The use of Cola species (such as Cola acuminata, commonly known as kola nut) to support or treat afterbirth pain is primarily based on traditional practices rather than robust scientific evidence. In some West African cultures, kola nuts have been used in ceremonial, social, and medicinal contexts, including postpartum care. Traditional healers may administer kola nut preparations to women after childbirth, believing the stimulant and tonic properties of the nut help with recovery and pain relief. However, these uses are largely anecdotal and rooted in local customs.

Scientifically, kola nuts are known to contain caffeine and theobromine, both of which are central nervous system stimulants. While these compounds can increase alertness and may have mild analgesic effects, there are no clinical trials or pharmacological studies specifically supporting the use of Cola for afterbirth pain management. The evidence for analgesic or uterotonic effects in the context of postpartum pain is lacking.

In summary, the use of Cola for afterbirth pain is supported by tradition in certain cultures, but there is minimal scientific validation for its efficacy or safety for this indication. More research would be needed to establish any clinical relevance.