{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T02:22:42Z","timestamp":1785550962194,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012416","name":"Inova Health System","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012416","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004586","name":"Funda\u00e7\u00e3o Carlos Chagas Filho de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the hospital, maternal, and obstetric characteristics associated with elective repeat cesarean delivery (<jats:styled-content style=\"fixed-case\">ERCD<\/jats:styled-content>) among women eligible for trial of labor after cesarean (<jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content>) delivery in Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present data were retrieved from the Birth in Brazil study, a national hospital\u2010based cohort study conducted during 2011\u20132012. Data were collected from medical records and by interview. Univariate and hierarchical multiple logistic regression analyses were performed to analyze factors associated with <jats:styled-content style=\"fixed-case\">ERCD<\/jats:styled-content> among women with a previous cesarean delivery who were eligible for <jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 2295 women considered eligible for <jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content>, 1516 (66.1%) had an <jats:styled-content style=\"fixed-case\">ERCD<\/jats:styled-content>; the overall cesarean delivery rate was 79.4%. In the private sector, almost all deliveries (95.3%) were performed by <jats:styled-content style=\"fixed-case\">ERCD<\/jats:styled-content>. In the public sector, <jats:styled-content style=\"fixed-case\">ERCD<\/jats:styled-content> was associated with socioeconomic (more years of schooling), obstetric (women's preference, no previous vaginal delivery, macrosomia), and hospital (mixed hospital, location in noncapital city, fewer than 1500 deliveries per year) characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">ERCD<\/jats:styled-content> rate in Brazil was high even in a low\u2010risk group, indicating that nonclinical factors may be driving the decision for cesarean delivery. Efforts aiming to reduce cesarean deliveries in Brazil should target women with a previous cesarean delivery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12660","type":"journal-article","created":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T05:30:34Z","timestamp":1536125434000},"page":"351-359","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Elective repeat cesarean delivery in women eligible for trial of labor in Brazil"],"prefix":"10.1002","volume":"143","author":[{"given":"Marcos","family":"Nakamura\u2010Pereira","sequence":"first","affiliation":[{"name":"Fernandes Figueira National Institute for Women's Children's and Adolescents' Health Oswaldo Cruz Foundation  Rio de Janeiro Brazil"},{"name":"Department of Epidemiology and Quantitative Methods in Health S\u00e9rgio Arouca National School of Public Health Oswaldo Cruz Foundation  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paula","family":"Esteves\u2010Pereira","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Quantitative Methods in Health S\u00e9rgio Arouca National School of Public Health Oswaldo Cruz Foundation  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana G. 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