Which Woman Is Most Likely to Have Severe Afterbirth Pains

Which woman is most likely to have severe afterbirth pains and request a narcotic analgesic?

A) Gravida 5, para 5
B) Woman who is bottle-feeding her first child
C) Primipara who delivered a 7-lb boy
D) Woman who wishes to breastfeed as soon as her baby is out of the neonatal intensive care unit