The Midwife’s Favorite Herbs

I went to my first herb walk with my baby in a sling. This was maybe twelve weeks or so after giving birth at home. There weren’t the diversity of babywearing options that there are today and it was a good old fashioned ring sling.  I remember scampering over a log that blocked the path near the Minnehaha creek.   We talked about Burdock that day. I was both excited and slightly overwhelmed by the sheer volume of information about herbs that the instructor, Lise Wolff, presented.  Lise would become my  herbalist, teacher, mentor and eventually a colleague.   Pregnancy and natural birth at home with a traditional midwife had awakened my nascent interest in natural healing and physiological, non-interventive birth, interests that would lead me into the work I do today as a midwife and practitioner of traditional western herbalism.

I work with dozens and dozens of local medicinal plants in my practice. People frequently ask me about which herbs I recommend for pregnancy and childbirth.  In my practice, I don’t really find that there is a particular body of remedies that are “herbs for pregnancy and birth.”  Many of the herbs I use in my midwifery practice are the same herbs I use throughout the lifecycle for both men and women.  There are also only a few herbs that I never use in pregnancy due to safety concerns.

There are, however, a few herbs that show up again and again. They are just so useful for the complaints and discomforts of pregnancy and the postpartum or for the newborn.  I will share my favorites with you below.


There is probably no more valuable plant ally for women than Motherwort.  These evocative names, given to the plant by our ancestors can say a lot about what a plant meant to people in our culture a long time ago. Motherwort assuages anxiety throughout the pregnancy and parenting journey, in the early weeks for those fearful of a miscarriage, in late pregnancy for those nervous about the upcoming birth and during the postpartum period when postpartum anxiety and depression can rear their ugly heads. Motherwort can aid in sleep when worry and a restless mind prevent falling asleep. It is particularly useful for those who feel their stress and tension in the chest/sternum area of their body and in the heart.  The scientific species name of this plant is cardiaca, also indicative of it’s usage. Folks who benefit from Motherwort may experience tightness in the chest, pounding heart, heart palpitations and even full panic attacks.  Many people use herbs to treat the spirit and psyche as well as the body and it is believed that Motherwort can help  resolve issues within  a person related to mothering, how you were mothered, being inadequately mothered in your own life or ambivalence about being a mother yourself.  Motherwort is cooling and moistening. It is also an intensely bitter plant and as such is generally not tolerated as a tea. I recommend tincture.  Motherwort is very safe, but it is also powerful and is often effective at doses as low as 3-5 drops at a time, taken under the tongue.  Motherwort comes in handy later in the life cycle; it is an excellent remedy for hot flashes, heart palpitations and anxiety and irritability during the perimenopausal season.


Yellow Dock

Some of my clients don’t appreciate the taste of the Yellow Dock tincture that I give them.  It is a little “earthy,” but it is certainly effective. Yellow Dock treats 3 issues that can complicate or cause discomfort to pregnant women:  anemia, acid reflux (heartburn) and constipation. Anemia is a common during pregnancy. Blood volume in the pregnant woman dramatically expands and there is natural hemodilution.  Many women do not consume adequate dietary iron and iron is among one of the more poorly absorbed of the essential nutrients.  Yellow Dock is an excellent remedy for anemia.  Many people find it quite energizing. The plant has some iron in it, but it is not as high in iron as some other herbs such as Nettle and Alfalfa.  Some herbalists, have speculated that as an alterative with an impact on the liver it affects iron absorption, storage  and release into the bloodstream. Whatever the reason, it seems to work quite well, especially in conjunction with herbal iron tonics.

Yellow Dock has a downward energetic effect on the g.i. tract and is a wonderful remedy for acid reflux or heartburn.  It is cooling and sedating to an overactive upper g.i. tract, effectively alleviating this painful discomfort of pregnancy.

Finally, Yellow Dock is also great for constipation, another common complaint of pregnancy. The bowel slowing effects of high levels of progesterone in pregnancy, the weight of the growing uterus and baby and the general squishing of all the organs of the abdomen and pelvis contribute to this uncomfortable situation.  Yellow Dock in larger doses of 1/2 to 1 full dropper full  effectively resolves constipation without cramping or griping associated with herbal laxatives like Senna.  I always emphasize to clients that dependence on Yellow Dock for bowel movements is not a long term solution. It should be used in an acute situation and after bowel movements are regularized the woman should work on maintaining adequate hydration, getting some exercise, more fiber rich foods and the addition of gentle enhancers of bowel function like flax seed or Aloe Vera juice.

