{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T23:23:14Z","timestamp":1794007394252,"version":"4.8.0"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Rates of delivery by cesarean section have gradually risen in many parts of the world, and it is regarded as a safe surgical procedure with expanded indications. We assessed maternal complications within 6\u2009weeks postpartum after planned cesarean section and after planned vaginal delivery among patients without medical indication for cesarean section.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>This was a retrospective cohort study based on Swedish national registers and included 714\u2009326 deliveries from 2008 to 2017. The study group consisted of cephalic, singleton, term pregnancies and excluded those with previous cesarean or pregnancy conditions that would qualify for cesarean section. We compared the risks of short\u2010term complications between planned cesarean section and planned vaginal delivery. We obtained adjusted risk ratios (ARRs) using modified Poisson regression models adjusting for maternal age, parity, body mass index, smoking, country of birth, and county.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The outcomes studied were infections and thromboembolism. In the planned cesarean section group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a022\u2009855), 15% had a postpartum infection compared with 10% in the planned vaginal group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0691\u2009471) (ARR\u00a01.6; 95% confidence interval [CI] 1.5\u20131.6), and 0.08% vs 0.05% had a postpartum pulmonary embolism (ARR\u00a01.7; 95% CI 1.0\u20132.6). The obtained risk estimates corresponded to \u201cnumber needed to harm\u201d estimates of 17 and 3448, respectively. When dividing the infections into subgroups, the risk of endometritis (ARR 1.2; 95% CI 1.1\u20131.3), wound infection (ARR 2.7; 95% CI 2.4\u20133.0), urinary tract infection (ARR 1.5; 95% CI 1.3\u20131.7), and mastitis (ARR 2.0; 1.9\u20132.2) was higher after planned cesarean section.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among patients without medical indication for planned cesarean section, the risks of short\u2010term maternal complications were higher with planned cesarean section than with planned vaginal delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.14408","type":"journal-article","created":{"date-parts":[[2022,7,16]],"date-time":"2022-07-16T02:38:51Z","timestamp":1657939131000},"page":"1026-1032","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Planned cesarean section vs planned vaginal delivery among women without formal medical indication for planned cesarean section: A retrospective cohort study of maternal short\u2010term complications"],"prefix":"10.1111","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9979-0564","authenticated-orcid":false,"given":"Karin","family":"Dahlquist","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Helsingborg Hospital  Helsingborg Sweden"},{"name":"Institution of Clinical Sciences Department of Obstetrics and Gynecology, Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5131-6297","authenticated-orcid":false,"given":"Andrea","family":"Stuart","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Helsingborg Hospital  Helsingborg Sweden"},{"name":"Institution of Clinical Sciences Department of Obstetrics and Gynecology, Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5765-2630","authenticated-orcid":false,"given":"Karin","family":"K\u00e4ll\u00e9n","sequence":"additional","affiliation":[{"name":"Institution of Clinical Sciences Department of Obstetrics and Gynecology, Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148343"},{"key":"e_1_2_12_3_1","unstructured":"K\u00e4ll\u00e9nK.Kejsarsnitt i Sverige 2008\u20132017. [Cesarean section in Sweden 2008\u20132017].2019. Assessed January 17 2022. Available at kejsarsnitt i Sverige 2008\u20132017 (socialstyrelsen.se) orhttps:\/\/www.socialstyrelsen.se\/globalassets\/sharepoint\u2010dokument\/artikelkatalog\/ovrigt\/2019\u201012\u20106529.pdf"},{"issue":"70","key":"e_1_2_12_4_1","first-page":"e1","article-title":"Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth","volume":"204","author":"Leijonhufvud A","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.05.021"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000124568.71597.ce"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.03.007"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000233154.62729.24"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)76016-5"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-10-200511150-00006"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03267.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00308-7"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.060870"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007482.pub3"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0096495"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002494"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004660.pub3"},{"key":"e_1_2_12_19_1","article-title":"The Swedish Medical Birth Register \u2010 a summary of content and quality","author":"Karin K\u00e4ll\u00e9n BK","year":"2003","journal-title":"Socialstyrelsen"},{"key":"e_1_2_12_20_1","unstructured":"2011\u201311\u201322 Vr. Patient Registry.Swedish National Board of Health2017."},{"key":"e_1_2_12_21_1","unstructured":"Swedish registry of prescribed and dispensed drugs National Board of Health Sweden; 2010.2010."},{"key":"e_1_2_12_22_1","unstructured":"AndolfI.Indikationer f\u00f6r kejsarsnitt p\u00e5 moderns \u00f6nskan. [Indications for cesarean section at the mother's request.]https:\/\/www.sfog.se\/media\/336234\/nationella\u2010indikationer\u2010kejsarsnitt\u2010moderns\u2010onskan.pdf.2011."},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1996.tb14164.x"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)34299-2"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)34982-9"},{"key":"e_1_2_12_26_1","volume-title":"Mastitis: causes and management","author":"World Health O","year":"2000"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.030254"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14408","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.14408","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14408","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T13:01:16Z","timestamp":1752930076000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,15]]},"references-count":26,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1111\/aogs.14408"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14408","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,15]]},"assertion":[{"value":"2021-11-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}