Quick Facts
Three-pair set of FourthWear postpartum recovery underwear with a perineal ice and heat pack, designed for perineal, c-section, and postpartum back pain recovery.
Best for
People recovering from vaginal or c-section birth
Key detail
dual-layer 360° pocket system
Consider if
Consider regular underwear if you do not need targeted ice or heat.
Shipping
Free US shipping over $100, 30-day returns
Hands free postpartum relief and comfort
Three OB-GYN recommended recovery underwear with a contoured ice and heat pack that fits between the legs for targeted relief.
Hands free postpartum relief and comfort
Targeted Cold and Heat Therapy
Targeted Cold and Heat Therapy

The dual layer, 360° pocket system holds the pack exactly where you need it, between the legs or over a c-section. Layer a pad inside and get hands-free cooling or warming while you rest or move around.

Soft, Supportive Compression Fabric
Soft, Supportive Compression Fabric

Made from ultra-soft, adaptive-stretch compression fabric, these underwear conform to a changing postpartum body without digging or bunching. The high waist offers gentle support over the abdomen.

Includes Contoured Ice/Heat Pack
Includes Contoured Ice/Heat Pack

Nyssa's Between Legs Perineal Ice/Heat Pack is contoured to sit between the legs for perineal relief and it also fits across the lower back or over a c-section scar for added comfort.

OB-GYN Recommended
Endorsed by medical professionals for postpartum recovery.
Ultra-Soft Fit
Adaptive-stretch fabric conforms without digging or bunching.
Hands-Free Therapy
Pocket holds ice or heat packs and a pad for simultaneous relief.
Nyssa Customer Support
Ships from a US warehouse, free US shipping over $100, 30-day returns.
How to Choose Postpartum Recovery Underwear

A few simple points help you pick underwear that fits your recovery goals and comfort needs.

  1. Know Your Needs: Decide if you need perineal cooling, c-section coverage, or extra support for back pain.
  2. Size for Comfort: Consult the size chart, and if you are between sizes choose the larger size for comfort.
  3. Plan for Pads: Pick underwear that holds a pad and a pack together to manage bleeding and therapy at once.
  4. Think Reusable Care: Look for easy washing instructions and low-heat drying to protect stretch and longevity.
  5. Pack Placement: Confirm the pack fits the pocket and can sit where you need relief, between the legs or over an incision.
Frequently Asked Questions
How do I use the ice or heat pack safely?

Use the pack for short intervals, such as 15 to 20 minutes at a time, and stop if you feel increased pain. If you have concerns about a surgical site, check with your OB provider before using.

Will these underwear fit after birth?

Yes, the adaptive-stretch fabric is designed to conform to changing postpartum bodies. Consult the size chart and consider sizing up if you are between sizes or expecting swelling.

Can I use the pack on a c-section incision?

The pack can be placed over a healed c-section incision for comfort, but do not apply it to open wounds and consult your provider if you are unsure.

Is this FSA or HSA eligible?

Yes, this product is FSA and HSA eligible. Check your plan for specific reimbursement rules and documentation requirements.

What are your shipping and return policies?

We ship from a US warehouse, offer free US shipping on orders over $100, and accept returns within 30 days. Human customer support is available if you need help.

From the Moogco Baby Journal
Your Guide to Postpartum Recovery Essentials
By Eda Ulger , Moogco Baby Editor and mom of two · Updated May 2026 Getting your postpartum recovery essentials ready is one of the kindest things you can do for your future self. Think of it less like a...
Read the guide →
From verified reviews
★★★★★

"I was lucky to find this pad for my grandson’s bassinet. I like how it is all natural snd organic. Just make sure to buy it a little bigger because it shrinks after washing. Also give ample time…"

L
Lucinda
Verified buyer · April 7, 2026
★★★★☆

"These helped at first but it seemed like the edges dug into my skin making it irritated (might have needed the larger ones). Once my milk came in more, milk would spill everywhere. I found that milk…"

T
Trish
Verified buyer · May 10, 2025
★★★★★

"Perfect. Great price and my little one very opposed to training has only had accidents in the last week. My daughter is 2yrs old, 27 lbs and the Medium is perfect. She has room in them but the arent…"

E
Elizabeth
Verified buyer · April 2, 2026
★★★★★

"Initially, I was skeptical of using it, but when my doc referred it to me for my cracked nipple, it worked like a charm. I did not want to put any balm or lotion over my nipple as I did not wanted…"

S
Shreya
Verified buyer · December 5, 2025
★★★★★

"Amazing tool for breastfeeding! These protect sensitive, chapped or cracked nipples like little shields. No more sticking to clothing/bras and wincing when anything bumps into my chest. I've been…"

