ArticleBMC pregnancy and childbirth2022
Outcomes and risk factors for failed trial of labor after cesarean delivery (TOLAC) in women with one previous cesarean section: a Chinese population-based study.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Early Postpartum Sonographic Assessment of the Uterotomy After Successful Vaginal Birth After Caesarean Section: An Observational Cohort Study.Medicina (Kaunas, Lithuania) · 2026Observational
- "Predictors of failed vaginal birth after cesarean and associated maternal and neonatal outcomes: a case control study".BMC pregnancy and childbirth · 2026Article
- Establishment and validation of a prediction model for successful trial of labor after cesarean in scarred uteruses.American journal of translational research · 2026Article
- Safety of a trial of labor after cesarean in kidney and liver transplant recipients: A multicenter cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Disclosing possible nonmedically indicated cesarean sections in 5 high-volume urban maternity units in Tanzania: a criterion-based clinical audit.AJOG global reports · 2025Article
- Determinants of Successful Vaginal Birth After Cesarean Section: A Retrospective Cohort Study in Southeast China.International journal of women's health · 2025Article
- Risks and Probabilities of Adverse Pregnancy Outcomes in Patients Undergoing Trial of Labor after Cesarean-A Retrospective Study.Diagnostics (Basel, Switzerland) · 2024Article
- Article
- Duration time of labor progression for pregnant women of vaginal birth after cesarean in Hubei, China.Irish journal of medical science · 2024Article
- Effect of excessive gestational weight gain before and after 28 weeks on trial of labor after cesarean stratified by pre-pregnancy body mass index: a retrospective cohort study.Frontiers in medicine · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
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Abstract
objectiveTo evaluate the outcomes and risk factors for trial of labor after cesarean delivery (TOLAC) failure in patients in China.
methodsConsecutive patients who had a previous cesarean delivery (CD) and attempted TOLAC were included from 2014 to 2020. Patients who successfully delivered were classified into the TOLAC success group. Patients who attempted TOLAC but had a repeat CD due to medical issues were classified into the TOLAC failure group. Multiple logistic regression analyses were performed to examine the risk factors for TOLAC failure.
resultsIn total, 720 women who had a previous CD and attempted TOLAC were identified and included. The success rate of TOLAC was 84.2%(606/720). Seven patients were diagnosed with uterine rupture, none of whom underwent hysterectomy. Multiple logistic regression analysis showed that the induction of labor (OR = 2.843, 95% CI: 1.571-5.145, P < 0.001) was positively associated with TOLAC failure, but the thickness of the lower uterine segment (LUS) (OR = 0.215, 95% CI: 0.103-0.448, P < 0.001) was negatively associated with TOLAC failure.
conclusionsThis study suggested that TOLAC was effective in decreasing CD rates in the Chinese population. The induction of labor was positively associated with TOLAC failure, but the thickness of the LUS was negatively associated with TOLAC failure. Our findings need to be confirmed in larger samples with patients of different ethnicities.
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