title: Planned vaginal delivery versus planned caesarean section: short-term medical outcome analyzed according to intended mode of delivery.
abstract: OBJECTIVE
  To compare maternal medical outcome after planned vaginal delivery and planned Caesarean section.
  
  
  METHODS
  We conducted a prospective cohort study of healthy primiparous women in Stockholm, Sweden, who were either scheduled for a planned Caesarean section (for breech presentation or at maternal request) or admitted for a vaginal delivery. Data were analyzed according to intended mode of delivery.
  
  
  RESULTS
  A total of 541 women were included in the study; of these, 247 had a Caesarean section and 294 a vaginal delivery. There were sociodemographic differences between the groups. No difference in mean estimated blood loss or rate of infection was found. Complications in the planned Caesarean section group were lower than previously reported. The difference in estimated blood loss between women undergoing planned Caesarean section and women who had a vaginal delivery was not more than 7%. Morbidity in the planned vaginal delivery group was mostly due to operative interventions. The Caesarean section group had a longer hospital stay than women who delivered vaginally.
  
  
  CONCLUSIONS
  We found no difference in short-term medical outcomes between primiparous women undergoing planned Caesarean section and those undergoing planned vaginal delivery after analysis according to the intended mode of delivery.
authors.affiliation: Department of Clinical Sciences, Division of Obstetrics and Gynecology, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.
authors.forename: Christina
authors.initials: C
authors.lastname: Larsson
authors.affiliation: Stockholm South General Hospital, Stockholm, Sweden.
authors.forename: Sissel
authors.initials: S
authors.lastname: Saltvedt
authors.affiliation: Department of Clinical Sciences, Division of Obstetrics and Gynecology, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.
authors.forename: Ingela
authors.initials: I
authors.lastname: Wiklund
authors.affiliation: Department of Clinical Sciences, Division of Obstetrics and Gynecology, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.
authors.forename: Ellika
authors.initials: E
authors.lastname: Andolf
mesh_terms: D000293:Adolescent; D000328:Adult; D001946:Breech Presentation; D002585:Cesarean Section / Q000379:methods*; D015331:Cohort Studies; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007239:Infections / Q000209:etiology; D008429:Maternal Welfare; D010298:Parity; D006473:Postpartum Hemorrhage / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013548:Sweden; D016896:Treatment Outcome; D055815:Young Adult