For generations, parents have turned to popular folklore for a sneak peek at their baby’s sex. The most enduring of these traditional predictions is the belief that a baby’s heart rate holds the secret to whether they are a boy or a girl. This article investigates the scientific validity of this widely discussed theory by examining what truly drives the fluctuations in a developing baby’s heart rate.
The Fetal Heart Rate Myth
The specific prediction proposes that a consistently high fetal heart rate (FHR), typically above 140 beats per minute (bpm), indicates a female fetus, while a rate below 140 bpm suggests a male fetus. Scientific studies have consistently shown that FHR is not a reliable predictor of sex. Research analyzing heart rates in the first and second trimesters found no statistically significant difference in baseline rates between male and female fetuses. For instance, one study found the average heart rate for female fetuses was 167.0 bpm, compared to 167.3 bpm for males, illustrating an almost identical baseline. Medical professionals agree that any slight numerical variation observed is too small and inconsistent to be used as a diagnostic tool, making the 140 bpm threshold medically inaccurate.
Factors That Truly Influence Fetal Heart Rate
The fluctuations observed in a fetal heart rate are complex and driven by physiological factors unrelated to sex. One primary determinant of FHR is gestational age; the rate is typically higher in the early weeks of pregnancy and decreases as the baby matures. For example, the heart rate may range from 90 to 110 bpm around six to seven weeks, stabilizing to a normal range of 110 to 160 bpm after the first trimester.
Fetal activity and behavioral states also cause considerable variation in the heart rate. When the fetus is active, moving, or stimulated, the heart rate increases significantly. During periods of quiet rest or sleep cycles, the heart rate declines, leading to a lower reading. These temporary shifts in activity levels are a normal part of development and create greater variability than any potential difference based on sex.
External influences, such as the mother’s health and environment, can also temporarily affect the reading. Factors like maternal fever, stress, or the use of certain medications, including narcotics or beta-blockers, can impact the fetal heart rate. The autonomic nervous system controls the heart rate, constantly responding to the baby’s immediate internal and external environment. This makes the heart rate a dynamic measure of well-being rather than a static indicator of sex.
Medically Reliable Sex Determination
For parents seeking an accurate determination of fetal sex, modern medicine offers reliable methods based on genetics or anatomical observation. The Non-Invasive Prenatal Testing (NIPT) is a blood test performed on the mother that analyzes cell-free DNA fragments circulating in her bloodstream. This test detects the presence or absence of the Y chromosome, allowing for sex determination with an accuracy often exceeding 99%. NIPT can be performed early in the pregnancy, often starting around 7 to 10 weeks gestation.
Later in the pregnancy, the routine anatomy ultrasound scan offers another accurate method. During an ultrasound, a technician can visually identify the fetal genitalia, which is typically reliable from around 18 to 22 weeks gestation. While the heart rate myth remains a source of speculation, these established medical tests provide the conclusive answer.

