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21st February 2018
06:00pm GMT

So how does it work?
The EPI-NO has two uses, first in the early stages of pregnancy to strengthen the pelvic floor muscles and support the added weight of pregnancy and later after Week 36 to stretch the vagina between 8cm and 10cm. After childbirth it can be used to strengthen the pelvic floor again. Made out of non-allergenic medical silicone, the EPI-NO is used with water-based lubricant. It’s inserted 2/3 of the way into the vagina, then the balloon bit is inflated. It does not come into contact with the cervix.
Is it possible to, er... over-stretch?
If you’re worried about over-stretching, fear not: EPI-NO perineal training is facilitated by the natural hormone Relaxin produced by the expectant mother in the late third trimester. Relaxin enables a elasticity of the perineum essential for a vaginal birth. EPI-NO gradually and gently stretches the tissue increasing the elasticity at the perineum.
What do doctors think?
Dr. Rachel Mackey, specialist in Obstetrics & Gynaecology at The Women’s Health Clinic believes the Epi-No is worth a shot if you’re worried about tearing, she told us: “I have no experience of it in relation to my own patients, but properly conducted research trials have shown that perineal stretching in women on their first pregnancy reduces the rate of perineal trauma. However the studies did not show any advantage for women on their subsequent pregnancies. I can see no downsides to using it other than cost."
The HerFamily.ie verdict
At around €115, the EPI-NO is not cheap and experts are divided about whether it's worth the outlay. However if using it helps you to feel like you have some control over a part of the birthing process that worries you, it's a good investment and available to buy online here.Explore more on these topics: