{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:51:30Z","timestamp":1780473090681,"version":"3.54.1"},"reference-count":27,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["ajogmfm.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics &amp; Gynecology MFM"],"published-print":{"date-parts":[[2019,3]]},"DOI":"10.1016\/j.ajogmf.2019.03.004","type":"journal-article","created":{"date-parts":[[2019,3,27]],"date-time":"2019-03-27T15:22:46Z","timestamp":1553700166000},"page":"2-9","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":35,"title":["Vaginal cleansing with chlorhexidine gluconate or povidone-iodine prior to cesarean delivery: a randomized comparator-controlled trial"],"prefix":"10.1016","volume":"1","author":[{"given":"Nisha A.","family":"Lakhi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Tricorico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yevgeniya","family":"Osipova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Moretti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajogmf.2019.03.004_bib1","first-page":"CD007892","article-title":"Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections","volume":"7","author":"Haas","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib2","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1097\/AOG.0000000000002745","article-title":"Institutional protocols for vaginal preparation with antiseptic solution and surgical site infection rate in women undergoing cesarean delivery during labor","volume":"132","author":"LaRosa","year":"2018","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib3","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1056\/NEJMoa0810988","article-title":"Chlorhexidine-alcohol versus povidone-iodine for surgical-site antisepsis","volume":"362","author":"Darouiche","year":"2010","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib4","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1056\/NEJMoa1511048","article-title":"A\u00a0randomized trial comparing skin antiseptic agents at cesarean delivery","volume":"374","author":"Tuuli","year":"2016","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib5","doi-asserted-by":"crossref","first-page":"463.e1","DOI":"10.1016\/j.ajog.2017.05.060","article-title":"A\u00a0randomized open-label controlled trial of chlorhexidine-alcohol vs povidone-iodine for cesarean antisepsis: the CAPICA trial","volume":"217","author":"Springel","year":"2017","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib6","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.ajog.2004.08.010","article-title":"A\u00a0randomized trial that compared povidone iodine and chlorhexidine as antiseptics for vaginal hysterectomy","volume":"192","author":"Culligan","year":"2005","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib7","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1086\/501620","article-title":"Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee","volume":"20","author":"Mangram","year":"1999","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"14-5","key":"10.1016\/j.ajogmf.2019.03.004_bib8","first-page":"20","article-title":"Gynecologic surgical site infections: simple strategies for prevention","volume":"36","author":"Lewis","year":"2011","journal-title":"Female Patient"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib9","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1097\/01.inf.0000223489.02791.70","article-title":"Safety and impact of chlorhexidine antisepsis interventions for improving neonatal health in developing countries","volume":"25","author":"Mullany","year":"2006","journal-title":"Pediatr Infect Dis J"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib10","doi-asserted-by":"crossref","first-page":"195","DOI":"10.2146\/ajhp120568","article-title":"Clinical practice guidelines for antimicrobial prophylaxis in surgery","volume":"70","author":"Bratzler","year":"2013","journal-title":"Am J Health Syst Pharm"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib11","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.3109\/14767058.2013.798291","article-title":"Can we reduce the surgical site infection rate in cesarean sections using a chlorhexidine-based antisepsis protocol?","volume":"26","author":"Amer-Alshiek","year":"2013","journal-title":"J\u00a0Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib12","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1056\/NEJMoa1602044","article-title":"Adjunctive azithromycin prophylaxis for cesarean Delivery","volume":"375","author":"Tita","year":"2016","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib13","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1001\/jamasurg.2017.0904","article-title":"Centers for Disease Control and Prevention guideline for the prevention of surgical site infection","volume":"152","author":"Berr\u00edos-Torres","year":"2017","journal-title":"JAMA Surg"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib14","doi-asserted-by":"crossref","first-page":"505.e1","DOI":"10.1016\/j.ajog.2016.01.190","article-title":"The impact of ambient operating room temperature on neonatal and maternal hypothermia and