Yael, have this reply for you:

Dear Kelly,

I have just been sent the email you sent from your client regarding EPI-NO. I have also seen the comment from a midwife who answered your query.

You have not provided sufficient information for a response to this woman's query however from what has been provided:

a. The second time she has used EPI-NO
b. She was pushing out the balloon.

the woman was not following instructions in the correct use of EPI-NO.
It would not be possible to push out the balloon with the amount of dilatation possible after the second use. The balloon is inflated to the level of personal comfort and the woman will experience a slight burning sensation at which point she would cease dilatation.
This is controlled by the woman. Your client should not recommence training with EPI-NO unless instructed to by her obstetrician as her problem may be the result of an underlying condition.

Perhaps you could request from the midwife who made that comment, clinical evidence to support it. We work in an evidence based medical environment, and all evidence of which we are aware supports the contrary view. A new EPI-NO Clinical Trial will commence in January through Sydney University to show the effect of EPI-NO on the Pelvic Floor following childbirth.

Please make you client aware that EPI-NO is also a pelvic floor training device which can be used 4-6 weeks after delivery to strengthen the Pelvic Floor.

I would be happy to answer any questions you may have.

Sincerely

Campbell Heather
Tecsana Limited.