A primipara tells the nurse, "My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?

A. Breastfeeding releases a hormone that causes your uterus to contract: Suckling stimulates the release of oxytocin from the posterior pituitary, which promotes uterine contractions. These contractions help the uterus return to its pre-pregnancy size, explaining why afterpains may intensify during breastfeeding. B. I’ll get you some aspirin to relieve the cramping that you feel: While analgesics can reduce discomfort, the focus is on explaining the physiologic cause of afterpains. Aspirin is generally not recommended for postpartum pain management due to potential bleeding risks. C. Afterpains are more intense with your first baby: Afterpains are typically more pronounced in multiparas because the uterus has been stretched by previous pregnancies. This explanation does not accurately reflect the usual pattern and may be misleading. D. A change of position when you're breastfeeding might help: Changing position may improve comfort or latch but does not address the physiologic cause of afterpains. The primary factor increasing pain during breastfeeding is uterine contraction mediated by oxytocin.