Inclusion Criteria:  Planned elective cesarean section of multiparous women Singleton pregnancy Age of at least 18 Gestational age between 37 and 42 weeks  Exclusion Criteria:  Lack of consent Women with no or little understanding of Danish and ability to speak Danish. Allergies to medicine included in the pain management regimes Expected maternal or neonatal complications after delivery Birth weight of less than 2500 grams