Evidence map›Paper›PMID 31092887›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Impact of obesity class on trial of labor after cesarean success: does pre-pregnancy or at-delivery obesity status matter?

Jenny Y Mei, Alexandra L Havard, Amanda J Mularz, Melanie M Maykin, Stephanie L Gaw

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. La Tunisie medicale · 2024
    Observational
  2. Article
  3. 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

5 authors.

Jenny Y MeiDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of California, Los Angeles, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-8524-9360
Alexandra L HavardDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of California, Los Angeles, Los Angeles, CA, USA.
Amanda J MularzObstetrix Medical Group of Houston, Houston, TX, USA.
Melanie M MaykinDivision of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.
Stephanie L GawDivision of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA. Stephanie.Gaw@ucsf.edu.ORCID http://orcid.org/0000-0003-0891-6964

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether pre-pregnancy versus at delivery obesity status impacts TOLAC success rates in a modern cohort. STUDY

designA retrospective cohort study of women undergoing TOLAC at a single institution from May 2007 to April 2016. Women were divided into four groups (not obese; class I, II, and III obesity) by pre-pregnancy and at delivery weight class. We investigated associations between obesity status at both time points and TOLAC success rates.

resultSix hundred and fourteen women underwent TOLAC; 444 (72.3%) had successful VBACs. We found no difference in rate of VBAC success across the four groups, both prior to pregnancy (p = 0.91) and at delivery (p = 0.75). We found no differences in secondary perinatal morbidity outcomes.

conclusionWe found no difference in TOLAC success rates stratified by obesity class. Properly counseling patients on TOLACs can lower rates of morbidity in women with high-risk conditions and comorbidities.

Indexed as

Trial of LaborAdultBody Mass IndexFemaleHumansObesityObstetric Labor ComplicationsPostpartum HemorrhagePregnancyPregnancy in ObesityPregnancy OutcomeRetrospective StudiesUterine RuptureVaginal Birth after Cesarean

Identifiers

PMID31092887

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.