A wound dressing including an absorbent core defining opposed proximal and distal surfaces. A perforated skin adherent facing layer is secured to a proximal surface of the absorbent core and a liquid impervious, vapor permeable backing layer is connected to a distal surface of the absorbent core. The backing layer defines at least one compliant element disassociated from the distal surface of the absorbent core and including at least one ridge extending outwardly relative to the distal surface of the absorbent core.