 This is a retrospective data-only study following the phased introduction of the HEM-AVERT Perianal Stabilizer into routine clinical practice. The investigators aim to capitalize on the introduction of the HEM-AVERT Perianal Stabilizer into routine clinical practice in labor and delivery settings in the hospital of Dignity Health - St. Rose, Siena Campus and to determine whether the HEM-AVERT Perianal Stabilizer reduces the frequency of Cesarean Section during labor and delivery. 