J
J
Verified buyer · September 25, 2025
★★★★★

"I cant belive they heal hours within you put them on. Totally a must while breastfeeding. Such a good quality"

M
Maria
Verified buyer · April 21, 2026
★★★★★

"I used these for the first four weeks after baby came. It was during that phase where baby was so small he didn’t have a great latch and so I was getting sore nipples. This was great for protecting…"

J
Jessica
Verified buyer · December 10, 2025
★★★★★

"Only paci my breast feed three week old has accepted so far🙌🏼"

H
Hannah
Verified buyer · April 6, 2026
★★★★★

"Worked great and would definitely use again. The only thing is sizing can be tricky. I would’ve gotten a size bigger and I’d consider my size to be on the smaller side. If you’re not sure, just size…"

D
DB
Verified buyer · November 17, 2025
★★★★★

"I wore these for the first two months and they truly saved my breastfeeding journey - worked exactly how I expected. They gave instant relief. I basically wore them day and night for the first 6…"

G
Giselle
Verified buyer · January 28, 2026
★★★★★

"Love these , I bought due to damage from pumping . One week with creams and balms didn’t do much but two days with these and I’m almost healed !"

A
Amazon
Verified buyer · September 27, 2025
★★★★★

"LIFE. SAVER. Bought this the first week I started nursing my son and had the WORST cracked nipples. These solved the issues OVERNIGHT!"

S
ShanKelly92
Verified buyer · January 27, 2026
★★★★★

"I was lucky to find this pad for my grandson’s bassinet. I like how it is all natural snd organic. Just make sure to buy it a little bigger because it shrinks after washing. Also give ample time…"

L
Lucinda
Verified buyer · April 7, 2026
★★★★☆

"These helped at first but it seemed like the edges dug into my skin making it irritated (might have needed the larger ones). Once my milk came in more, milk would spill everywhere. I found that milk…"

T
Trish
Verified buyer · May 10, 2025
★★★★★

"Perfect. Great price and my little one very opposed to training has only had accidents in the last week. My daughter is 2yrs old, 27 lbs and the Medium is perfect. She has room in them but the arent…"

E
Elizabeth
Verified buyer · April 2, 2026
★★★★★

"Initially, I was skeptical of using it, but when my doc referred it to me for my cracked nipple, it worked like a charm. I did not want to put any balm or lotion over my nipple as I did not wanted…"

S
Shreya
Verified buyer · December 5, 2025
★★★★★

"Amazing tool for breastfeeding! These protect sensitive, chapped or cracked nipples like little shields. No more sticking to clothing/bras and wincing when anything bumps into my chest. I've been…"

J
J
Verified buyer · September 25, 2025
★★★★★

"I cant belive they heal hours within you put them on. Totally a must while breastfeeding. Such a good quality"

M
Maria
Verified buyer · April 21, 2026
★★★★★

"I used these for the first four weeks after baby came. It was during that phase where baby was so small he didn’t have a great latch and so I was getting sore nipples. This was great for protecting…"

J
Jessica
Verified buyer · December 10, 2025
★★★★★

"Only paci my breast feed three week old has accepted so far🙌🏼"

H
Hannah
Verified buyer · April 6, 2026
★★★★★

"Worked great and would definitely use again. The only thing is sizing can be tricky. I would’ve gotten a size bigger and I’d consider my size to be on the smaller side. If you’re not sure, just size…"

D
DB
Verified buyer · November 17, 2025
★★★★★

"I wore these for the first two months and they truly saved my breastfeeding journey - worked exactly how I expected. They gave instant relief. I basically wore them day and night for the first 6…"

G
Giselle
Verified buyer · January 28, 2026
★★★★★

"Love these , I bought due to damage from pumping . One week with creams and balms didn’t do much but two days with these and I’m almost healed !"

A
Amazon
Verified buyer · September 27, 2025
★★★★★

"LIFE. SAVER. Bought this the first week I started nursing my son and had the WORST cracked nipples. These solved the issues OVERNIGHT!"

S
ShanKelly92
Verified buyer · January 27, 2026
★★★★☆

"Did the job, kept me more comfortable the first couple weeks postpartum as breastfeeding was established. Next time I would go for the design that has perforated holes for airflow."

