{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:48:28Z","timestamp":1791470908893,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine maternal and neonatal complications associated with an intrapartum cesarean delivery (CD) with and without a history of a previous CD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of all women who underwent an unplanned intrapartum CD following a trial of labor in a university\u2010affiliated tertiary hospital, between 2009 and 2016. Perinatal outcomes of women with and without a history of a previous CD were compared. Composite adverse maternal outcome included one or more of the following: postpartum hemorrhage, need for blood transfusion, or cesarean hysterectomy. Composite adverse neonatal outcome included one or more of the following: 5\u2010min Apgar score &lt;7, neonatal seizure, need for intubation, meconium\u2010aspiration\u2010syndrome, or hypoxic\u2010ischemic encephalopathy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the study period, 42\u00a0275 women attempted vaginal delivery. Of them, 2229 (5.3%) women underwent an unplanned intrapartum CD and met inclusion criteria: 337 (15.1%) with (study group) and 1892 (84.9%) without (control group) a previous CD. Women without a previous CD were younger and were characterized by higher rates of nulliparity and induction of labor compared with women with a previous CD. Other demographic and obstetrical characteristics did not differ between the groups. Indications for CD were also comparable between the groups. Uterine rupture complicated 2.3% of trials of labor among women with a previous CD. Adverse maternal (2.7% vs 2.9%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a01.0) and neonatal (3.9% vs 4.3%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.88) outcomes were comparable between the groups. After adjusting for potential confounders, a previous CD was not associated independently with adverse maternal outcomes (adjusted odds ratio [aOR] 0.86, 95% confidence interval [CI] 0.31\u20132.38;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.78) or neonatal outcomes (aOR 0.79, 95% CI 0.36\u20131.75;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.56).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our study provides evidence that perinatal outcomes of intrapartum CD delivery among women with a previous CD do not differ from those in women without a previous CD. These findings might improve the consultation and informed decision\u2010making process for couples considering a trial of labor after CD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13798","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T10:26:44Z","timestamp":1624530404000},"page":"359-365","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Intrapartum cesarean delivery and the risk of perinatal complications in women with and without a single prior cesarean delivery"],"prefix":"10.1002","volume":"157","author":[{"given":"Eran","family":"Ashwal","sequence":"first","affiliation":[{"name":"Sourasky Medical Center Lis Hospital for Women  Tel Aviv Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv 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Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Aviram","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Department of Obstetrics and Gynecology Sunnybrook Health Sciences Centre University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eran","family":"Hadar","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"Rabin Medical Center Helen Schneider Hospital for Women  Petach Tikva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel","family":"Lasry","sequence":"additional","affiliation":[{"name":"Mayanei Hayeshua Medical Center  Beni Beraq Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yariv","family":"Yogev","sequence":"additional","affiliation":[{"name":"Sourasky Medical Center Lis Hospital for Women  Tel Aviv 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