Evidence supporting the use of: Cohosh
For the health condition: Afterbirth Pain

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Cohosh (referring to both Black Cohosh, Actaea racemosa, and Blue Cohosh, Caulophyllum thalictroides) has a long history of traditional use among Indigenous peoples of North America and in Western herbal medicine for supporting women’s reproductive health, including afterbirth (postpartum) pain. Traditional texts and ethnobotanical records indicate that both forms of cohosh were used historically to ease uterine cramping, promote uterine involution, and relieve afterbirth pain following delivery. However, while these uses are well documented in traditional and folk medicine sources, there is limited modern clinical research to validate these specific effects. Most scientific studies on cohosh focus on its use for menopausal symptoms, not postpartum pain. The evidence for efficacy in treating afterbirth pain is therefore primarily based on traditional practices rather than robust scientific validation. Some pharmacological studies suggest that compounds in cohosh may have antispasmodic or uterotonic activities, which could theoretically influence uterine pain, but these findings have not been substantiated in human clinical trials for afterbirth pain. Thus, although cohosh is indeed used traditionally for afterbirth pain, the quality and quantity of scientific evidence supporting this use are weak.

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Products containing cohosh

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