Prevention and/or Reduction of Hemorrhoids and/or Thrombosed External Hemorrhoids Using the HEM-AVERT Perianal Stabilizer Instrument

Inclusion Criteria: * Subject is between 18 and 40 years of age, female and pregnant. * Subject weighs 130 pounds or greater at time of delivery. * Subject is scheduled for vaginal delivery. * Subject is willing and able to comply with the study plan as indicated by understanding and signing the Subject Informed Consent Form. * Subject's pre-natal examination indicates that this is to be a single birth delivery. * Subject has no current hemorrhoids or has low grade hemorrhoids. * Subject's with previous history of hemorrhoids that are visually asymptomatic at time of screening (history) and physical examination are also acceptable * Subject has no lacerations or anal fissures * Subject is not a prisoner Exclusion Criteria: * Subject is younger than 18 years of age or older than 40 years of age. * Subject weighs less than 130 pounds at time of delivery. * Subject has hemorrhoids other than low grade * Subject has had previous rectal surgery (e.g., hemorrhoidectomy) * Subject has lacerations or anal fissures * Subject has a documented allergy to the instrument's materials. * Subject's scheduled for vaginal delivery with anticipated complications \[such as breech presentation\] * Subject is unable to understand and sign the informed consent form. * Subject is a prisoner.