I've been a little surprised that I've seen little discussion of this on 
Lactnet over the years. In my family afterbirth pain (uterine contractions) 
is excruciating.  It gets worse with each baby, only lasted a few days, 
worse during breastfeeds. A confession: when my fourth baby was born I snuck 
pain pills in my suitcase to take at the hospital because I knew the doctors 
never gave me enough. .  When one of my daughters had her 3rd baby she had 
to stop several nursings one day ( 3rd or 4th day postpartum) because she 
was in so much pain when he nursed. My mother told me that she and other 
women in the family thought it was much worse than childbirth.
Anne Grider, IBCLC 

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