{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T02:42:12Z","timestamp":1789008132307,"version":"build-2803163510"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100018935","name":"Universit\u00e4tsklinikum Erlangen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018935","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the influence of a previous caesarean section on adverse composite maternal and perinatal outcome in women who attempted a trial of labor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This historical cohort study analyzed maternal and perinatal outcome in women with otherwise low risk pregnancies at term who underwent a trial of labor after a caesarean section (TOLAC). The primary outcome measure was the adverse composite outcome. Secondary outcome measures were amongst others the caesarean section rate and the mode of vaginal delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The adverse composite outcome was more frequently in the previous caesarean section group compared to women with no previous caesarean Sect.\u00a0(22.3% vs. 15.6%, p\u2009&lt;\u20090.0001). The percentage of caesarean Sect.\u00a0(15.4% vs. 8.2%, p\u2009&lt;\u20090,0001), uterine rupture (1.0% vs. 0.02%, p\u2009&lt;\u20090.0001), placental abruption (1.1% vs. 0.3%, p\u2009=\u20090.0014), vaginal operative delivery (16.0% vs. 8.6%, p\u2009&lt;\u20090.0001), pH\u2009&lt;\u20097.10 (3.7% vs. 2.5%, p\u2009=\u20090.0151), base excess\u2009&lt;\u2009-12 (3.2% vs. 2.2%, p\u2009=\u20090.0297), abnormal cardiotocography (22.5% vs. 13.9%, p\u2009&lt;\u20090,0001) and fetal blood analysis (6.2% vs. 2.6%, p\u2009&lt;\u20090.0001) was significantly higher in women with a previous caesarean section. Taking the parity into account, these differences could only been seen in women without a previous vaginal delivery. In parous women with a previous vaginal delivery and a caesarean section in history, the adverse composite did not differ between the groups. Only the rate of pH\u2009&lt;\u20097.1 was higher in women after a caesarean Sect.\u00a0(4.5% vs. 1.8%, p\u2009=\u20090.0436).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Trial of labor after caesarean in otherwise low risk pregnancies is associated with a higher rate of complications especially if there is no history of vaginal delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00404-024-07700-1","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T07:02:51Z","timestamp":1724914971000},"page":"965-971","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Trial of labor after caesarean section in low risk pregnancies: is it risky?"],"prefix":"10.1007","volume":"311","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2220-371X","authenticated-orcid":false,"given":"Sven","family":"Kehl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"D\u00fcster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christel","family":"Weiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Bader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias W.","family":"Beckmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Dammer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jutta","family":"Pretscher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,29]]},"reference":[{"key":"7700_CR1","doi-asserted-by":"publisher","first-page":"139","DOI":"10.5582\/bst.2011.v5.4.139","volume":"5","author":"Y Niino","year":"2011","unstructured":"Niino Y (2011) The increasing cesarean rate globally and what we can do about it. 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