Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?

Question

Quizplus · Accepted Answer

The discomfort of afterpains is more acute for multiparas because repeated stretching of muscle fibers leads to loss of uterine muscle tone. The uterus of a primipara tends to remain contracted. Afterpains are particularly severe during breastfeeding, not bottle feeding. The non-nursing mother may have engorgement problems that will cause her discomfort. The patient who is nursing her second child will have more afterpains than her first pregnancy; however, they will not be as severe as the grand multiparous patient.

Which Patient Would Be Most Likely to Have Severe Afterbirth