Synopsis

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

Yarrow (Achillea millefolium) has a long history of use in traditional herbal medicine, particularly in Europe and Asia, to support women’s reproductive health, including the management of afterbirth pain (also called "afterpains"). In folk medicine, yarrow was commonly used as a uterine tonic, believed to help tone the uterus after childbirth, promote the expulsion of lochia (postpartum vaginal discharge), and reduce cramping and discomfort. These traditional uses are documented in various ethnobotanical and herbal sources, including the writings of Nicholas Culpeper and in European midwifery practices. The plant contains several bioactive compounds, such as flavonoids, alkaloids, and volatile oils, which are thought to contribute to its purported anti-inflammatory, antispasmodic, and analgesic effects. While animal studies have demonstrated that yarrow extracts have antispasmodic and anti-inflammatory properties, direct clinical evidence supporting its efficacy specifically for afterbirth pain in humans is lacking. Most of the support for yarrow’s use in this context remains anecdotal or based on traditional knowledge rather than rigorous scientific validation. Therefore, while the tradition of using yarrow for afterbirth pain exists and has some plausible pharmacological basis, the evidence level is rated as 2 (weak, mostly traditional or preclinical). Women interested in using yarrow postpartum should consult a qualified healthcare provider to ensure safety and suitability.

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