{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:55:52Z","timestamp":1781812552576,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"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; Obste"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify risk factors associated with postpartum readmission following vacuum\u2010assisted vaginal delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study at a single university\u2010affiliated tertiary medical center from 2012 to 2023, including all singleton pregnancies delivered at \u226537\u2009weeks' gestation. Women who underwent a vacuum\u2010assisted vaginal delivery (VAD) trial were identified. Multiple gestations, nonviable fetuses, and failed VAD requiring emergency cesarean delivery (CD) were excluded. Participants were categorized as readmitted or not readmitted within 6\u2009weeks postpartum for obstetrical or gynecologic indications. Univariate analysis followed by multivariate logistic regression determined risk factors for readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 111\u2009878 vaginal deliveries, 8730 (7.8%) involved VAD, with a readmission rate of 1.2% (105 women). Infectious causes accounted for 67.6% of readmissions. The most common infectious diagnosis was endometritis (27.6%), followed by urinary tract infection (14.3%), mastitis (12.4%), fever of unknown origin (8.6%), and infected laceration or episiotomy site (4.8%). Multivariate analysis revealed that pre\u2010eclampsia (odds ratio [OR]\u2009=\u20095.0, 95% confidence interval [CI]: 2.2\u201311.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), postpartum fever (OR\u2009=\u20093.4, 95% CI: 1.0\u201311.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.036), previous CD (OR\u2009=\u20092.0, 95% CI: 1.0\u20134.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.046), and persistent occiput posterior fetal position (OR\u2009=\u20091.9, 95% CI: 1.2\u20133.3,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.013) were significant risk factors for readmission. Notably, the primary indications for VAD, such as prolonged second stage of labor and non\u2010reassuring fetal heart rate monitoring, were not independently associated with an increased risk of postpartum readmission.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Several risk factors are associated with increased risk of postpartum readmission following VAD. Enhanced postpartum surveillance in these high\u2010risk groups may help reduce readmissions and improve maternal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70864","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T07:55:23Z","timestamp":1770450923000},"page":"416-423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Maternal risk factors for postpartum readmission following vacuum\u2010assisted vaginal delivery: A retrospective cohort study"],"prefix":"10.1002","volume":"174","author":[{"given":"Itamar","family":"Gilboa","sequence":"first","affiliation":[{"name":"Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keren\u2010Or","family":"Wertheimer","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Gabbai","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Attali","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yariv","family":"Yogev","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"},{"name":"Gray Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anat","family":"Lavie","sequence":"additional","affiliation":[{"name":"Lis Hospital for Women's Health Tel Aviv Sourasky Medical Center  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1849122"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00615.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003764"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.12.305"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13439"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-06080-9"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.11.1355"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000154153.31193.2c"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30773-1"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-32108-2.00065-2"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003892"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781107338876.053"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14367"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2025.114632"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2018.09.005"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2016-0389"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.08.037"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1628944"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(95)02373-K"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2023.0727"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-0997(2000)8:2<77::AID-IDOG3>3.0.CO;2-6"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2022.100705"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-020-05443-3"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-019-05165-1"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16092"},{"key":"e_1_2_11_27_1","volume-title":"(World Health Organization) Recommendation on Routine Antibiotic Prophylaxis for Women Undergoing Operative Vaginal Birth","author":"WHO","year":"2021"}],"container-title":["International Journal of Gynecology &amp; 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