They are rarely troublesome after a first confinement, but are apt to increase in severity at each succeeding one. After-pains are, in moderation, salutary, and are caused by the efforts of the womb to attain that properly contracted condition on which the woman's safety depends. If they are very severe, it is generally owing to the presence of clotted blood, which must be expelled before they moderate. A constant, unintermitting after-pain coming on very soon after the termination of labor, is often symptomatic of internal flooding, and should be attended to accordingly.

Treatment

Omit bandage to prevent, and give Arnica after serious labor. Pulsatilla, pains in back and abdomen. Caulophyllum for labor-like pains. Cimicifuga if the pains are in the back and extend down the limbs.