{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:56:24Z","timestamp":1781794584968,"version":"3.54.5"},"reference-count":28,"publisher":"Walter de Gruyter GmbH","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2023-0033_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To evaluate the effect of overweight (body mass index; BMI 25.0\u201329.9\u202fkg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), and obesity (BMI&gt;30\u202fkg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), on the success of trial of labor after cesarean delivery (TOLAC), with consideration of successful past vaginal birth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2023-0033_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study was performed using electronic database of obstetrics department at a university-affiliated tertiary medical center. All women admitted for TOLAC at 37\u201342\u202fweeks of gestational age, carrying a singleton live fetus at cephalic presentation, with a single previous low segment transverse cesarean delivery between 1\/2015 and 5\/2021 were included. Primary outcome was the rate of cesarean delivery during labor, and subgroup analysis was performed for the presence of past vaginal birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2023-0033_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 1200 TOLAC deliveries meeting the inclusion criteria, 61.9\u202f% had BMI in the normal range, 24.6\u202f% were overweight (BMI 25.0\u201329.9\u202fkg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), and 13.4\u202f% were obese (BMI of 30\u202fkg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and over). Using a multivariate analysis, BMI\u226530\u202fkg\/m\n                      <jats:sup>2<\/jats:sup>\n                      was associated with increased risk of cesarean delivery compared to normal weight. However, in the subgroup of 292 women with a history of successful vaginal birth BMI did not affect TOLAC success.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2023-0033_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>BMI does not affect the success of TOLAC in women with previous vaginal birth. This information should be considered during patients counselling, in order to achieve a better selection of mode of delivery and higher patients\u2019 satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2023-0033","type":"journal-article","created":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T05:51:28Z","timestamp":1702533088000},"page":"158-164","source":"Crossref","is-referenced-by-count":3,"title":["The association between obesity and the success of trial of labor after cesarean delivery (TOLAC) in women with past vaginal delivery"],"prefix":"10.1515","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7114-1244","authenticated-orcid":false,"given":"Eiman","family":"Shalabna","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Carmel Medical Center, Technion University, Rappaport Faculty of Medicine , Haifa , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reuven","family":"Kedar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Carmel Medical Center, Technion University, Rappaport Faculty of Medicine , Haifa , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wisam","family":"Assaf","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Carmel Medical Center, Technion University, Rappaport Faculty of Medicine , Haifa , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Nahshon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Carmel Medical Center, Technion University, Rappaport Faculty of Medicine , Haifa , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2473-7408","authenticated-orcid":false,"given":"Nir","family":"Kugelman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Carmel Medical Center, Technion University, Rappaport Faculty of Medicine , Haifa , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ofer","family":"Lavie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Carmel Medical Center, Technion University, Rappaport Faculty of Medicine , Haifa , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0883-2130","authenticated-orcid":false,"given":"Lena","family":"Sagi-Dain","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Carmel Medical Center, Technion University, Rappaport Faculty of Medicine , Haifa , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2023,12,15]]},"reference":[{"key":"2026061814321968594_j_jpm-2023-0033_ref_001","unstructured":"ClinicalKey [Internet]. 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