Evidence map›Paper›PMID 30051510›Full record

ArticleBirth (Berkeley, Calif.)2019

Women's preference for vaginal birth after a first delivery by cesarean.

Laura B Attanasio, Katy B Kozhimannil, Kristen H Kjerulff

Abstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Trial
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  6. Impact of physician, family and society on the choice of Cesarean-section delivery mode among Lebanese females.European journal of obstetrics & gynecology and reproductive biology: X · 2025
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  7. Review
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  13. Care Bundles: Enhanced Recovery After Delivery.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023
    Article
  14. Article
  15. Article
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  19. Vaginal Birth After Cesarean Section (VBAC) Model using Fuzzy Analytic Hierarch Process.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Laura B AttanasioDepartment of Health Promotion and Policy, University of Massachusetts Amherst School of Public Health and Health Sciences, Amherst, MA.ORCID 0000-0001-9294-0718
Katy B KozhimannilDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN.
Kristen H KjerulffDepartments of Public Health Sciences and Obstetrics and Gynecology, Penn State University College of Medicine, Hershey, PA.ORCID 0000-0002-5376-2581

Funding

Mode of First Delivery and Subsequent Child-BearingR01HD052990 · NICHD · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KJERULFF, KRISTEN HAWTHORNE · 2008 to 2012
$3.9M
NICHD NIH HHS R01 HD052990
6 · The paper itself

Abstract

backgroundNearly 90% of United States pregnant women with a prior cesarean give birth by repeat cesarean. Public health goals encourage greater use of vaginal birth after cesarean (VBAC), but there is little prospective data on predictors of women's preference for VBAC. We characterized predictors of women's preferred mode of delivery after a first cesarean and thematically categorized reasons for their preference.

methodsData were from a cohort of 3006 women whose first childbirth was in Pennsylvania in 2009-2011. The analytic sample included women who had their first birth by cesarean and reported mode of delivery preference for their next delivery at 12 months postpartum (n = 616). Associations with future birth mode preference were assessed using multivariate logistic regression, and reasons for preference were categorized using content analysis.

resultsAt 12 months postpartum, 45% of women who delivered by cesarean in their first birth wanted to have their next delivery vaginally. Independent predictors of VBAC preference were Black race/ethnicity, nonrecurrent indication for the first cesarean, planning three or more additional children, and difficulty recovering from the first cesarean. The most common reason for preferring a vaginal birth was wanting the experience of vaginal birth; the most common reason for preferring cesarean birth was that the first birth was by cesarean.

conclusionNearly half of respondents preferred VBAC in future births, but national estimates indicate that only about 12% of women with prior cesareans have a VBAC. This suggests a need to ensure greater access to VBAC for women who want it.

Indexed as

Patient PreferenceAdolescentAdultCesarean SectionChoice BehaviorFemaleHumansLogistic ModelsMultivariate AnalysisParturitionPennsylvaniaPregnancyPregnant PeopleProspective StudiesTrial of LaborVaginal Birth after Cesareanmode of delivery preferencetrial of laborvaginal birth after cesarean

Identifiers

PMID30051510
PMCPMC6348143

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.