As of December 31st 2018, the EPI-NO is no longer available in Canada.  A new licensing program (MDSAP) was implemented by Health Canada that was significantly more expensive and required changes to manufacturing processes that the manufacturer was not willing to support.
A decision was made by Tecsana (the manufacturer of the EPI-NO) to withdraw from the Canadian market at the end of December 2018.  
You can visit www.epi-no.com for a list of international distributors (none of which are able to ship to Canada but perhaps if you know someone in another city or are travelling there you can still get your hands on one).  
I am grateful for the opportunity to have represented the product in Canada for 14 years and am so happy to have played a role in optimizing births for Canadian women.  Please check out my program Prepare To Push™ where I share my secrets (beyond the EPI-NO) about optimizing the body for birth.

EPI-NO Delphine Plus - Pre Birth Preparation and Post-Partum Regeneration

Strengthen the Pelvic Floor Muscles

Pelvic Floor StrengtheningThe strength training phase can begin at any time during pregnancy and is done daily. Pelvic muscle exercising ensures a strong pelvic floor that can support the weight and pressure of the growing baby and that is quicker to regenerate post partum.

Insert the EPI·NO balloon ½ of the way into the vagina. Slowly inflate until you feel a slight resistance. Gently contract and relax your muscles against the balloon, watching the biofeedback gauge to monitor your performance. The stronger your pelvic floor muscles, the higher the pressure you can exert on the balloon. The pressure gauge monitors your performance and assists in improving the quality of your exercises.

Stretch the Perineum

Perineum StretchingThe stretching phase begins 3 weeks before the calculated due date of your baby and should be done daily until the birth.
Insert the EPI-NO balloon ½ of the way into the vagina. Slowly inflate the EPI-NO balloon to the point of a comfortable stretch and hold for 10 minutes. Each day you will be able to inflate the balloon a little bit more, increasing to 8-10 cm in diameter (10 cm being the approximate space needed to deliver the baby's head.)

Simulate the Birth

Birth SimulationAfter the stretching phase, allow the inflated EPI-NO balloon to gently expel itself from the vagina by either relaxing your pelvic floor muscles or by gently pushing it out. This will familiarize you with the sensation of delivering the baby's head.

Post-Natal Pelvic Floor Regeneration

Approx. 3 to 6 weeks after delivery you once again perform Pelvic Muscle Exercises with EPI-NO to regenerate the strength and tone of your pelvic floor muscles.