Abuta, commonly referring to plants in the Abuta genus or sometimes to Cissampelos pareira, has been traditionally used in various cultures for gynecological and obstetric conditions, including afterbirth pain. Ethnobotanical records, particularly from South America and parts of Asia, note that indigenous and local healers have used Abuta preparations to manage postpartum discomfort, promote uterine involution, and address menstrual or childbirth-related complaints. The rationale for its use is generally rooted in traditional medicine systems rather than modern scientific validation.

While there are some phytochemical studies indicating that Abuta species contain alkaloids and other compounds with anti-inflammatory, antispasmodic, or analgesic properties, there is a lack of rigorous clinical evidence specifically supporting its efficacy for afterbirth pain. Most references to its use for this purpose are found in ethnobotanical surveys or traditional medicine compendiums, rather than controlled clinical trials or pharmacological studies. Thus, the evidence base is largely anecdotal or based on longstanding cultural practices.

In summary, the use of Abuta for afterbirth pain is mainly justified by tradition, with a low level of scientific validation for this specific indication.