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The Best Padsicles for Soothing Postpartum Soreness
The Best Padsicles for Soothing Postpartum Soreness

If you’re going to be giving birth, one thing that comes strongly recommended (by experts and experienced parents alike) is to prep for postpartum recovery. One major way to prep, especially if you’re having a vaginal birth: padsicles. These cooling pads have traditionally been DIY constructions of maxi pads, aloe vera and witch hazel, and they can feel a bit like an insider secret. But now with a growing market for pre-packaged versions, there’s no need for the mess and hassle of making your own. 

Despite the funny name, padsicles can be a major relief during the first days and weeks after giving birth. Using either instant ice chemical agents or natural anti-inflammatory herbs, padsicles soothe perineal pain (including after episiotomy), swelling, varicose veins and hemorrhoids—and let’s face it, after everything your downstairs has been through, an icy-cool pad is going to be exactly what you need.

Since postpartum recovery looks different for everyone, I tested a wide range of reusable and disposable padsicles (note: I wasn't in the postpartum stage when I tested these products, but I have gone through the vaginal birth/postpartum recovery process twice now, so I knew what to look for). If you’re looking for a reusable padsicle, the Gentlepak Reusable Perineal Ice & Heat Paks stood out for their longer-lasting, soothing cold, wider coverage and stain resistance. For instant relief without any prep time, the Frida Mom Instant Ice Maxi Pad was the softest and had the best regulated temperature (more on why that’s important in a minute). Need something easy to use while you’re out and about? The Frida Mom Perineal Witch Hazel Cooling Pad Liners are the best padsicle for on-the-go comfort. And for an all-in-one wearable option, the Kindred Bravely Soothing Fourth Trimester Panty is our favorite padsicle that comes with versatile postpartum underwear.

Below, you’ll find out more about our top picks in each category, plus what to consider when choosing the best padsicle for your recovery needs, and how to make your own padsicles at home.

How We Judged the Best Padsicles

Temperature
Too cold can be painful, but not cold enough won’t provide real relief.
Longevity
Some padsicles lose their cool after just a few minutes, while others provide relief for as long as 20 minutes (or longer!).
Absorbency
Can it handle the heavy volume of postpartum bleeding, even for brief periods of wear time? All the picks on the list can.
Comfort
Fit, flexibility and materials matter, especially when you’re sore and swollen.

Best Reusable Padsicle

Gentlepak Reusable Perineal Ice & Heat Paks with Washable Sleeves.

Gentlepak Reusable Perineal Ice & Heat Paks with Washable Sleeves

From $20.99
Buy
Buy

Pros

  • Cools for up to 20 minutes
  • Warms in the microwave
  • Wide, long shape = good coverage
  • Fabric cover resists staining

Cons

  • Minimal absorbency; requires a maxi pad underneath
  • No adhesive to hold it in place

Gentlepak delivered one of the longest-lasting cooling effects we tested, staying soothing for about 20 minutes after only one hour in the freezer (keep in mind that 20 minutes is the maximum cooling time for most padsicles, since any longer can cause skin irritation). By comparison, many other padsicles (aside from the instant ones) require two to four hours—sometimes up to 24 hours—in the freezer. And it can also be microwaved for about 30 seconds to provide gentle heat therapy, which can also be helpful for swelling and soreness.

The wider, longer shape of the Gentlepak pads provides more coverage than many other reusable padsicles, which can be especially helpful if you’re dealing with both perineal soreness and hemorrhoids. 

And a major bonus for eco-conscious folks: it’s reusable! Reviewers love the soft terry cloth fabric cover, which is washable (gentle cycle), and the cover and freezable insert can both be used again and again. The cover is also hydrophobic, so any liquid (including blood) slides right off. That means it doesn’t stain easily, plus it’s black, so you wouldn’t notice stains anyway.

But hydrophobic fabric also means that it doesn’t really absorb, so you’ll want to wear a regular maxi pad underneath to prevent leaks. There’s also no adhesive, so positioning relies on snug-fitting underwear.

Best Instant Padsicle

Pros

  • Ultra soft, plush cover
  • Cooling without feeling icy
  • Large and absorbent

Cons

  • Internal ice pack doesn’t cover the full pad
  • Thick, squishy interior may be uncomfortable
  • Not reusable

The main draws of this padsicle are in the name: Instant ice. It gets to a soothing-cold temperature in less than 10 seconds, unlike other options that need time in the freezer. Just fold it in half until you hear a “pop,” shake it up a bit and it’s ready to go. And the size of the pad is significantly longer than many others on the market, so it’s great if you are trying to soothe hemorrhoids at the same time. 

