First Australian trial of the birth-training device Epi-No: a highly significantly increased chance of an intact perineum.

BACKGROUND A German report suggested significantly better outcomes in terms of perineal care, second stage length and neonatal outcome for users of Epi-No. OBJECTIVE To carry out a pilot study of the first use of the Epi-No birth training device in Australia for women having their first baby. STUDY POPULATION AND METHODS Forty-eight primigravidae having their confinement at Birralee Birthing Unit who used the device compared to all other primigravida who delivered during the same period. RESULTS The study shows a highly significantly improved outcome for the perineum when users are compared to primigravid non-user controls. We could not demonstrate decreased instrumental delivery rates nor a better outcome in term of Apgar scores. DISCUSSION The Epi-No device should be offered as an option to all primigravidae to use during the late third trimester.