Herbal Sitz bath for New Mothers


Postpartum herbal soaks are an excellent, natural way to soothe tender, inflamed tissue, help heal tears, reduce hemorrhoids, and otherwise pamper yourself after you have your baby. We recommend 2 baths a day for several days after your birth (or longer if you experienced tearing or significant swelling) to our clients.  

Good quality, pre-packed mixes are are available for purchase from MotherloveEarth Mama Angel Baby, Wishgarden Herbs. For those interested in formulating their own herbal soak, Aviva Romm, MD offers some favorite recipes for you to prepare on your own:

(from avivaromm.com)

The postpartum bath is a tradition that my midwifery clients have enjoyed for over 30 years, one that I enjoyed after my own babies were born,  and one that I now use as my grown children have their babies. There are many herbs that can be used to soothe tender perineal tissue, heal tears and episiotomies (yes, you CAN take herb baths if you’ve had stitches!), reduce inflammation, and even shrink hemorrhoids after a vaginal birth. (Sorry – immersion in a bath is not appropriate after a cesarean – but foot soaks with any relaxing herbs, for example, lavender blossoms and rose petals are an absolutely delicious way to relax and treat yourself to something special!)

Preparing the bath is as simple as making a giant pot of tea, and the medicinal liquid can also be made into compresses and peri-rinses as directed below. The bath can be given as soon as an hour after a vaginal birth as long as long as mom is healthy and there are no signs of infection. A fresh bath can be taken once or twice daily for three to five days after birth. Baby can accompany mama into the herbal bath, which also promotes drying and healing of the umbilical cord.

When I was dispensing my own botanical products, I generally had to refill orders for postpartum bath herbs several times as women find them so soothing! So assemble enough herbs or purchase enough herb bath bags for at least 1-2 baths/day for 5 days plus some extra for use in a peri-rinse (squeeze bottle).

My 2 Fave Herb Bath Blends for New Mamas


A blend of beautiful and fragrant blossoms that is uplifting, soothing, healing, and antiseptic.

Mix and store these herbs:

  • 1 ounce dried comfrey leaf*
  • 1 ounce calendula flowers
  • 1 ounce lavender flowers
  • 1/2 ounce dried uva ursi leaves
  • 1/2 ounce witch hazel blossoms (if you can find them)
  • 1/2 ounce dried sage leaf
  • 1/2 cup sea salt

Directions: Bring 2 quarts of water to a boil. Turn off heat, and place 1 ounce (approximately 1 large handful) of the above mixed herbs (not the salt) into the pot. Steep, covered, for 30 minutes.

Strain the liquid well with a fine mesh strainer, and discard the herb material. Add 2 quarts of liquid to the tub, along with the 1/2 cup of salt.


Strongly antiseptic and astringent, perfect for healing trauma to the perineum, including tears and episiotomies.

Mix and store these herbs:

  • 1 ounce dried comfrey leaf*
  • 1 ounce yarrow blossoms
  • 1/2 ounce myrrh powder
  • 1 ounce dried rosemary leaf
  • 6 cloves of fresh garlic
  • 1/2 cup of sea salt

Directions: Peel all the garlic cloves and place them in a blender with 1 cup of  water. Blend at high speed until you have a milky liquid and the garlic is completely pulverized. Strain through a fine mesh strainer. Bring 2 quarts of water to a boil and turn off heat. Add 1 ounce of the dried herb blend to the pot and steep for 30 minutes.

Strain the liquid and discard the herb material. Add 1 cup of the garlic “milk” and the herb tea to the bath, along with 1/2 cup of salt.

Do not use include the garlic milk for use in a peribottle or compress – it would be too irritating. The tea without the garlic, however, can be used directly.

Herbal Compresses and Rinses

To use the teas as herbal compresses: Simply soak a washcloth in the herbal tea and apply warm or cold to the perineum as needed to reduce tenderness and swelling.

For use in peri-rinses: Purchase a peri bottle (a plastic squeeze bottle) from any pharmacy and fill with the strained tea of your choice. Squeeze warm or at room temperature over your perineal area as you urinate. This significantly reduces inflammation and stinging.

The Sitz Bath

If you don’t feel like fully immersing, or don’t have a tub at home, try a sitz bath instead. A sitz bath is a basin that fits perfectly into your toilet seat and let’s you get a soothing soak of the important parts after a vaginal birth without having to immerse in the tub. Sitz bath basins are inexpensive and available at many pharmacies, Target, and Walmart.

Is Comfrey Safe for Use in Herbal Baths?

You may have heard rumors that comfrey root and leaf are not safe for use in herb baths. This is based on the fact that a chemical compound in comfrey leaves, Pyrrolizidine alkaloids (PA), are known to cause liver damage in rare cases when taken internally. While this compound can also be absorbed through skin abrasions and open wounds, the amount is tiny, and there is not evidence that this can cause hepatotoxicity or problems for baby through exposure in the bath. If, however, you are uncomfortable with using it, simply skip this ingredient and increase the volume of the others to make up the difference.

Where Do I Get Herbs for the Herb Bath?

Assembling your own herb baths is easy – you just purchase the amounts of each herb you need, and mix them together in a large glass jar, tupperware, or plastic bag for storage until it’s time to use them.

Bulk herbs for mixing your own baths can be purchased online from Mountain Rose Herbs.

This article was originally posted here on AvivaRomm.com, and was republished with the permission of Aviva Romm.

3 thoughts on “Herbal Sitz bath for New Mothers

  1. Thanks a lot for sharing this 🙂 I was doing the simple Salt Enema. Would try this one now.


  2. great blog! I’ll keep coming back if you keep posting : )


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