G
GI
Verified buyer · April 14, 2025
★★★★★

"As a breastfeeding mom I truly couldn’t recommend these more. They literally SAVED MY LIFE in the newborn stage and then saved me again when teething started. They’re easy to use, easy to clean and…"

T
Tiffany
Verified buyer · September 2, 2025
★★★★★

"This is a great item to have for breastfeeding mommas. It feels very cooling and refreshing after breastfeeding and makes wearing nursing bras very comfortable since the fabric is not rubbing on your…"

M
Micho
Verified buyer · September 21, 2025
★★★★★

"These cups protect and help heal sore nipples so quickly. Comfortable under a bra, easy to clean, and worth the investment for breastfeeding. Stats: 5’3”, 140 lbs, 8 weeks postpartum & nursing"

P
Postpartum
Verified buyer · September 25, 2025
★★★★★

"Great value for the price compared to name brand silverettes. I only really used them for maybe 2-3 weeks, so I’m glad I didn’t spend the extra money when these got the job done just as well"

H
Hailey
Verified buyer · September 7, 2025
★★★★★

"These are perfect for breastfeeding. They help keep any ointment or lanolin from getting on your clothes and smooth for immediate relief of cracks or nipple soreness in the first few weeks."

J
jake
Verified buyer · March 25, 2026
★★★★★

"Had a cracked nipple, added some organic ointment and put this over it, healed in 2 days! Recommend it 100%"

J
Jasmin
Verified buyer · October 28, 2025
★★★★★

"These are great for nursing in the first few weeks when there’s soreness and breakdown. Would recommend!"

J
Julie
Verified buyer · April 10, 2026
★★★★☆

"These were wonderful for me postpartum while learning to breastfeed. Highly recommend. They are easy to clean & very functional."

B
Bridget
Verified buyer · December 10, 2025
★★★★☆

"It saved my nipples multiple times. They’re super light. Quality is good, they do bend for no reason lol overall a good product."

W
W
Verified buyer · September 8, 2025
★★★★☆

"These were great in the beginning helped me so much."

K
Kyle
Verified buyer · December 11, 2025
★★★★★

"Any first time mama BUY THIS PRODUCT!!!! I cannot recommend and rave about this enough. They HELPED so so much! I wore them all the time when my nipples felt dry, cracked, and just hurt. Those first…"

C
Chaise
Verified buyer · January 4, 2026
★★★★☆

"Did the job, kept me more comfortable the first couple weeks postpartum as breastfeeding was established. Next time I would go for the design that has perforated holes for airflow."

G
GI
Verified buyer · April 14, 2025
★★★★★

"As a breastfeeding mom I truly couldn’t recommend these more. They literally SAVED MY LIFE in the newborn stage and then saved me again when teething started. They’re easy to use, easy to clean and…"

T
Tiffany
Verified buyer · September 2, 2025
★★★★★

"This is a great item to have for breastfeeding mommas. It feels very cooling and refreshing after breastfeeding and makes wearing nursing bras very comfortable since the fabric is not rubbing on your…"

M
Micho
Verified buyer · September 21, 2025
★★★★★

"These cups protect and help heal sore nipples so quickly. Comfortable under a bra, easy to clean, and worth the investment for breastfeeding. Stats: 5’3”, 140 lbs, 8 weeks postpartum & nursing"

P
Postpartum
Verified buyer · September 25, 2025
★★★★★

"Great value for the price compared to name brand silverettes. I only really used them for maybe 2-3 weeks, so I’m glad I didn’t spend the extra money when these got the job done just as well"

H
Hailey
Verified buyer · September 7, 2025
★★★★★

"These are perfect for breastfeeding. They help keep any ointment or lanolin from getting on your clothes and smooth for immediate relief of cracks or nipple soreness in the first few weeks."

J
jake
Verified buyer · March 25, 2026
★★★★★

"Had a cracked nipple, added some organic ointment and put this over it, healed in 2 days! Recommend it 100%"

J
Jasmin
Verified buyer · October 28, 2025
★★★★★

"These are great for nursing in the first few weeks when there’s soreness and breakdown. Would recommend!"

J
Julie
Verified buyer · April 10, 2026
★★★★☆

"These were wonderful for me postpartum while learning to breastfeed. Highly recommend. They are easy to clean & very functional."

B
Bridget
Verified buyer · December 10, 2025
★★★★☆

"It saved my nipples multiple times. They’re super light. Quality is good, they do bend for no reason lol overall a good product."

W
W
Verified buyer · September 8, 2025
★★★★☆

"These were great in the beginning helped me so much."

K
Kyle
Verified buyer · December 11, 2025
★★★★★

"Any first time mama BUY THIS PRODUCT!!!! I cannot recommend and rave about this enough. They HELPED so so much! I wore them all the time when my nipples felt dry, cracked, and just hurt. Those first…"

C
Chaise
Verified buyer · January 4, 2026