As in all physical training, you should not exert yourself beyond your personal level of comfort. If you follow this advice there is no danger of injury. If you are not sure, do not hesitate to contact your doctor, midwife or physiotherapist.

Although German and Australian clinical studies were of first time mothers, EPI-NO is used by many women for a subsequent birth. It is estimated that 30-40% of EPI-NO use is by second and third time mothers. EPI-NO is also used by VBACs (Vaginal Birth after Caesarean).