Cramp Bark

Cramp Bark calms the uterus. This is not a plant like Nettle or Dandelion or Black Walnut. There are not dozens and dozens of disparate indications.  Cramp Bark essentially does one thing and it does it very, very well.  Cramp Bark is an anti-spasmodic with an affinity to the uterus. The uterus is a muscular organ subject to rhythmic spasm. Menstrual cramps, Braxton-hicks contractions, labor contractions and after pains are all cramps and spasms of the uterus.  We welcome labor contractions because they are necessary to complete the birth, but the other cramps…not so welcome.  Cramp Bark is excellent for stopping contractions of pre-term labor, non-progressing but painful prodromal labor and after-pains.  I have had many cases over the years that have convinced me of it’s power to cease  unproductive and unwelcome contractions. We use Cramp Bark on a regular basis for after-pains in our practice. Cramp Bark does not taste unpleasant at all in my opinion. It does tend to be used as a tincture. I usually recommend 1-2 dropperfuls for an average sized woman, doses can be repeated every 4 hours.  Relief usually sets in about 15 minutes after an adequate dose. Cramp Bark has an excellent safety profile. I have a comprehensive profile of this beautiful and useful local native shrub on my sister site, Minnesota Herbalist.



cramp bark


Valerian and Prickly Lettuce

Insomnia can plague pregnant women.  Sometimes sleep can be interrupted by aching hips or the seemingly constant need to pee, but sometimes it’s insomnia from anxiety and worry or a racing mind. Some women report no anxiety and simply have periods of unexplained wakefulness especially in late pregnancy.  Herbal remedies for sleeplessness are a much safer choice than OTC or prescriptions sleeping aids. They are non-habit forming and do not cause a hangover effect.  There are many herbal sleep aids. Two of my favorites are Valerian Root and Prickly Lettuce. Neither of these herbs make a very good tea. I recommend taking them as tinctures.  Valerian is a relaxing and sedating herb. It has the added benefit of relaxing he uterine muscles too and alleviating frequent Braxton-hicks contractions.  It is well documented that a small fraction of users (estimated to be about 5%) experience a reaction to Valerian that is opposite of the intended effect and these users find if more energizing an not at all sedating.  Prickly Lettuce is a relaxing, nervine, anti-spasmodic.   It is among the most reliable of the herbal sedatives for insomnia. It is particularly well indicated when there is muscular tension in the neck, shoulders and trapezius muscles. Those who tend to hold their tension in that area of their bodies and tend to hunch their shoulders benefit from this remedy.  It is also good for calming an overactive mind.  From my teacher, Matthew Wood, I learned that Prickly Lettuce is for those folks whose thoughts always tend build on each other in a sort of snowball effect resulting in a tiny worry becoming the worst possible scenario in the mind of the sufferer. For those cases where a warm bath and  little Chamomile is not enough, I turn to Valerian and Prickly Lettuce.


Dandelion Root is a gentle alterative, enhancing the function of  the body’s systems of metabolism and elimination including the liver, gallbladder and skin.  These systems can be taxed during pregnancy with the added maternal weight gain, increased blood volume, increased caloric intake and elimination of the baby’s waste products via the mother. Dandelion is a near specific for PUPPS rash, a painful, itchy rash that effects about 1 in 150 pregnancies and tends to come on near the end of pregnancy or even postpartum.  Dandelion can be taken as a tea or a tincture. Dandelion is especially useful when combined with flax seed oil(not the seed or seed meal, although these are healthy and a good source of fiber).  Why not try non-toxic Dandelion before turning to steroid creams? I’ve also used Dandelion Root tincture with success for clients who have had other itchy conditions or rashes, gallbladder attacks or gallstones, inflamed sinuses, seasonal allergies and oral thrush and burning mouth syndrome.  It is an excellent, safe, nutritive detoxifying remedy with broad applications.



Yarrow is one of my favorite remedy for postpartum hemorrhage.  When bleeding is excessive but not so excessive that it automatically requires a pharmaceutical, I usually reach for Yarrow and Shepherd’s Purse and put a squirt of each directly in a woman’s mouth. Yarrow is one of Western herbalism’s great hemostatics and has long been used for bleeding from all types of wounds, menstrual flooding, bleeding from the bowel, nosebleeds, in addition to postpartum hemorrhage.  As a great blood mover it is also a good remedy for bruising and varicosities. I favor it topically for these applications.  Yarrow is a good addition to a sitz bath during the postpartum to help heal perineal skid marks of tears and ease bruised and swollen tissues. As an infused oil it can be applied topically to hemorrhoids to tone the distended vein and improve circulatory return.

yarrow close up

The Colic/Galactogogue  Carminitives: Fennel, Anise, Dill Seed, etc.

These aromatic, volatile-oil rich seeds pack a lot of power in a tiny package.  I also find it to be an elegant and efficient design or accident, depending on your perspective, that the same seed remedies that are helpful for infant colic also increase breast milk production. These tasty little seeds can be used by both mother and baby. For babies with uncomfortable gas, make a weak tea of the seed or seeds of your choice.  Start with a scant teaspoon of seeds. Crush them lightly with a mortar and pestle.  Cover them with boiling water and put a saucer on top of the tea cup or a lid on the glass jar to keep the volatile oils from escaping into the air, borne on steam.  Let the tea cool and give 1 teaspoon to a tablespoon of lukewarm tea at a time.  This is essentially homemade gripe water, without the preservatives and for a fraction of the cost. You can store the tea in the fridge for up to 3 days using as needed. Fennel, Anise, Dill and a few other seeds in this family also have a reputation for helping to increase the supply of breastmilk.  Anise and Fennel are ingredient’s in geneabirth’s Mother’s Milk Tea blend that our clients pick up from us.  You can drink these teas solo or in combination with other galactogogues for a nurturing self-care practice and as an aid to build your supply during the postpartum period. They have the added benefit of tasting great!


