Getting Through the Third Stage of Labor

The journey of childbirth unfolds in three significant stages, culminating in the final, critical phase known as the third stage of labor. This phase begins immediately following the joyous arrival of your baby and concludes with the delivery of the placenta, a process integral to the mother's recovery and health post-delivery.

Understanding the Third Stage of Labor

The third stage of labor involves the separation and expulsion of the placenta from the uterus. Key indicators that the placenta is ready to be delivered include the lengthening of the umbilical cord and a noticeable gush of blood, signaling that the placenta has detached from the uterine wall.

This stage's duration varies, influenced by factors such as the birth method and the mother's health, but typically, it does not extend beyond one hour.

Medical Management vs. Natural Management

Managing the third stage of labor can be approached in two primary ways: medically (active management) and naturally (physiological management).

Medical Management entails administering a uterotonic drug, like syntocinon or ergometrine, to hasten placental delivery, often within 30 minutes post-birth, alongside early umbilical cord clamping and controlled cord traction. This method is known to reduce the risk of significant blood loss, albeit with potential side effects such as nausea or an increase in blood pressure​.

Tip for Medical Management: Familiarize yourself with the medications involved and communicate any concerns with your healthcare provider to tailor the process to your comfort and needs.

Natural Management, preferred in midwife-led units or home births, allows the placenta to deliver spontaneously, aided by natural contractions and, in some cases, nipple stimulation. The umbilical cord is clamped and cut once it ceases pulsing, and breastfeeding is encouraged to stimulate oxytocin production, aiding in the natural expulsion of the placenta​.

Tip for Natural Management: Maintain a relaxed environment and engage in skin-to-skin contact to naturally increase oxytocin levels. Breastfeeding shortly after birth can also facilitate uterine contractions and the placental expulsion.

Remember that monitoring for excessive bleeding is crucial during this stage to prevent postpartum hemorrhage, a major concern that necessitates immediate medical attention. It's equally important to ensure adequate post-delivery care for the mother, focusing on rest, nutrition, and support to facilitate a smooth recovery​.

Don't overlook the the third stage of labor 

By understanding the available management options and preparing accordingly, mothers can make informed decisions that align with their health needs and birthing preferences. Discussing these plans with healthcare providers ahead of time is crucial for a safe and positive birthing experience.

Additional reading and resources:

The UK NCT