{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:23:00Z","timestamp":1760955780349},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Amer J Perinatol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n            Objective\u2003To investigate whether the predicted chance of success is associated with the choice to undergo trial of labor after cesarean (TOLAC).<\/jats:p><jats:p>\n            Study Design\u2003Retrospective cohort study of women with a single prior nonelective cesarean delivering a term singleton in 2012 at a tertiary care hospital. A vaginal birth after cesarean (VBAC) score (likelihood of success) was estimated for each patient. The primary outcome was percentage of women choosing TOLAC among women with favorable (&gt; 70% likelihood) and unfavorable VBAC scores. Other factors such as desired sterilization, provider type, and spontaneous labor were included in the analysis.<\/jats:p><jats:p>\n            Results\u2003In 2012, 434 women were eligible: 73 with VBAC score &gt;70%, and 361 with score \u226470%. Of those with score &gt;70%, 63% chose TOLAC, compared with 21% with score \u226470% (p\u2009&lt;\u20090.01). In a multivariable analysis, spontaneous labor onset was highly associated with choosing TOLAC: adjusted odds ratio 26.7 (95% confidence interval 13.86\u201351.29). The choice of TOLAC was also positively associated with resident provider and desired fertility.<\/jats:p><jats:p>\n            Conclusion\u2003Almost four in ten women with a history of nonelective primary cesarean and a very high predicted likelihood of VBAC choose elective repeat cesarean. Spontaneous labor was strongly associated with the choice to undergo TOLAC.<\/jats:p>","DOI":"10.1055\/s-0038-1626714","type":"journal-article","created":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T18:32:59Z","timestamp":1518114779000},"page":"892-897","source":"Crossref","is-referenced-by-count":4,"title":["Choice of Trial of Labor after Cesarean and Association with Likelihood of Success"],"prefix":"10.1055","volume":"35","author":[{"given":"Phinnara","family":"Has","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dwight","family":"Rouse","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenna","family":"Hughes","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanna","family":"Sudhof","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,2,8]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1626714.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,7,9]],"date-time":"2018-07-09T18:46:11Z","timestamp":1531161971000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1626714"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,8]]},"references-count":0,"journal-issue":{"issue":"09","published-online":{"date-parts":[[2018,7,9]]},"published-print":{"date-parts":[[2018,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1626714","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,8]]}}}