The top of the pad is super soft, so it won’t irritate your most sensitive parts when they’re already in pain, and the interior ice pack stays just the right soothing temperature for about 15–20 minutes of wear (many instant ice packs can get below freezing, which can be really uncomfortable, to say the least).

But keep in mind that the internal ice pack is smaller than the absorbent pad itself, so it might shift around a bit if you’re moving. And the ice pack is fairly dense, not to mention really squishy—it feels more like a waterbed in your underwear than a maxi pad.

Best Discreet Padsicle

Frida Mom Perineal Witch Hazel Cooling Pad Liners.

Frida Mom Perineal Witch Hazel Cooling Pad Liners

From $8.95
Buy
Buy

Pros

  • Boosts pad absorbency
  • Can be worn for extended periods
  • Ultra thin and discreet

Cons

  • Cooling effect is short-lived
  • Strong scent

These full-length liners are a great option if you want very mild cooling or need something that feels extra light and discreet (not like the waterbed you get with full-size ice packs). Designed to sit on top of your postpartum pad, they actually increase your pad’s overall absorbency while providing a gentle soothing, anti-inflammatory effect, thanks to the witch hazel infusion. The resealable case is easy to throw in your purse or diaper bag, and you can wear each liner for two to four hours, until it’s time to change your pad.

The downside? The cooling sensation fades after only five to 10 minutes, since there’s no internal ice or frozen portion like the other padsicles on this list. And the witch hazel can have a fairly strong scent, which might be off-putting to some people.

Best Padsicle Underwear

Kindred Bravely Soothing Fourth Trimester Panty - Black, Large.

Kindred Bravely Soothing Fourth Trimester Panty - Black, Large

From $36.90
Buy
Buy

Pros

  • Light-compression postpartum underwear included
  • Multiple placement options for targeted relief
  • Can also be warmed up for heat therapy

Cons

  • No absorbency; requires a maxi pad
  • Wide pad may feel bulky and stiff

Postpartum underwear is often recommended to help with abdominal support, especially if you’ve had a C-section. This reusable, light-compression underwear made our padsicle guide due to its versatility with the two included padsicle inserts, both of which can be used for both cold and warm relief. 

After only 30 minutes in the freezer, the pad feels soothing without being uncomfortably cold, and you just slip it into either the front or back pocket of the underwear for about 15–20 minutes. The built-in underwear pockets make it easy to place the insert exactly where you need it—whether that’s vaginal or perineal soreness, hemorrhoids or even discomfort with a C-section incision. 

Keep in mind that neither the inserts nor the underwear offer any absorbency, so you’ll need to wear a maxi pad for any postpartum bleeding. And the padsicle inserts are on the wide side, which can be great for abdominal pain relief, but can feel really bulky and uncomfortable between your thighs (especially if your thighs touch).

DIY Padsicles

If you want a budget-friendly, customizable option, you can also make padsicles at home using a few simple supplies. DIY padsicles are made from regular postpartum pads with witch hazel and aloe vera gel, which are both safe for natural, gentle soothing on even your most sensitive skin. Dr. Kecia Gaither, board-certified ob-gyn and doctor of maternal fetal medicine, recommends that you also wear a regular pad underneath to help keep things hygienic, since the witch hazel and aloe vera can reduce the padsicle’s absorbency.

Here’s how to make your own padsicles (especially handy for prepping before your due date, so your freezer stash is ready to go right after you give birth):

How to Make DIY Padsicles

1

Prep your pad

Unwrap an overnight maxi pad (save the wrapper)

2

Add aloe vera

Spread 100% aloe vera gel over the entire top of the pad

3

Add witch hazel

Spray alcohol-free witch hazel over the pad

4

Add essential oil (optional; ask your doctor first)

1-2 drops of lavender or chamomile

5

Freeze

Rewrap in original wrapper plus foil or plastic wrap. Freeze for 1 hour, wear for 2–4 hours.

