{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:44Z","timestamp":1740126884718,"version":"3.37.3"},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Aims To assess the success rate and prevalence of maternal or neonatal\n                    complications in women undergoing a trial of labor after three or more\n                    (\u22653) previous cesarean sections (CSs).<\/jats:p><jats:p>\n          Methods A systematic literature review and meta-analysis was conducted\n                    from inception to May 2022 in Medline, Scopus, ENBASE, ClinicalTrials.gov, and\n                    the Cochrane Central Register of Controlled Trials and Reviews. Items detailing\n                    success rate and complications in women with a history of\u22653 previous CSs\n                    were considered. Selected articles were evaluated for quality, heterogeneity,\n                    and publication bias. A pooled prevalence or odds ratio was calculated.<\/jats:p><jats:p>\n          Findings Twelve articles were included for a total of 540 women with a\n                    history of\u22653 CSs, accounting for the 2% (CI 95%\n                    1\u20134%) of the whole cohort of trial of labor. Our findings show a\n                    0.67 (CI 95% 0.53\u20130.78) rate of successful vaginal delivery. A\n                    higher success rate was observed in women having a history of a prior vaginal\n                    delivery (0.90, CI 95% 0.77\u20130.96) and when prostaglandins,\n                    peridural anesthesia or oxytocin were allowed (respectively 0.73, CI 95%\n                    0.62\u20130.83, 0,73, CI 95% 0.57\u20130.85 and 0.73, CI\n                    95% 0.64\u20130.81). Uterine rupture rate was 0.01 (CI 95%\n                    0.00\u20130.01). No cases of fetal asphyxia or maternal or neonatal death\n                    were registered.<\/jats:p><jats:p>\n          Conclusions The success rate and low frequency of severe complications\n                    observed seem to support a trial of labor in selected patients desiring a\n                    natural birth. However, a potential underestimation of serious maternal and\n                    neonatal complications should be considered in the decision-making process.<\/jats:p>","DOI":"10.1055\/a-1965-4125","type":"journal-article","created":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T00:04:22Z","timestamp":1669939462000},"page":"96-105","source":"Crossref","is-referenced-by-count":2,"title":["Trial of Labor after Three or More Previous Cesarean Sections:\n                    Systematic Review and Meta-Analysis of Observational Studies"],"prefix":"10.1055","volume":"227","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8958-6049","authenticated-orcid":false,"given":"Arrigo","family":"Fruscalzo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, HFR Fribourg,\n                    Switzerland"},{"name":"Faculty of Medicine, University of M\u00fcnster,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Rossetti","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Brixen General Hospital,\n                    Brixen, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6429-1220","authenticated-orcid":false,"given":"Ambrogio P.","family":"Londero","sequence":"additional","affiliation":[{"name":"Academic Unit of Obstetrics and Gynaecology; Department of\n                    Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Infant\n                    Health, University of Genova, Italy"},{"name":"Ennergi Research (non-profit organization), 33050 Lestizza, UD, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"e0148343","DOI":"10.1371\/journal.pone.0148343","article-title":"The increasing trend in caesarean section rates: global, regional and national\n                    estimates: 1990\u20132014","volume":"11","author":"A P Betr\u00e1n","year":"2016","journal-title":"PLoS One"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1055\/s-0030-1271213","article-title":"Effect of fear of litigation on obstetric care: A nationwide analysis on\n                    obstetric practice","volume":"28","author":"P Zwecker","year":"2011","journal-title":"Am J Perinatol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"331.e1","DOI":"10.1016\/j.ajog.2012.02.026","article-title":"Inequities in the use of cesarean section deliveries in the world","volume":"206","author":"L Gibbons","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.3109\/14767058.2011.640367","article-title":"Introducing routine trial of labour after caesarean section in a second level\n                    hospital setting","volume":"25","author":"A Fruscalzo","year":"2012","journal-title":"J Matern Fetal Neonatal Med"},{"volume-title":"Human Behavior in the Social Environment: A Multidimensional Perspective.\n                        4th ed.","year":"2010","author":"J B Ashford","key":"ref5"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1016\/j.ajog.2011.09.028","article-title":"Long-term maternal morbidity associated with repeat cesarean delivery","volume":"205","author":"E A Clark","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1053\/beog.2000.0148","article-title":"Physical sequelae of caesarean section","volume":"15","author":"N Jackson","year":"2001","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: The PRISMA\n                    statement","volume":"6","author":"D Moher","year":"2009","journal-title":"PLoS Med"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"2008","DOI":"10.1001\/jama.283.15.2008","article-title":"Meta-analysis of observational studies in epidemiology: A proposal for\n                    reporting. 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Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1965-4125.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:25:08Z","timestamp":1730823908000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1965-4125"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,1]]},"references-count":51,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,4,13]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1965-4125","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"type":"print","value":"0948-2393"},{"type":"electronic","value":"1439-1651"}],"subject":[],"published":{"date-parts":[[2022,12,1]]}}}