Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Vaginal cleansing at cesarean delivery works in practice

Key clinical point: Vaginal cleansing with a sponge stick preparation of 10% povidone-iodine solution before nonelective cesarean delivery significantly decreased the rate of surgical site infections.

Major finding: Surgical site infection rate dropped 33% – from 23% to 15% – as resident and staff physicians and other hospital staff were educated or reminded about the practice.

Study details: A quality improvement study involving 1,033 patients.

Disclosures: There were no funding sources for this institutional review board–approved study, and the authors did not report any potential conflicts of interest.


Quist-Nelson et al. Obstet. Gynecol. 2020 May;135(5):1S. doi: 10.1097/01.AOG.0000662876.23603.13.