I'm making an afterbirth tincture so that in case I have afterbirth pains (I never have thus far... but this is baby #3) I can take the tincture instead of drinking the disgusting-tasting tea.
I am also going to uncover my hemmy-pillow (for those pushing-hemmys I get and in case I tear for the third time). It makes sitting bearable for the first few days for me.
As far as what else can be done... if you get a big pad and get it wet/freeze it (gently laid over so there's some curve to it) in your freezer, it will keep swelling down immediately after birth.
If I had some sitz bath I'd make 'burritos' out of it (boil water, remove from heat, put in sitz bath and let steep for at least 15 min, strain out herbs and set aside 'tea' water for a sitz bath later). You just put the herbs after the steeping into guaze pads, wrap them into a burrito and then lay a soaked piece of seaweed (so it's soft) over the burrito. Then you can add some castor oil on top when you put it onto your pad - this (herbs, seaweed, castor oil) will all speed healing if there was any tearing. The burritos keep for at least a week and you only have to replace them every day. **This was something I learned from the licensed MW I assisted - she was incredibly naturally-minded and didn't suture 2nd degree or 1st degree tears unless they wanted her to - never had any trouble with any odd or unhealed perineums.
Mama to 4 amazing little people, another little expected 3/6/12!
Avid Unassisted Birth supporter/Mama