Western herbal medicine has a rich tradition of galactogogues used to enhance nursing and milk supply.  Fenugreek is among the most powerful and effective of these remedies. Women find that it enhances the let down, making it quicker and stronger, in addition to increasing the supply. Fenugreek can be taken as a tincture, tea or in capsules.  Effective doses of this very safe herba are quite high and a common rule of thumb is to take it until your sweat smells like maple syrup. Fenugreek is also a good hypoglycemic agent and can be helpful for women with mild gestational diabetes in conjunction with appropriate dietary changes. In some parts of Asia and Northern Africa, Fenugreek is and has been used to promote a smooth birth.  It’s not clear to me from my research if it used somewhat in the way we use Raspberry Leaf or if it is more strongly oxytocic. For that reason I only recommend it during pregnancy in larger doses for blood sugar control from the 36th week onwards. Prior to that, I recommend Cinnamon.


The broad-spectrum anti-microbial can’t be beat. I use Goldenseal sparingly due to concerns about overharvesting and the sustainability of the plant communities. This is one of the only herbs I use or recommend that I don’t grow myself or wildcraft.  I buy and encourage my clients to buy cultivated, organic Goldenseal rather than wildcrafted.  Goldenseal powder applied to the baby’s umbilicus stump dries it very, very quickly and prevents infection. Many families who have done nothing to the cord with previous babies, remark on how quickly the cord dries with the application of Goldenseal and how clean and non-goopy it is by comparison.  Goldenseal is also fantastic for thrush/yeast diaper rash. These awful rashes are characterized by inflamed looking lesions and plagues in the diaper area and often there are satellite lesions as the rash spreads. I recommend mixing Goldenseal powder into a high quality Calendula and zinc oxide diaper rash cream like Weleda or Burt’s Bees or some other brand and applying liberally to the baby’s bottom.  I also find Goldenseal useful for maternal vaginal infections including yeast, thrichomoniasis, BV and GBS.  Gelatin capsules filled with Goldenseal can be inserted vaginally.  It is important that the capsul is gelatin, which melts at body temperature, not vegetable cellulose which does not melt when inserted.  Sometimes I make suppositories for my clients which incorporate Goldenseal along with infused herbal oils, essential oils, coconut oil and cocoa butter to treat more intractable infections.

There are so many fine herbs that can be used for pregnancy discomforts. It’s hard to keep the list focused on just a few.   Here’s to a happy, healthy, natural pregnancy!


Pregnancy Tonics and Herbs to Increase Milk Production–Two Complimentary Mini-Workshops

row of tinctures1Summer 2013:  I’ll be offering two complimentary (that means totally free) mini-workshops. 

These workshops are open to all women, pregnant, nursing, birthworkers or just curious. Your baby or young child is welcome to come too!

Pregnancy Tonic Teas

Thursday, June 6th

6-7:30 pm

Herbal tonics are safe, gentle and nutritive herbs.  During pregnancy tonic teas are a pleasant way to nourish your body, prevent discomforts and help your body deal with  the greater metabolic demands of pregnancy. We will sample several different herbal tonic teas and infusions and a  delicious mineral tonic syrup. We will discuss preparation of herbs and where to obtain high quality herbs.  You don’t need any prior knowledge of herbs to come to this talk; the Tonic Tea Party is definitely beginner friendly!

Galactogogues: Herbs to Aid in Milk Production and Let-Down

Thursday, August 1st

6-7:30 pm

Galactogogues are herbs used to aid in breastmilk production and let-down.  There are many in traditional herbal practice (more than you think!) Many of them also have other positive health impacts on mom or baby. Come and explore this rich tradition. We will taste a variety of teas and tinctures and discuss a little bit about using herbs safely and effectively during lactation.

RSVP:  The mini-workshops are free, however, for planning purposes I would apreciate a” heads-up-I’m coming” email and an email if you change your mind. That way I can make sure I have enough tea and chairs and so on.

Please note:  I am happy to answer questions and can easily field questions about pregnancy concerns like heartburn, nausea, hemorrhoids, anxiety, yeast infections etc or breastfeeding questions beyond just milk supply issues.  However, complex health concerns such as migraines in pregnancy, pregnancy induced hypertension, gestational diabetes, auto-immune flare ups in pregnancy, gallbladder problems etc. are beyond the scope of a quick fix and can’t be addressed in the mini-workshop.  I welcome questions about my practice if you are interested in making an appointment for a consultation.

About your instructor:

Erin Piorier is a traditional midwife, doula and professional herbalist who has been studying and working with plants for over twelve years.  Erin is available for private consultation and provides her clients with handmade, wildcrafted herbal products.  She is committed to safe, collaborative, respectful natural health care that treats the whole person.

Erin teaches extensively in the Twin Cities areas on topics such as plant identification, medicine making, herbs for children’s health, pregnancy and babies and hands-on workshops teaching herbal syrups, natural skin care and body care.