Do Single Use Negative Pressure Dressings Reduce Wound Complications in Obese Women After Cesarean Delivery

Subjects admitted to L+D for obstetric or medical indications at a tertiary medical center
with a BMI > 40 kg/m2 will be asked to participate in a study on post surgical dressings and
wound outcomes if they undergo cesarean delivery. Subjects will be randomized to either
study arm at the time of fascial closure during cesarean delivery. Post operative care will
not be altered. Incisions will be evaluated prior to hospital discharge. Subjects will
present for a wound evaluation 2 weeks post operatively, and receive phone calls to assess
outcomes at both 2 and 6 weeks post operatively.

Inclusion Criteria:

- BMI >40 kg/m2 undergoing cesarean delivery for any cause and willing to have a 2 week
post operative follow-up for a wound evaluation at Tufts Medical Center.

Exclusion Criteria:

- Women less than age 18, women with an active infection in the location of
Pfannenstiel skin incision, women not willing to come to Tufts Medical Center for a
wound evaluation 2 weeks post operatively, women who do not have height and weight
information available, and women with a BMI < 40 kg/m2 will be excluded from this
study.