Background: Ambiguous sex has a great phenotypic variability and is a serio
us medical and social problem. Aim: To study the prevalence of ambiguous se
x among newborns. Material ans methods: As part of the ECLAMC (Cooperative
Latin American Study of Congenital Malformations) all newborns with malform
ations are registered and the next normal newborn is considered as a contro
l. Results: 50.253 births occurred (between malformations was 6.78% and the
prevalence of ambiguous sex was 4.7 per 10.000 births. Affected children h
ad a lower birth weight, lower gestational age and a lower maternal age tha
n cardiovascular systems (60.7%). Thirty two percent of affected children a
nd specific syndromes. Conclusions: The prevalence of ambiguous sex in this
study was 4.7 per 10.000 births, which is higher than that reported in the
ECLAMC (1.9 per 10000).