{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T09:59:43Z","timestamp":1776419983113,"version":"3.51.2"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T00:00:00Z","timestamp":1354665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A previous caesarean delivery is no longer an indication <jats:italic>per se<\/jats:italic> for a subsequent, planned caesarean. We performed this study to identify women suitable for trial of labour after caesarean (<jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content>), investigating the association between the indication for the first caesarean and the risk of unplanned caesarean in the second pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified women with their first two pregnancies registered in the <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>wedish <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edical <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>irth <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>egistry 1992\u20132007. The indications for caesarean in the first pregnancy were determined using a previously published hierarchical system. For each indication group, the rate of caesarean among women with a first caesarean (n\u2009=\u200959\u2009643) and a <jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content> in the second pregnancy was compared with that of primiparae (parity 0) (n\u2009=\u2009354 053).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content> rate was 69.5%. Among women with <jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content>, the uterine rupture rate was 1.1%. The success rate of <jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content> varied substantially based on the indication for the first caesarean (range 51\u201383%). Multiple births, breech presentation, and placenta praevia in the first pregnancy were associated with marginally increased odds of unplanned caesarean in the second pregnancy when compared with primiparae (adjusted <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.27 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.10, 1.48], 1.42 [1.34, 1.51], and 1.65 [1.17, 2.31]; <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, odds ratio; <jats:styled-content style=\"fixed-case\">CI,<\/jats:styled-content> confidence interval). The indications based on complications during labour\/delivery, macrosomia, and maternal diabetes, were associated with substantially increased <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>: 3.87 [3.70, 4.06], 4.15 [3.74, 4.61], and 4.62 [3.79, 5.63], respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Considering the indications for caesarean in the first pregnancy before recommending a <jats:styled-content style=\"fixed-case\">TOLAC<\/jats:styled-content> or a planned caesarean in the second pregnancy may help to lower the rate of unplanned caesarean deliveries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12024","type":"journal-article","created":{"date-parts":[[2012,12,6]],"date-time":"2012-12-06T02:50:37Z","timestamp":1354762237000},"page":"72-80","source":"Crossref","is-referenced-by-count":19,"title":["Indications for First Caesarean and Delivery Mode in Subsequent Trial of Labour"],"prefix":"10.1111","volume":"27","author":[{"given":"Marie C.","family":"Fagerberg","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Ystad Hospital  Ystad Sweden"},{"name":"Department of Obstetrics and Gynaecology Clinical Sciences Lund Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karel","family":"Mar\u0161\u00e1l","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Clinical Sciences Lund Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per","family":"Ekstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Sk\u00e5ne University Hospital  Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"K\u00e4ll\u00e9n","sequence":"additional","affiliation":[{"name":"Centre of Reproduction Epidemiology Clinical Sciences Lund Lund University  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000116259.41678.f1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)00790-0"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.05.015"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2010.544426"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000259313.46842.71"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.05.066"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.07.017"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000259312.36053.02"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f2de49"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02614.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/140349489001800209"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1996.tb14164.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02533.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa040405"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.03.013"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181bb0dde"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767050902874089"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2011.03.007"}],"container-title":["Paediatric and Perinatal Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fppe.12024","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ppe.12024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T15:01:55Z","timestamp":1698678115000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ppe.12024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,5]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1111\/ppe.12024"],"URL":"https:\/\/doi.org\/10.1111\/ppe.12024","archive":["Portico"],"relation":{},"ISSN":["0269-5022","1365-3016"],"issn-type":[{"value":"0269-5022","type":"print"},{"value":"1365-3016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12,5]]}}}