 A decreased risk is found with providone-iodine when a cesarean section is to be performed.A 2013 review of the active management in low-risk women found that when compared to routine care there were no differences in the use of medications for pain, maternal or neonatal complications, or rates of assisted vaginal deliveries.There was a slight reduction in the caesarean section rate, however active management was seen as "highly prescriptive and interventional."