Babylist

Need a visual? The below video shows how to apply the aloe vera and witch hazel, and in what amounts. The order of ingredients is reversed in the video from the chart above, but it'll work regardless of whether you put the aloe vera or the witch hazel first. And the video doesn't show essential oils, as those are optional; if you'd like to use them, ask your doctor first in case of any sensitive skin irritation, but typically just 3–4 drops is enough.

Products for making your own padsicles

Ready to make your own at home? Here's everything you need to make enough to last you through the first few weeks postpartum:

Frequently Asked Questions About Padsicles

How often can I wear padsicles?

Padsicles are best used for short, targeted relief rather than all-day wear. “They can be used two to three times daily for cooling relief on top of or instead of a standard pad,” Dr. Gaither says. She adds that, if you’re using a padsicle straight from the freezer, let it thaw slightly before wearing. Otherwise, it’ll be really cold, not to mention stiff and not as absorbent.

How often should I change padsicles?

Many ice pack and instant ice padsicles have maximum wear times of 20 minutes in order to prevent skin irritation from the cooling/freezing elements.

But if you’re using a DIY padsicle made from a regular maxi pad, Dr. Gaither says you can wear those for two to four hours (the same rate as regular postpartum pads). There’s less risk of skin irritation from the cold, since there’s no ice element. Just be sure to change it whenever it becomes saturated in order to reduce the risk of infection. A heavier flow might require more frequent changes. 

Keep in mind that many non-absorbent or instant ice padsicles have maximum wear times of 20 minutes in order to prevent skin irritation from the cooling/freezing elements.

Can padsicles replace regular postpartum pads?

“They provide targeted relief, but still require hygienic practices like regular pads,” Dr. Gaither says. Even if you’ve DIY-ed your own padsicle out of a regular maxi pad, padsicles should always be worn on top of a standard pad for short periods since they’re not super absorbent. And Dr. Gaither recommends allowing them to thaw slightly before use (otherwise the cold can be shocking).

What ingredients should I look for (and avoid) in a padsicle?

“Soothing ingredients for padsicles include alcohol-free witch hazel, which reduces swelling, pure aloe vera gel, [which] soothes the afflicted area with cooling and anti-inflammatory effects, and optional lavender essential oil adds a calming effect to skin as well,” Dr. Gaither says. And if you’re looking for even more skin-benefitting ingredients, Dr. Gaither also says that “coconut oil can offer moisture and antibacterial benefits to delicate perineal skin.”

 

As far as what to avoid, Dr. Gaither says to watch out for witch hazel that contains alcohol, pads with plastic coatings and overuse of essential oils, all of which can cause skin irritation.

When should I stop using padsicles?

Most postpartum vaginal and perineal soreness goes away within two to three weeks, Dr. Gaither says. If you’re still feeling the same level of pain by week four, be sure to bring it up with your doctor, as it could be a sign of infection or other post-delivery complication.

If your vaginal or perineal pain goes away as expected, it’s still totally okay to wear padsicles for other aches, including when your first postpartum period hits (which is infamous for bringing more intense cramping than normal).

Why Trust Babylist?

Babylist is the expert in baby; we know baby gear inside and out. We talk with parents face-to-face in our showroom and on our user panels and hear from thousands annually via our Best Baby Products online survey. We know what items millions of expecting parents are adding to their baby registries.

  • Firsthand professional and personal experience. As a mom of two and professional editor at Babylist for over six years, I’ve tested hundreds of products related to pregnancy, postpartum and baby health. I tried out lots of different types of padsicles during my own personal postpartum journeys, and then I tried a lot more in a professional capacity in preparation for this product guide (I even made and tested some DIY padsicles).

  • Expert POV. I spoke with Dr. Kecia Gaither, a double board-certified ob-gyn and doctor of maternal fetal medicine, about how padsicles can help soothe postpartum aches, what to look for in padsicle products and how to maintain proper hygiene when padsicles might not be super absorbent with postpartum bleeding.

  • Feedback and reviews. I read thousands of customer reviews from parents and spoke to parents on our staff about their real-life product experiences.

Expert Sources

Babylist content uses high-quality subject matter experts to provide accurate and reliable information to our users. Sources for this story include:

  • Dr. Kecia Gaither, MD, MPH, MS, MBA, FACOG, FAIUM, double board-certified in OB/GYN and Maternal Fetal Medicine, Director of Perinatal Services/Maternal Fetal Medicine at NYC Health + Hospitals/Lincoln in the Bronx

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