Worked for me. I didn't use any other pain relief with DD2. Labour was much much easier to handle than with DD1 when I didn't use it. I also only ever needed to get up to about level 3. It did feel painful for me if I put it on too high, was a mixture between pins and needles and a back ache but I think that's part of how it works, i.e. gate control theory of pain. It also helps stimulate pain relief endorphins in your body. And a great distraction.
You put it on at the start of labour so you can build it up as the contractions get stronger. I only used one set as well. Took it off to get in the shower and put it back on after.
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