{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T14:01:16Z","timestamp":1792677676991,"version":"4.5.0"},"reference-count":25,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"06","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"vor","delay-in-days":56,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003The aim of the present study was to evaluate the risk factors for cesarean section (C-section) in low-risk multiparous women with a history of vaginal birth.<\/jats:p><jats:p>\n          Methods\u2003The present retrospective study included low-risk multiparous women with a history of vaginal birth who gave birth at between 37 and 42 gestational weeks. The subjects were divided into 2 groups according to the mode of delivery, as C-section Group and vaginal delivery Group. Risk factors for C-section such as demographic characteristics, ultrasonographic measurements, smoking, weight gain during pregnancy (WGDP), interval time between prior birth, history of macrosomic birth, and cervical dilatation at the admission to the hospital were obtained from the charts of the patients. Obstetric and neonatal outcomes were compared between groups.<\/jats:p><jats:p>\n          Results\u2003The most common C-section indications were fetal distress and macrosomia (33.9% [n\u2009=\u200977 and 20.7% [n\u2009=\u200947] respectively). A bivariate correlation analysis demonstrated that mothers aged\u2009&gt;\u200930 years old (odds ratio [OR]: 2.09; 95% confidence interval [CI]: 1.30\u20133.34; p\u2009=\u20090.002), parity &gt;1 (OR: 1.81; 95%CI: 1.18\u20132.71; p\u2009=\u20090.006), fetal abdominal circumference (FAC) measurement\u2009&gt;\u2009360\u2009mm (OR: 34.20; 95%CI: 8.04\u2014145.56; p\u2009&lt;\u20090.001)) and\u2009&lt;\u2009345\u2009mm (OR: 3.06; 95%CI: 1.88\u20135; p\u2009&lt;\u20090.001), presence of large for gestational age (LGA) fetus (OR: 5.09; 95%CI: 1.35\u201319.21; p\u2009=\u20090.016), premature rupture of membranes (PROM) (OR: 1.52; 95%CI: 1\u20132.33; p\u2009=\u20090.041), and cervical dilatation\u2009&lt;\u20095cm at admission (OR: 2.12; 95%CI: 1.34\u20133.34; p\u2009=\u20090.001) were associated with the group requiring a C-section.<\/jats:p><jats:p>\n          Conclusion\u2003This is the first study evaluating the risk factors for C-section in low-risk multiparous women with a history of vaginal birth according to the Robson classification 3 and 4. Fetal distress and suspected fetal macrosomia constituted most of the C-section indications.<\/jats:p>","DOI":"10.1055\/s-0041-1731378","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T00:30:57Z","timestamp":1627432257000},"page":"436-441","source":"Crossref","is-referenced-by-count":15,"title":["Risk Factors for Intrapartum Cesarean Section Delivery in Low-risk Multiparous Women Following at Least a Prior Vaginal Birth (Robson Classification 3 and 4)"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4405-2876","authenticated-orcid":false,"given":"Gul Nihal","family":"Buyuk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences, Zekai Tahir Burak Woman's Health, Education and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8443-7239","authenticated-orcid":false,"given":"Hatice","family":"Kansu-Celik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences, Zekai Tahir Burak Woman's Health, Education and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7554-4393","authenticated-orcid":false,"given":"Zeynep Asli Oskovi","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences, Zekai Tahir Burak Woman's Health, Education and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6728-0823","authenticated-orcid":false,"given":"Burcu","family":"Kisa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences, Zekai Tahir Burak Woman's Health, Education and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4039-6495","authenticated-orcid":false,"given":"Sule","family":"Ozel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences, Zekai Tahir Burak Woman's Health, Education and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1011-3848","authenticated-orcid":false,"given":"Yaprak","family":"Engin-Ustun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences, Zekai Tahir Burak Woman's Health, Education and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1053\/beog.1999.0088","article-title":"Surgical management of endometriosis","volume":"14","author":"P Vercellini","year":"2000","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"issue":"01","key":"ref2","first-page":"13","article-title":"The impact of physiologic and non-physiologic delivery on the mother and neonate outcomes; 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