{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:19:25Z","timestamp":1760145565895,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T00:00:00Z","timestamp":1722038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: In recent years, there has been a noticeable increase in the rates of caesarean section (CS), being one of the most commonly performed surgical procedures. For the following pregnancy, the previous CS represents the backbone of the risks and complications, such as uterine scar formation, uterine rupture, massive bleeding, and serious negative outcomes for both the mother and child. Our study followed patients with a history of CS from the birth planning prenatal check-up to delivery. Methods: We reviewed the records of 125 pregnant women with previous CS who presented in the third trimester for a prenatal check-up and completed our questionnaire from March 2021 to April 2022 in the Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, Germany. Results: Before the prenatal check-up, 74 patients (59.2%) preferred vaginal delivery (VD), while 51 (40.8%) preferred CS. After discussing birth planning with the obstetrician, 72 women (57.6%) decided upon VD, while 53 (42.4%) preferred CS. Ultimately, 78 (62.4%) of women gave birth through CS (either planned or by medical necessity) and 47 (37.6%) gave birth vaginally (either natural or per vacuum extraction). Conclusions: VD for patients with CS in their medical history is a real option. The patient must be well informed about the risks and benefits of the medical situation and should be empowered and supported on their chosen mode of delivery, which should be respected.<\/jats:p>","DOI":"10.3390\/jcm13154393","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T09:50:05Z","timestamp":1722246605000},"page":"4393","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["How the Mode of Delivery Is Influenced by Patient\u2019s Opinions and Risk-Informed Consent in Women with a History of Caesarean Section? Is Vaginal Delivery a Real Option after Caesarean Section?"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3240-4793","authenticated-orcid":false,"given":"Ionut Marcel","family":"Cobec","sequence":"first","affiliation":[{"name":"ANAPATMOL Research Center, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"Clinic of Obstetrics and Gynecology, Klinikum Freudenstadt, 72250 Freudenstadt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4184-7430","authenticated-orcid":false,"given":"Andreas","family":"Rempen","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, 74523 Schw\u00e4bisch Hall, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana-Maria","family":"Anastasiu-Popov","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, 74523 Schw\u00e4bisch Hall, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9840-1288","authenticated-orcid":false,"given":"Anca-Elena","family":"Eftenoiu","sequence":"additional","affiliation":[{"name":"Department of Medical Genetics, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 014461 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurica Elisabeta","family":"Moatar","sequence":"additional","affiliation":[{"name":"ANAPATMOL Research Center, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"Clinic of Internal Medicine-Cardiology, Klinikum Freudenstadt, 72250 Freudenstadt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tania","family":"Vlad","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioan","family":"Sas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vlad Bogdan","family":"Varzaru","sequence":"additional","affiliation":[{"name":"ANAPATMOL Research Center, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"Clinic of Obstetrics and Gynecology, Diakoneo Diak Klinikum Schw\u00e4bisch Hall, 74523 Schw\u00e4bisch Hall, Germany"},{"name":"Doctoral School, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.11604\/pamj.2016.25.76.9164","article-title":"Facteurs pr\u00e9dictifs de l\u2019issue de l\u2019accouchement sur ut\u00e9rus unicicatriciel, exp\u00e9rience du centre de Maternit\u00e9 de Bizerte [Predictors of birth outcomes related to women with a previous caesarean section: Experience of a Motherhood Center, Bizerte]","volume":"25","author":"Ayachi","year":"2016","journal-title":"Pan. 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