Other names for Afterbirth Pain

Postpartum cramping
Uterine contractions after childbirth
Lochia cramps
Postnatal uterine pain
Postpartum uterine involution

Synopsis of Afterbirth Pain

Afterbirth pain refers to the cramping and discomfort women experience in the days following childbirth as the uterus contracts and returns to its pre-pregnancy size. These contractions, known as uterine involution, help compress blood vessels to prevent excessive bleeding and expel remaining placental tissue or lochia (postpartum vaginal discharge).

Afterbirth pain is more noticeable in women who have had multiple pregnancies (multiparas), as the uterus may take longer to contract efficiently. The discomfort often intensifies during breastfeeding due to the release of oxytocin, a hormone that stimulates uterine contractions.

While this process is natural and essential for healing, it can cause mild to moderate cramping similar to menstrual cramps, lasting for several days after delivery. The intensity typically peaks in the first 2–3 days postpartum.

Types:

• Mild afterbirth cramps: Common in first-time mothers; often less intense and shorter in duration.

• Moderate to severe afterbirth cramps: More common in women with multiple deliveries; may last longer and feel stronger.

• Breastfeeding-related cramps: Contractions triggered or intensified by nursing due to oxytocin release.

Common Causes:

• Uterine involution: Natural shrinking of the uterus back to its normal size.

• Breastfeeding: Stimulates oxytocin release, enhancing uterine contractions.

• Retained placental tissue or blood clots: May cause stronger contractions.

• Multiple pregnancies: The uterus may be less efficient in contracting, leading to stronger cramps.

• Increased oxytocin sensitivity: Causes heightened contractions in some women.

More Severe Causes (Complications):

• Subinvolution of the uterus: When the uterus fails to contract properly, increasing the risk of bleeding or infection.

• Infection (Endometritis): If afterbirth pain is accompanied by fever, foul-smelling discharge, or heavy bleeding.

• Retained placenta or clots: May cause persistent cramping and abnormal bleeding.

• Hemorrhage: Rare but serious; marked by excessive bleeding and severe cramping.

When to See a Doctor:

• Severe or worsening pain after the first few days

• Heavy bleeding (soaking a pad within an hour)

• Foul-smelling vaginal discharge

• Fever or chills (possible infection)

• Symptoms persisting beyond 1–2 weeks without improvement

• Passing large blood clots

Natural remedies for Afterbirth Pain

Warm Compresses or Heating Pads: Applying heat to the lower abdomen relaxes muscles and soothes cramping. Use for 15–20 minutes as needed.

Gentle Abdominal Massage: Stimulates circulation and can help the uterus contract more effectively. Massage the lower abdomen gently in circular motions.

Herbal Teas (Chamomile, Ginger, Fennel): Anti-inflammatory and soothing, these herbs help reduce cramping and promote relaxation. Drink 1–2 cups daily.

Hydration and Electrolytes: Proper fluid intake supports uterine contraction and recovery. Include water, herbal teas, and electrolyte-rich drinks.

Postpartum Movement (Walking, Gentle Yoga): Light physical activity encourages circulation, supports uterine involution, and relieves tension. Avoid intense exercise until cleared by a healthcare provider.

Deep Breathing or Meditation: Calms the nervous system and reduces perception of pain. Inhale deeply and exhale slowly, focusing on relaxation.

Omega-3 Fatty Acids: Anti-inflammatory properties help reduce postpartum inflammation and cramping. Include sources like fish oil or flaxseed.

Magnesium Supplementation: Relaxes smooth muscle tissue, reducing uterine cramps. Supports muscle function and recovery.

Ingredients

These raw ingredients are often used in alternative medicine to treat Afterbirth Pain

ashwagandha
black cohosh
chamomile
turmeric
fennel
ginger
ginseng
lavender
licorice root
magnesium
omega-3 fatty acids
parsley
rhodiola
vitamin B6
vitamin C
zinc
xanthium (cockleburs)
shen-chu
mugwort
anise
punarnava
caesalpinia crista
boxthorne
goldenrod
yarrow
myrrh
siler root
fern
trichosanthes
queen of the meadow
arnica
Avens
Asoka
Aerva Lanta
Alpinia
Arisaema erubescens
Agrimony
Arnica
Achyranthes
Arisaema amurense
Arnica (unspecified)
Asoka Tree
Alchemilla
Aletris
Aconite
Anserina
Arisaema cum bile
Adrenergic amines
Aerva lanata
American Liverleaf
Aquilegia formosa
Allantoin
Aloe
Anise
Avian (unspecified)
Ashoka
Asarabacca
Abuta
Amor seco
Arisaema
Blue Cohosh
Bentonite
Bergenia Pacumbis
Bai Ji
Baliospermum
Black-Eyed Susan
Balsam
Bishop's Weed
Bayberry
Betel
Butea monosperma
Butter
Boerhavia diffussa
Buckhorn Plantain
Bethroot
Balsam (unspecified)
Benzoin siam
Boneset
Blackhaw
Comfrey
Cohosh
Calendula
Calotropis gigantea
Common Plantain
Capillary Artemisia
Cinquefoil
Cyathula
Chinese mugwort
California Goldenrod
cloves
Centipeda minima
Chinese Motherwort
Chymotrypsin
Chinese Plumbago
Cynanchum (unspecified)
Cynodon dactylon
Cola
Castor Oil
Chrysophanics
Didymocarpus
Dragon's Blood (unspecified)
Dragon's Blood
Dwarf lilyturf
Davilla rugosa
Enzyme (unspecified)
Erigeron
Eupolyphaga sinensis
European Pennyroyal
English Oak
Eupolyphaga sinensis
Eupatorium
Euphorbia (unspecified)
European Golden Rod
Fleabane
False Unicorn
Fern-leaf yarrow
Goldenrod
Goldenrod (unspecified)
Ground Ivy
Gnaphalium
Giant Trillium
Great Plantain
Glutamine precursor (unspecified)
Glycerite
Humboldt Lily
Homalomena
Hemp Agrimony
Jessica's Sticktight
Levant Cotton
Laggera pterodonta
Lodhtree
Lygodium
Labrador Tea
Little ironweed
Magnesium Salicylate
Matico
Mountain mahogany
Mother of Pearl
Oak
Oxystelma
Peppermint leaf
Peppermint essence
Pluchea
Prepared Aconite Tuber
Panax Pseudoginseng
Paris polyphylla
Pentatropis capensis
Plantain (unspecifed)
Placenta
Petiveria
Prolase
Rue
Red root (unspecified)
Resin
Rubia yunnanensis
Rhus glabra
Schizonepeta
Siler
Sanicle
Sichuan Fritillary
Sodium chloride
Sesbania
Spanish Needle
Sausage Tree
Sickle-leaf hare's ear
Sweet Violet
Stellaria dichotoma
Stillingia
Sweet Goldenrod
Stereospermum
Shepherd's Purse
Stone Root
Squaw Vine
Trichosanthis
Tiger Lily
Thymus
Triterpenes
Trichosanthes
Tannates
Tagetes
Thymus
Uterus
Vitex negundo
Viburnum
Wild carrot
White Rice
Wild Mint
Weak Jumby Pepper
Yerba Mansa
Yarrow