{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:27Z","timestamp":1740126807324,"version":"3.37.3"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"14","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>\n            Objective\u2003This study aimed to compare adverse neonatal outcomes associated with the trial of labor after cesarean (TOLAC) at term in pregnancies according to maternal prepregnancy body mass index (BMI; kg\/m2) and the presence of previous vaginal delivery (VD).<\/jats:p><jats:p>\n            Study Design\u2003This was a repeated cross-sectional analysis of individuals with singleton, cephalic, and term deliveries with a history of one or two cesarean deliveries in the Linked Birth\/Infant Death data from 2011 to 2020. Outcomes were examined according to the BMI category including BMI &lt;30, 30 to 39.9, and 40 to 69.9\u2009kg\/m2. The primary outcome was a composite neonatal outcome, defined as any presence of neonatal death, neonatal intensive care unit admission, assisted ventilation, surfactant therapy, or seizures. Outcomes were compared between TOLAC and elective repeat cesarean delivery (eRCD) after stratifying by BMI category and previous VD. Log-binomial regression was performed to obtain adjusted relative risk (aRR) with 99% confidence intervals, controlling for covariates.<\/jats:p><jats:p>\n            Results\u2003Of 4,055,440 individuals, 2,627,131 had BMI &lt;30\u2009kg\/m2, 1,108,278 had BMI 30 to 39.9\u2009kg\/m2, and 320,031 had BMI 40 to 69.9\u2009kg\/m2. In individuals with no previous VD, VD rates after TOLAC were 66.7, 57.2, and 48.1%, respectively. In individuals with previous VD, VD rates after TOLAC were 81.4, 74.7, and 67.3%, respectively. In individuals without previous VD, compared with those who had an eRCD, those who had TOLAC were more likely to experience composite neonatal outcomes in individuals with BMI\u2009&lt;\u200930\u2009kg\/m2 (5.0 vs. 6.5%; aRR\u2009=\u20091.33 [1.30\u20131.36]), BMI 30 to 39.9\u2009kg\/m2 (6.1 vs. 7.8%; aRR\u2009=\u20091.29 [1.24\u20131.34]), and BMI 40 to 69.9\u2009kg\/m2 (8.2 vs. 9.0%; aRR\u2009=\u20091.15 [1.07\u20131.23]). In individuals with previous VD, there was no difference in the composite neonatal outcomes in BMI\u2009&lt;\u200930\u2009kg\/m2 (6.2 vs. 5.8%; aRR\u2009=\u20090.98 [0.96\u20131.00]), BMI 30 to 39.9\u2009kg\/m2 (7.4 vs. 7.1%; aRR\u2009=\u20090.99 [0.95\u20131.02]), and BMI 40 to 69.9\u2009kg\/m2 (9.4 vs. 8.7%; aRR\u2009=\u20090.96 [0.91\u20131.02]).<\/jats:p><jats:p>\n            Conclusion\u2003TOLAC among obese individuals could be offered in selected cases.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-2285-6166","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:15:34Z","timestamp":1710288934000},"page":"1980-1989","source":"Crossref","is-referenced-by-count":0,"title":["Trial of Labor versus Repeat Cesarean Delivery in Individuals with Morbid Obesity after Previous Cesarean Delivery"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2781-158X","authenticated-orcid":false,"given":"Misooja","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, School of Medicine, Kindai University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tawany C.","family":"Almeida","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Saade","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Kawakita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,4,4]]},"reference":[{"issue":"S 07","key":"ref1","doi-asserted-by":"crossref","first-page":"S120","DOI":"10.1038\/ijo.2008.247","article-title":"WHO recognition of the global obesity epidemic","volume":"32","author":"W P James","year":"2008","journal-title":"Int J Obes"},{"issue":"09","key":"ref3","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1055\/s-0035-1557868","article-title":"Prevalence and associated risk factors for obesity during pregnancy over time","volume":"75","author":"T N St\u00fcber","year":"2015","journal-title":"Geburtshilfe Frauenheilkd"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"e110","DOI":"10.1097\/AOG.0000000000003078","article-title":"ACOG Practice Bulletin No. 205: Vaginal Birth After Cesarean Delivery","volume":"133","author":"American College of Obstetricians and Gynecologists","year":"2019","journal-title":"Obstet Gynecol"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1067\/mob.2003.472","article-title":"Vaginal birth after cesarean section versus elective repeat cesarean delivery: weight-based outcomes","volume":"188","author":"C S Carroll Sr","year":"2003","journal-title":"Am J Obstet Gynecol"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1067\/mob.2001.116729","article-title":"Mode of delivery for the morbidly obese with prior cesarean delivery: vaginal versus repeat cesarean section","volume":"185","author":"S P Chauhan","year":"2001","journal-title":"Am J Obstet Gynecol"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1067\/mob.2001.115044","article-title":"Failed vaginal birth after a cesarean section: how risky is it? 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