Black cohosh, also known as squawroot, rattle weed and bugbane, is a tall, flowering plant, whose roots are recommended by Drugs.com, the University of Maryland Medical Center and other health organizations for treatment of menopausal symptoms because of their estrogen-like effects. Though black cohosh is commonly used to treat women's health issues, its use in pregnancy is somewhat controversial. As with any herbal remedy, it's wise to check with your health care provider before using black cohosh.
History
In the days before hospitalized births became the standard, black cohosh was commonly used during labor to help ease pain and speed the birthing process, according to Drugs.com. History shows that black cohosh was used during labor and delivery in Europe as far back as the 1600s. Native Americans also used black cohosh to help manage the pain of childbirth, according to Drugs.com.
Effects
Researchers aren't sure what component of black cohosh affects pregnancies. Black cohosh has several active substances in it, including phytoestrogens, anti-inflammatory acids called salicylates and sugar compounds, according to the University of Maryland Medical Center.
Benefits
Modern-day midwives still use black cohosh to induce labor and speed up contractions for pregnant women, according to a research review published in 2006 in the Canadian Journal of Clinical Pharmacology. Using black cohosh--which can be taken in the form of a tea or a liquid extract--makes the uterus contract, which can start labor and shorten the time spent in labor.
Risks
Pregnant women should avoid using black cohosh during pregnancy without a doctor's oversight, especially during the third trimester, according to the Canadian Journal of Clinical Pharmacology review. Black cohosh can cause miscarriage, premature labor and premature birth if it's taken during pregnancy. Since black cohosh increases estrogen in your body, many doctors also recommend avoiding it when you are breastfeeding.
Considerations
Many herbal remedies, including black cohosh, haven't undergone rigorous scientific study for use during pregnancy. That means there's limited research on their potential risks and benefits during pregnancy, which is why many health care organizations, including the University of Maryland Medical Center, Creighton University Alternative Medical Center and Drugs.com, recommend that pregnant women avoid using black cohosh and other herbal remedies during pregnancy.
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