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its not a need its just an option. when i had contractions (before the birth) i felt that it helped to take away a bit of the pain and my back wasn't sore. its only a mild form of pain relief.

ANS2:It is a theatrical device that was used to introduce an impending birth when such matters weren't discussed. Later, it became a theatrical device to distract nervous characters who were squeamish about the impending delivery.
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