Objective: The aim of the present study was to evaluate the association of fetal gender with pregnancy and labour related pathology. Methods: Live births (2493) in the Hospital of Târgu-Mureş (Obstetrics and Ginecology I.) were studied in 2005. Results: Male-bearing pregnancies were associated with placenta praevia, abruption placenta, preeclampsia, higher birthweight, feto-pelvic disproportion and fetal distress syndrome. Female-bearing pregnancies were associated with third stage complications (regarding the separation and expulsion of the placenta, retained placental fragments). Conclusion: Male fetal gender is associated with higher incidence of delivery by caesarean section.