A Skin Glue Versus Subcuticular Suture for Cesarean Closure Study

Glue Versus Subcuticular Suture for Cesarean Closure: a Randomized Control Trial

The aim of this study is to compare cesarean incision outcomes between patients with incision closed with the Dermabond Prineo system compared to standard subcuticular suture.

The purpose of this study is to assess patient satisfaction with their incision after undergoing cesarean delivery. Patient satisfaction with their cesarean scar at 4-6 weeks after their surgery will be compared amongst women receiving skin closure with the Dermabond Prineo skin adhesive system versus standard subcuticular suture. Dermabond Prineo has been shown to have improved cosmesis outcomes in non-obstetric populations but has not yet been studied for women receiving cesarean section. In addition to scar appearance, outcomes such as wound infection, postoperative pain, and operative time will be assessed.

Inclusion Criteria:

• Women age 18 years or older
• All women scheduled for primary or repeat cesarean deliveries
• All women undergoing intrapartum or antepartum cesarean delivery
• Pfannenstiel skin incision
• Birth of a live infant at time of cesarean delivery

Exclusion Criteria:

• Vertical skin incision
• Cesarean hysterectomy
• Emergency or stat cesarean delivery excluding standard preoperative preparation measures (i.e., use of Chlorhexidine skin prep, vaginal prep, etc)
• Intrapartum stillbirth
• Planned postpartum follow up at another facility
• Contraindications to routine postpartum pain medications
• Adhesive or tape allergy