{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T11:32:29Z","timestamp":1774179149963,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Second\u2010stage cesarean delivery (CD) is associated with subsequent preterm birth (PTB). It has been suggested that an increased risk of PTB after second\u2010stage cesarean delivery could be linked to a higher chance of cervical injury due to the extension of the uterine incision. Previous studies have shown that reverse breech extraction is associated with lower rates of uterine incision extensions compared to the \u201cpush\u201d method.<\/jats:p>\n                    <jats:p>We aimed to investigate the association between the method of fetal extraction during second\u2010stage CD and the rate of spontaneous PTB (sPTB), as well as other maternal and neonatal outcomes during the subsequent pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a multicenter retrospective cohort study. The study population included women in their first subsequent singleton delivery following a second\u2010stage CD between 2004 and 2021. The main exposure of interest was the method of fetal extraction in the index CD (\u201cpush\u201d method vs. reverse breech extraction). The primary outcome of this study was sPTB &lt;37\u2009weeks in the subsequent pregnancy. Secondary outcomes were overall PTB, trial of labor, and other adverse maternal and neonatal outcomes. Univariate analysis was followed by multiple logistic regression modeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, 2969 index CD during second stage were performed, of those 583 met the inclusion criteria, of whom 234 (40.1%) had fetal extraction using the reverse breech extraction method, while 349 (59.9%) had the \u201cpush\u201d method for extraction. In univariate analysis, women in those two groups had statistically similar rates of sPTB (3.7% vs. 3.0%; odds ratio [OR] 1.25, 95% CI: 0.49\u20133.19) and overall PTB (&lt;37, &lt;34 and &lt;32\u2009weeks), as well as other maternal, neonatal, and trial of labor outcomes. This was confirmed by multivariate analyses with an adjusted OR of 1.27 (95% CI: 0.43\u20133.71) for sPTB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among women with a previous second\u2010stage CD, no significant difference was observed in PTB rates in the subsequent pregnancies following the \u201cpush\u201d method compared to the reverse breech extraction method.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15383","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T10:14:19Z","timestamp":1705572859000},"page":"775-782","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impacted fetal head extraction methods at second stage cesarean and subsequent preterm delivery: A multicenter study"],"prefix":"10.1002","volume":"166","author":[{"given":"Tzuria","family":"Peled","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University School of Medicine  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia M.","family":"Muraca","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology McMaster University  Hamilton Ontario Canada"},{"name":"Department of Health Research Methods, Evidence and Impact Faculty of Health Sciences, McMaster University  Hamilton Ontario Canada"},{"name":"Clinical Epidemiology Unit, Department of Medicine, Solna Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miri","family":"Ratner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University School of Medicine  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hen Y.","family":"Sela","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University School of Medicine  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abirami","family":"Kirubarajan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ari","family":"Weiss","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University School of Medicine  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sorina","family":"Grisaru\u2010Granovsky","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University School of Medicine  Jerusalem Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4875-1455","authenticated-orcid":false,"given":"Misgav","family":"Rottenstreich","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Shaare Zedek Medical Center affiliated with the Hebrew University School of Medicine  Jerusalem Israel"},{"name":"Department of Obstetrics and Gynecology McMaster University  Hamilton Ontario Canada"},{"name":"Department of Nursing Jerusalem College of Technology  Jerusalem 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