The sex of a baby may
be predicted by the mother's blood pressure, according to a new study which
found that women with lower BP before pregnancy are more likely to give birth
to a girl.
Researchers led by Dr Ravi Retnakaran,
endocrinologist at Mount Sinai Hospital in Canada found that while higher blood
pressure was an indication that a boy was more likely to be conceived, women
with lower blood pressure tended to give birth to a girl.
This "suggests that a woman's blood pressure
before pregnancy is a previously unrecognised factor that is associated with
her likelihood of delivering a boy or a girl," said Retnakaran."This
novel insight may hold implications for both reproductive planning and our
understanding of the fundamental mechanisms underlying the sex ratio in
humans," he said.
The possibility of predicting the sex of the baby
in early pregnancy has long been a topic of public fascination, spawning
numerous theories of maternal characteristics associated with the presence of a
male or female foetus.
These observations raise the possibility that
there may be underlying differences that relate to a woman's likelihood of
sex-specific fetal loss and hence her likelihood of delivering a boy or girl.
However, little is known about such factors in humans.
Researchers established a unique
pre-conception
cohort consisting of young women who were planning to have a pregnancy in the
near future and used the model to evaluate the relationship between maternal
pre-pregnancy health and the sex of the baby.Participants underwent baseline medical assessment
at recruitment and then, whenever they subsequently became pregnant, were
followed across the pregnancy up to delivery through their clinical care.
Beginning in February 2009, researchers recruited
3375 women in Liuyang, China. Of these, 1,692 women were assessed for blood
pressure, cholesterol, triglycerides, and glucose.
After the exclusion of 281 women who were
potentially pregnant at their baseline assessment based on back-dating of the
length of gestation at delivery, the study population for the analysis
consisted of 1,411 women who were assessed at median 26.3 weeks before
pregnancy.
Their pregnancies resulted in the delivery of 739
boys and 672 girls. After adjustment for age, education, smoking, BMI, waist,
LDL cholesterol, HDL cholesterol, triglycerides and glucose, mean adjusted
systolic blood pressure before pregnancy was found to be higher in women who
subsequently had a boy than in those who delivered a girl (106.0 vs 103.3
millimetres of mercury).Higher maternal blood pressure before pregnancy
emerged as an independent predictor of subsequently delivering a boy.
The research was published in the American Journal
of Hypertension.
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