The use of the Asoka tree (Saraca asoca) for afterbirth pain is rooted primarily in traditional medicine, especially in Ayurveda. The bark of the Asoka tree has been employed for centuries in classical Ayurvedic formulations to address a variety of gynecological issues, most notably excessive menstrual bleeding, uterine disorders, and post-partum complaints, including afterbirth pain. The reputed benefits are largely attributed to its supposed uterotonic, anti-inflammatory, and analgesic properties. Traditional texts such as the Charaka Samhita and Sushruta Samhita mention Asoka as a key ingredient for female reproductive health.

However, modern scientific validation of these uses is limited. A few pharmacological studies suggest potential uterine stimulant and anti-inflammatory effects in animal models, but these studies are not directly focused on afterbirth pain in humans and are generally preliminary. No robust clinical trials exist to specifically confirm Asoka's efficacy in relieving afterbirth pain in postpartum women. Therefore, while the use of Asoka tree bark for this condition is justified by traditional practice, contemporary scientific evidence supporting these claims remains weak and inconclusive.