T, Timmerman D et al. Sex Differences in Fetal Growth and Immediate Birth Outcomes in A Low-Risk Caucasian Population. Biology of sex Differences. 2019 Sep; 10(1): 48. doi: 10.1186/s13293-019-0261-7.

Nagasaki S, Ishii K, Murakami Y, Tsutsui A, Hidaka N, Takahashi H et al. New Reference Values for Ultrasound Fetal Biometry in Japanese Population and Comparison with Other Studies. Scientific Reports. 2025 Aug; 15(1): 30560. doi: 10.1038/s41598-025-14508-9.

Kurban Y, Uyar I, Alan M, Hacifazlioglu C. Fetal Sex Prediction Measuring Yolk Sac Size and Yolk Sac–Fetal Pole Distance in the First Trimester Via Ultrasound Screening. Journal of Ultrasound. 2021 Dec; 24(4): 489-92. doi: 10.1007/s40477-020-00516-0.

Borowski J, Walaszczyk A, Szczepańska-Przekota A, Bulsa M, Borowska J. Fetal Sex Identification in Early Pregnancy. Pomeranian Journal of Life Sciences. 2024 Mar; 70(1). doi: 10.21164/pomjlifesci.944.

Lubusky M, Studnickova M, Skrivanek A, Vomackova K, Prochazka M. Ultrasound Evaluation of Fetal Gender at 12-14 Weeks. Biomed Pap Med Fac Univ Palacky Olomouc, Czech Repub. 2012 Dec; 156(4): 324-9. doi: 10.5507/bp.2012.022.

Lev‐Toaff AS, Ozhan S, Pretorius D, Bega G, Kurtz AB, Kuhlman K. Three‐Dimensional Multiplanar Ultrasound for Fetal Gender Assignment: Value of the Mid‐Sagittal Plane. Ultrasound in Obstetrics and Gynecology: The Official Journal of the International Society of Ultrasound in Obstetrics and Gynaecology. 2000 Sep; 16(4): 345-50. doi: 10.1046/j.1469-0705.2000.00179.x.

Alfuraih AM, Almajem BM, Alsolai AA. The Predictive Accuracy of Anogenital Distance and Genital Tubercle Angle for First-Trimester Fetal Sex Determination. Diagnostics. 2024 Aug; 14(16): 1811. doi: 10.3390/diagnostics14161811.

Alfuraih AM, Alotaiby SA, Alsaadi MJ, Bukhari HA, Aldhebaib AM, Mohtasib RS. Predictive Value and Reference Ranges of Anogenital Distance for Determining Fetal Gender in the First Trimester: A Retrospective Cohort Study. Saudi Medical Journal. 2021 Oct; 42(10): 1057. doi: 10.15537/smj.2021.42.10.20210468.

Kearin M, Pollard K, Garbett I. Accuracy of Sonographic Fetal Gender Determination: Predictions Made by Sonographers During Routine Obstetric Ultrasound Scans. Australasian Journal of Ultrasound in Medicine. 2014 Aug; 17(3): 125-30. doi: 10.1002/j.2205-0140.2014.tb00028.x.

Hsiao CH, Wang HC, Hsieh CF, Hsu JJ. Fetal Gender Screening by Ultrasound at 11 To 13 + 6 Weeks. Acta Obstetricia Et Gynecologica Scandinavica. 2008 Jan; 87(1) :8-13. doi: 10.1080/00016340701571905.

Gharekhanloo F. The Ultrasound Identification of Fetal Gender at the Gestational Age of 11–12 Weeks. Journal of Family Medicine and Primary Care. 2018 Jan; 7(1): 210-2. doi: 10.4103/jfmpc.jfmpc_180_17.

Hadlock FP, Harrist RB, Sharman RS, Deter RL, Park SK. Estimation of Fetal Weight with the Use of Head, Body, and Femur Measurements—A Prospective Study. American Journal of Obstetrics and Gynaecology. 1985 Feb; 151(3): 333-7. doi: 10.1016/0002-9378(85)90298-4.

Bromley B, Frigoletto Jr FD, Harlow BL, Evans JK, Benacerraf BR. Biometric Measurements in Fetuses of Different Race and Gender. Ultrasound in Obstetrics and Gynaecology: The Official Journal of the International Society of Ultrasound in Obstetrics and Gynaecology. 1993 Nov; 3(6): 395-402. doi: 10.1046/j.1469-0705.1993.03060395.x.

Elanwar AM, Shazly SA, Attia NA, Heraiz AI. Anogenital Distance for Detection of Fetal Sex in First Trimester of Pregnancy. The Egyptian Journal of Hospital Medicine. 2023 Jan; 90(2): 3035-40. doi: 10.21608/ejhm.2023.288384.

Downloads

Published

2025-10-31
CITATION
DOI: 10.54393/pbmj.v8i10.1305
Published: 2025-10-31

How to Cite

Akbar, M. N., Uzair, M., Farooq, S. M. Y., Haq, M. I. U., Mubeen, S., Noor, Z., & Majeed, A. (2025). Prediction of Fetal Gender Through Fetal Biometry: Fetal Gender Through Fetal Biometry. Pakistan BioMedical Journal, 8(10), 21–26. https://doi.org/10.54393/pbmj.v8i10.1305

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)