Study to Evaluate the Learning Curve to Anchor GYN-CS® Device

Inclusion Criteria: * Generally healthy, women, * Pregnant women in the second trimester * 18-48 years of age * Birth by Caesarean section planned * Be willing to stay in the study for 3 years * Return for follow-up at the designated times * Signed informed consent Exclusion Criteria: * The presence of infection of the uterus, clinical cervicitis or vaginitis (infection should be ruled out) * Suspicion of endometrial or uterine pathology such as congenital malformation of the uterus * Large uterine fibromata (\> 3 cm in diameter) * Acute leukemia * Severe blood clotting disorders and undiagnosed genital tract bleeding * Significant medical disease that in the medical opinion of the investigator is likely to interfere with patient ability to complete the entire trial * Participants receiving corticosteroid therapy (hydrocortisone\>40mg/d or an equivalent) or immunosuppressive drugs * Caesarean section \< 36 weeks