top of page
Search

Angelica in the Birth Space

Let’s walk through what makes this herb so unique, why it’s been mentioned in midwifery circles for generations, and what wisdom and caution we need to carry when it comes to using it in the sacred moments of placenta release or postpartum recovery.


The third stage of labor — when the placenta separates and is delivered — is one of the most tender, holy thresholds of birth.


ree

Throughout history, some traditional herbalists and midwives have turned to Angelica archangelica during this stage, believing it could help stimulate the uterus and assist in releasing the placenta, especially in circumstances of hemorrhage, where the placenta must first be delivered before the bleeding can be managed.


Angelica is sometimes described as:

  • A uterine stimulant (emmenagogue) — helping the uterus contract.

  • A key herb in “placenta release” tinctures and postpartum blends.

  • A gentle aid for uterine tone and recovery after birth.


And while that tradition carries a deep and beautiful legacy, we are also called to hold it with humility — knowing that what has the power to help, also has the power to harm if used without full understanding.


What We Know About Angelica

Angelica archangelica belongs to the Apiaceae family — the same family as carrot, fennel, and parsley. Its name “archangelica” comes from the Latin word for “archangel,” symbolizing how it was once seen as a protective, divinely guided plant.


But make no mistake — Angelica is potent.

It contains compounds known as coumarins and furanocoumarins, which are powerful, bioactive substances. These can influence how the blood clots and how certain medications work in the body.

That’s why midwives, herbalists, and doulas must walk with great discernment when it comes to this plant — because what carries healing potential also carries risk.


Here’s where it gets complicated:

On one hand, Angelica archangelica is believed to encourage uterine contractions, which can help the placenta detach — a positive effect when the body is in need of this support urgently.


But on the other hand, also linked to anticoagulant (blood-thinning) effects, which could increase bleeding.


That means in cases of postpartum hemorrhage, use with blood-thinning medications, or compromised clotting, Angelica could make things worse instead of better.

This is why we approach it with the same reverence we bring to prayer: open-hearted, but wise.


Angelica vs. Dong Quai: Don’t Be Fooled by the Difference


In the birth world, some assume Angelica archangelica is the “safe cousin” of dong quai (Angelica sinensis), which is known for its bleeding risks. But the truth is, both species share the same compound families — coumarins and furanocoumarins — and both have demonstrated anticoagulant or antiplatelet activity in studies.


“While no clinical trial has yet shown that Angelica archangelica causes bleeding complications in childbirth, multiple pharmacological sources confirm that it contains coumarins / furanocoumarins (compounds known in other plants to affect coagulation), and at least one related species (Angelica shikokiana) has demonstrated antiplatelet / anticoagulant effects in lab studies. Some herbal monographs warn of a theoretical potential for interaction with anticoagulant therapies (e.g. warfarin). In addition, a pharmacological analysis (PMC study) confirms that coumarins were isolated from Angelica archangelica root extract, supporting that it carries the chemical building-blocks associated with clotting-modulation. Because of that, we treat A. archangelica with caution, especially in the birth setting.”

“Phytochemical screening of the hydroalcoholic extract of Angelica archangelica roots confirmed the presence of coumarins as major constituents… The coumarins isolated and identified included bergapten, imperatorin, and xanthotoxin.”


“Coumarins have been reported to possess several pharmacological activities including anticoagulant, vasodilatory, anti-inflammatory, and MAO-A inhibitory effects.”



So, while their traditions and uses differ, their chemistry does not separate them from the same caution.


When it comes to herbs that influence clotting, it’s not about which plant name is on the label — it’s about what’s happening in the blood.


Here’s what we want every birthworker and midwife-minded woman to remember:


  1. Honor the body as sacred.

    Every birthing body is fearfully and wonderfully made (Psalm 139). Herbs have power, but they are not neutral.

  2. Respect both tradition and evidence.

    Just because something has been used for generations doesn’t mean it’s safe for every birth. Honor both the old wisdom and your discernment.

  3. Never substitute herbs for emergency care.

    In hemorrhage or retained placenta, Herbs can support, but they are never a replacement for lifesaving care.

  4. Always communicate with the care team.

    If herbs like Angelica are used, everyone on the team — midwife, nurse, OB — should know. Transparency protects everyone.

  5. Informed consent is essential.

    If considering Angelica, make sure the mother understands the potential risks, the uncertain research, and the plan for medical backup.

  6. Pray before you act.

    Before reaching for a tincture or protocol, invite the Holy Spirit into the space. Peace, discernment, and clarity will always guide the right next step.


Safe & Effective Alternatives

When supporting the natural rhythm of birth, we always aim to work with the body’s design — not against it. Instead of relying on herbs that may thin the blood or interfere with the body’s clotting ability, we can turn to safer, more direct methods that honor the body’s built-in intelligence.


For encouraging contractions naturally: Aromatherapy support; simply opening a bottle of clary sage essential oil and allowing the mother to gently inhale its aroma can powerfully stimulate uterine activity. The scent works through the limbic system and supports oxytocin release, often creating the gentle nudge the body needs to resume progress.


If placenta release support is needed (without internal use): In an emergent circumstance, it’s possible to work externally and prayerfully while still activating a potent uterine response. A deep, concentrated inhalation of clary sage oil can rapidly encourage the uterus to contract — the very mechanism that helps the placenta separate and release. These same contractions also help the uterus clamp down and slow or stop a hemorrhage naturally.


⚠️ Disclaimer

The information is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. It is meant to equip birth workers and families with knowledge to support informed decision-making in collaboration with their chosen care providers.


Always consult with a qualified healthcare professional before using any herbs, essential oils, or natural remedies during pregnancy, labor, or postpartum.



So if you ever choose to include Angelica in your work or your own birth, do so prayerfully, with informed consent, strong protocols, and clear collaboration. Let it be an act of stewardship, not assumption.


Because at the heart of it all, our mission is not just to “use herbs” — it’s to honor life.


To honor the God who designed the body.

To protect the mother who is His vessel.


And to ensure that every placenta, every birth, and every recovery happens in safety, peace, and divine grace.


May we continue to serve with wisdom, discernment, and unwavering faith.





Join our Virtual Doula Training program here:


Comments

bottom of page