{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T10:08:57Z","timestamp":1775902137671,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Amer J Perinatol"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>\n            Objective\u2003The objective of this study is to determine the maternal and neonatal morbidity associated with attempting operative vaginal delivery (OVD) compared with the alternative of a laboring repeat cesarean delivery (LRCD) in women attempting a trial of labor after cesarean delivery (TOLAC).<\/jats:p><jats:p>\n            Methods\u2003This is a secondary analysis of a multicenter prospective study designed to assess perinatal outcomes of OVD in women with a prior uterine scar. The study includes women who attempted TOLAC and reached +2 station with a fully dilated cervix. Composites on neonatal and maternal morbidity were compared between women in whom OVD was attempted and those who underwent LRCD by fitting multivariate logistic regression models.<\/jats:p><jats:p>\n            Results\u2003In total, 6,489 women attempting TOLAC reached 2+ station with a fully dilated cervix. Of these, 5,640 (86.9%) had a spontaneous vaginal delivery, 762 (11.7%) underwent attempted OVD, and 87 (1.3%) had an LRCD. Compared with attempting OVD, LRCD was associated with greater neonatal morbidity (odds ratio [OR]: 2.41; 95% confidence interval [CI]: 1.13\u20135.15) and less maternal morbidity (OR: 0.28; 95% CI: 0.14\u20130.55). Maternal morbidity of OVD is driven by perineal injury.<\/jats:p><jats:p>\n            Conclusion\u2003In laboring women with a previous uterine scar, attempting OVD is associated with greater maternal and less neonatal morbidity than LRCD.<\/jats:p>","DOI":"10.1055\/s-0037-1598080","type":"journal-article","created":{"date-parts":[[2017,1,31]],"date-time":"2017-01-31T23:51:42Z","timestamp":1485906702000},"page":"765-773","source":"Crossref","is-referenced-by-count":5,"title":["Outcomes of Operative Vaginal Delivery during Trial of Labor after Cesarean Delivery"],"prefix":"10.1055","volume":"34","author":[{"given":"Clifton","family":"Brock","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shravya","family":"Govindappagari","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Gyamfi-Bannerman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2017,1,31]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1598080.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T18:55:35Z","timestamp":1557168935000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1598080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,31]]},"references-count":0,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2017,6,12]]},"published-print":{"date-parts":[[2017,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1598080","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,31]]}}}