What it means
After birth, the uterus keeps contracting to close off bleeding vessels and return to its normal size. These contractions can feel like strong menstrual cramps, mostly in the first 2 to 3 days. They are often stronger in people who have given birth before, after a very stretched uterus (twins, a large baby), and during breastfeeding, when oxytocin is released.
For the nurse
Teach that afterpains are normal and help prevent bleeding. Emptying the bladder, lying on the stomach with a small pillow under the abdomen, and taking the ordered pain medicine about 30 minutes before breastfeeding all help.
At a glance
| Also written | afterpains, after-pains |
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Related terms
postpartum
The time after giving birth, usually the first six weeks, while the body returns to its non-pregnant state.
oxytocin
A hormone that makes the uterus contract and releases breast milk; also given by IV to start or strengthen labor and control bleeding after birth.
letdown
The reflex that pushes milk out of the breast's milk glands toward the nipple during breastfeeding.