associated morbidities: a randomized controlled trial","volume":"214","author":"Duryea","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib15","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1097\/AOG.0000000000002806","article-title":"An original suprapannicular incision technique for cesarean delivery in the morbidly obese parturient","volume":"132","author":"Lakhi","year":"2018","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib16","first-page":"CD004737","article-title":"Methods of delivering the placenta at caesarean section","author":"Anorlu","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib17","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1001\/jama.2017.10567","article-title":"Effect of post-cesarean delivery oral cephalexin and metronidazole on surgical site infection among obese women: a randomized clinical trial","volume":"318","author":"Valent","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib18","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD007482.pub2","article-title":"Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section","author":"Smaill","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib19","doi-asserted-by":"crossref","first-page":"2316","DOI":"10.3109\/14767058.2012.693994","article-title":"Does vaginal preparation with povidone-iodine prior to caesarean delivery reduce the risk of endometritis: a randomized controlled trial","volume":"25","author":"Yildirim","year":"2012","journal-title":"J\u00a0Matern Fetal Neonat Med"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib20","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/S1068-607X(02)00119-1","article-title":"Post-cesarean related infection and vaginal preparation with povidone-iodine revisited","volume":"9","author":"Guzman","year":"2002","journal-title":"Primary Care Update Ob\/Gyns"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib21","first-page":"1179","article-title":"Effect of preoperative vaginal cleansing with an antiseptic solution to reduce post caesarean infectious morbidity","volume":"61","author":"Memon","year":"2011","journal-title":"J\u00a0Pakist Med Assoc"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib22","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1097\/AOG.0000000000002167","article-title":"Vaginal cleansing before cesarean delivery: a systematic review and meta-analysis","volume":"130","author":"Caissutti","year":"2017","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib23","doi-asserted-by":"crossref","first-page":"1647","DOI":"10.1016\/S0140-6736(96)91486-5","article-title":"Perinatal intervention trial in Africa: effect of a birth canal cleansing intervention to prevent HIV transmission","volume":"347","author":"Biggar","year":"1996","journal-title":"Lancet"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib24","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1097\/00002030-200102160-00012","article-title":"Vaginal lavage with chlorhexidine during labour to reduce mother-to-child HIV transmission: clinical trial in Mombassa, Kenya","volume":"15","author":"Gaillard","year":"2001","journal-title":"AIDS"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib25","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1016\/S0002-9378(97)70557-X","article-title":"Chlorhexidine vaginal irrigation for the prevention of peripartal infection: a placebo-controlled randomized clinical trial","volume":"176","author":"Rouse","year":"1997","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib26","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.1080\/14767058.2016.1219996","article-title":"Chlorhexidine vaginal wipes prior to elective cesarean section: does it reduce infectious morbidity? A randomized trial","volume":"30","author":"Ahmed","year":"2017","journal-title":"J\u00a0Matern Fetal Neonat Med"},{"key":"10.1016\/j.ajogmf.2019.03.004_bib27","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1097\/01.AOG.0000433982.36184.95","article-title":"Solutions for surgical preparation of the vagina. ACOG Committee opinion no. 571","volume":"122","year":"2013","journal-title":"Obstet Gynecol"}],"container-title":["American Journal of Obstetrics &amp; Gynecology MFM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589933319300126?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589933319300126?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T23:45:35Z","timestamp":1762904735000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589933319300126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["S2589933319300126"],"URL":"https:\/\/doi.org\/10.1016\/j.ajogmf.2019.03.004","relation":{},"ISSN":["2589-9333"],"issn-type":[{"value":"2589-9333","type":"print"}],"subject":[],"published":{"date-parts":[[2019,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Vaginal cleansing with chlorhexidine gluconate or povidone-iodine prior to cesarean delivery: a randomized comparator-controlled trial","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics & Gynecology MFM","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajogmf.2019.03.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}