Inclusion Criteria:  18-50 years of age Women ≥ 24 weeks viable gestation Will be undergoing cesarean delivery  Exclusion Criteria:  Patient unwilling or unable to provide consent. No or very limited prenatal care or a non-resident patient who is unlikely to follow-up after delivery. Immunosuppressed subjects: i.e., taking systemic immunosuppressant or steroids (e.g. transplant subjects; not including steroids for lung maturity), HIV with CD4 <200, or other Decision not to have skin closure (e.g. secondary wound closure, mesh closure) Current skin infection Coagulopathy High likelihood of additional surgical procedure beyond cesarean (e.g. scheduled hysterectomy, tubal ligation, bowel or adnexal surgery) Incarcerated individuals Intraamniotic infection Subjects participating on other treatment trials or studies that would interfere with the current study's primary outcome.