Ramzi Theory

The claim that which side the placenta forms on at six weeks reveals the baby's sex. The famous 97% figure comes from an analysis that was never published in a journal.

The short answer

No. The 97% accuracy figure traces to an analysis that was never peer reviewed or published in a journal, and the peer-reviewed work that has examined placental position has not reproduced it. Obstetricians who have been asked about it describe the method as a coin flip.

What the theory claims

Ramzi theory holds that the side on which the placenta or chorionic villi develop, seen on a scan from about six weeks, indicates sex: right for a boy, left for a girl. Its appeal is timing. Six weeks is far earlier than any other method offers, and the scan is one many people have anyway.

Where the 97% came from

The figure is attributed to Saam Ramzi Ismail, and the claim is that it comes from a large ultrasound study — the numbers usually quoted are 97.2% of male fetuses with a right-sided placenta and 97.5% of females on the left, from a sample where around 1,200 participants had both scans.

That analysis was never peer reviewed and never published in a journal. It first appeared online through a media company. This matters more than it might sound: peer review is the step where someone independent checks whether the method could have produced the result, and it never happened here.

What the peer-reviewed work found

A 2010 study published in a peer-reviewed journal disputes the idea that placental location correlates with fetal sex. A separate group examined 277 pregnant women in the first trimester using transabdominal ultrasound and reported poor correlation between placental location and sex.

Reviewing the method, Contemporary OB/GYN notes that it has not been confirmed in any additional studies. In the words of one obstetrician asked about it, there is a 50% chance with simple guessing that the sex is male or female — which is the benchmark Ramzi theory has not been shown to beat.

The orientation problem

There is a practical difficulty on top of the evidence problem. Transabdominal and transvaginal scans are not oriented the same way, and guides to reading Ramzi theory tell you to flip the image depending on which kind of scan you had.

So the answer depends on correctly remembering, and correctly applying, a mirror step — on an image that was not taken for this purpose and is rarely labelled with it. The same placenta can be read as either answer if the scan type is misremembered, which quietly adds a second coin flip on top of the first.

The two methods that do give an answer are a non-invasive prenatal test, which reads placental DNA from a sample of the mother's blood from about nine or ten weeks, and the anatomy scan at eighteen to twenty-two weeks.

Frequently asked questions

Is Ramzi theory scientifically proven?

No. The research behind its accuracy claim was never peer reviewed or published in a journal, and the peer-reviewed studies that have looked at placental position and fetal sex did not find a usable relationship.

Why is the 97% figure quoted everywhere?

Because it is repeated, not because it is verified. The number comes from a single unpublished analysis, and sites citing it generally cite each other rather than any study that tested the claim independently.

Can Ramzi theory work at 6 weeks?

Six weeks is early enough to see where the placenta is forming, so the observation is possible. What has not been shown is that the observation tells you anything about sex.

Does it matter whether my scan was transvaginal?

By the theory's own instructions, yes — the two scan types are mirrored, and you are told to flip the image for one of them. That makes the answer dependent on remembering which scan you had and applying the flip correctly.

What is the earliest reliable way to find out?

A non-invasive prenatal test, which analyses placental DNA in the mother's blood and can be done from about nine or ten weeks. It is a few weeks later than Ramzi theory claims to work, and unlike Ramzi theory it has been validated.

Sources

More on Gender Prediction

Nub Theory

The angle of the genital tubercle on a 11-to-14-week scan. The only one of the popular early methods with peer-reviewed accuracy figures behind it — and they are lower than the ones usually quoted.
Verdict: some evidence

Skull Theory

Reading a 12-week profile scan for a squarer or rounder skull. The differences it relies on are real in adults — and do not develop until puberty.
Verdict: no evidence

Old Wives' Tales

Heart rate, carrying high or low, cravings, the ring test, the Chinese calendar. Three of them have been properly tested — and one has a real, if useless, kernel of truth.
Verdict: tested, failed

Turn Your Love Story Into a Glimpse of Tomorrow With Our AI Baby Generator

One-time payment, no subscription