{"id":"https://openalex.org/W8128056","doi":null,"title":"Vaginal birth after cesarean: a meta-analysis of morbidity and mortality.","display_name":"Vaginal birth after cesarean: a meta-analysis of morbidity and mortality.","publication_year":1991,"publication_date":"1991-03-01","ids":{"openalex":"https://openalex.org/W8128056","mag":"8128056","pmid":"https://pubmed.ncbi.nlm.nih.gov/1825136"},"language":"en","primary_location":{"id":"pmid:1825136","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1825136","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Obstetrics and gynecology","raw_type":"Journal Article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054914081","display_name":"Mortimer G. Rosen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1340179700","display_name":"NewYork\u2013Presbyterian Hospital","ror":"https://ror.org/03gzbrs57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1340179700"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M G Rosen","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Sloane Hospital for Women, Presbyterian Hospital, New York, New York"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Sloane Hospital for Women, Presbyterian Hospital, New York, New York","institution_ids":["https://openalex.org/I1340179700"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052593456","display_name":"Janet C. Dickinson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J C Dickinson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5026038721","display_name":"C.L. Westhoff","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C L Westhoff","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.1628,"has_fulltext":false,"cited_by_count":288,"citation_normalized_percentile":{"value":0.86885246,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"77","issue":"3","first_page":"465","last_page":"70"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10979","display_name":"Breastfeeding Practices and Influences","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vaginal-birth-after-cesarean","display_name":"vaginal birth after cesarean","score":0.9190000295639038},{"id":"https://openalex.org/keywords/trial-of-labor","display_name":"trial of labor","score":0.8489999771118164},{"id":"https://openalex.org/keywords/elective-repeat-cesarean","display_name":"elective repeat cesarean","score":0.9539999961853027},{"id":"https://openalex.org/keywords/maternal-morbidity","display_name":"maternal morbidity","score":0.7760000228881836},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.9359999895095825},{"id":"https://openalex.org/keywords/uterine-rupture","display_name":"uterine rupture","score":0.8140000104904175},{"id":"https://openalex.org/keywords/uterine-dehiscence","display_name":"uterine dehiscence","score":0.9919999837875366},{"id":"https://openalex.org/keywords/perinatal-mortality","display_name":"perinatal mortality","score":0.7710000276565552},{"id":"https://openalex.org/keywords/apgar-score","display_name":"Apgar score","score":0.7910000085830688},{"id":"https://openalex.org/keywords/oxytocin","display_name":"oxytocin","score":0.7120000123977661},{"id":"https://openalex.org/keywords/uterine-scar","display_name":"uterine scar","score":0.800000011920929},{"id":"https://openalex.org/keywords/cesarean-section-rate","display_name":"cesarean section rate","score":0.5899999737739563}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9521430134773254},{"id":"https://openalex.org/C2779319320","wikidata":"https://www.wikidata.org/wiki/Q901433","display_name":"Uterine rupture","level":3,"score":0.7410511374473572},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.6894687414169312},{"id":"https://openalex.org/C139812875","wikidata":"https://www.wikidata.org/wiki/Q3704821","display_name":"Dehiscence","level":2,"score":0.5596884489059448},{"id":"https://openalex.org/C3017887849","wikidata":"https://www.wikidata.org/wiki/Q6679974","display_name":"Vaginal birth","level":3,"score":0.4875139892101288},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.47304171323776245},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.42618584632873535},{"id":"https://openalex.org/C2779066055","wikidata":"https://www.wikidata.org/wiki/Q9612","display_name":"Uterus","level":2,"score":0.18701055645942688},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.18314075469970703},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D002585","descriptor_name":"Cesarean Section","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D002921","descriptor_name":"Cicatrix","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007226","descriptor_name":"Infant Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008428","descriptor_name":"Maternal Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014219","descriptor_name":"Trial of Labor","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015201","descriptor_name":"Meta-Analysis as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016064","descriptor_name":"Vaginal Birth after Cesarean","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:1825136","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1825136","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Obstetrics and gynecology","raw_type":"Journal Article"},{"id":"mag:8128056","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1825136","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1976759541","https://openalex.org/W1992576080","https://openalex.org/W2056505338","https://openalex.org/W1995940660","https://openalex.org/W1998309300","https://openalex.org/W2898582752","https://openalex.org/W2319885235","https://openalex.org/W2800789005","https://openalex.org/W2160482130","https://openalex.org/W1991062268"],"abstract_inverted_index":{"The":[0,83,98,149],"cesarean":[1,51,197],"birth":[2,47,85,174],"rate":[3],"has":[4],"continued":[5],"to":[6,10,42,170],"climb":[7],"despite":[8],"efforts":[9],"counteract":[11],"it.":[12],"A":[13],"major":[14],"reason":[15],"for":[16,56,107,188,192],"this":[17,183],"rise":[18],"is":[19],"the":[20,44,57,91,108],"practice":[21],"of":[22,37,40,75,93,100,103,113,151,155,164,190],"elective":[23,80],"repeat":[24,81],"cesarean.":[25,82],"We":[26],"conducted":[27],"a":[28,35,50,73,104,162,196],"meta-analysis":[29],"that":[30],"included":[31],"31":[32],"studies":[33],"with":[34,121,139,179],"total":[36],"11,417":[38],"trials":[39,189],"labor":[41,76,191],"evaluate":[43],"association":[45],"between":[46],"route":[48,86],"after":[49,72,78,161,195],"and":[52,54,59,111,135],"morbidity":[53,68],"mortality":[55],"mother":[58],"infant.":[60],"Summary":[61],"odds":[62],"ratios":[63],"were":[64,118,168],"calculated.":[65],"Maternal":[66],"febrile":[67],"was":[69,159],"significantly":[70],"lower":[71,158],"trial":[74,163],"than":[77,132],"an":[79,114],"intended":[84],"made":[87],"no":[88,143],"difference":[89,144],"in":[90,145],"rates":[92],"uterine":[94,116],"dehiscence":[95,122],"or":[96,123,157,177],"rupture.":[97,124],"use":[99],"oxytocin,":[101],"presence":[102,112],"recurrent":[105],"indication":[106],"previous":[109],"cesarean,":[110],"unknown":[115],"scar":[117],"also":[119],"unassociated":[120],"After":[125],"excluding":[126],"antepartum":[127],"deaths,":[128],"fetuses":[129,176],"weighing":[130],"less":[131],"750":[133],"g,":[134],"congenital":[136,180],"anomalies":[137,181],"incompatible":[138],"life,":[140],"we":[141,167],"found":[142],"perinatal":[146],"death":[147],"rates.":[148],"proportion":[150],"5-minute":[152],"Apgar":[153],"scores":[154],"6":[156],"higher":[160],"labor,":[165],"but":[166],"unable":[169],"exclude":[171],"very":[172],"low":[173],"weight":[175],"those":[178],"from":[182],"analysis.":[184],"Our":[185],"findings":[186],"argue":[187],"more":[193],"women":[194],"birth.":[198]},"counts_by_year":[{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":11},{"year":2017,"cited_by_count":7},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":9},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":12}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}