ArticleMaternal and child health journal2026
Social Vulnerability is Associated with Greater Risk of Cesarean Delivery Following a Trial of Labor After Cesarean.
Article in Maternal and child health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesFollowing calls to reduce the prevalence of non-medically indicated cesarean deliveries (CD), there has been increased focus on trials of labor after cesarean (TOLAC). TOLAC requires a risk-benefit analysis, as unsuccessful TOLAC resulting in CD may compound morbidity. Prior work has attempted to develop risk prediction models that guide TOLAC counseling and account for sociostructural barriers. This study examined associations between social vulnerability and birth outcomes among patients with a history of one prior CD.
methodsThis retrospective case-control study included patients who attempted a TOLAC at term from 2016 - 2020. We divided patients into two groups: vaginal birth after cesarean (VBAC) and CD. We analyzed social disparities including race and ethnicity, health insurance type, and Social Vulnerability Index (SVI). Chi-squared tests examined proportional differences between groups and multivariable logistic regressions examined adjusted odds ratios of a CD.
resultsWe included 976 births. There were significant sociodemographic disparities in VBAC success. Greater rates of morbidity were observed in the CD group. Multivariable regression models revealed that patients with high vulnerability had a 1.2 (1.1, 1.5) greater adjusted odds ratio (aOR) of CD. Patients who identified as Black had a 2.0 (1.1, 3.3) greater aOR of CD compared to White patients. Patients with public (0.6 [0.4,0.9]) or no (0.3 [0.1,0.9]) health insurance coverage had lower aOR of CD.
conclusionsOur findings suggest that socially vulnerable patients may be more likely to have a CD, and social disparities persist in TOLAC outcomes. This suggests inclusion of social measures be considered with VBAC risk prediction.
Indexed as
Identifiers
41432975What OpenQuestion holds
Registered trials
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.