The best thing as far as I know is a epi no im 35 weeks and using one I'm confident that I won't tear or be scared to push this baby out I'm due June 11th but I'll let you all know as for now I'll give it 5 stars already the only problem for most is getting it shipped to the USA but if you have a friend in the U.K. Or any other state get them to ship it to you my African co worker got it shipped to her family and they shipped it to me and I'm in love with this thing YouTube it and have a open mind you train your muscles for everything Else so it only makes sense to train your muscles for childbirth It expands to 10cm and allows you to practice pushing it out how amazing is that