Labor - Stage 3

The third stage of birth involves the detachment of the placenta from the uterus and its expulsion from the birth canal. This stage can last about 10-20 minutes and delivery of the placenta is gently promoted by pulling on the umbilical cord. If an episiotomy has been performed it will be repaired during this time. While the mother may be eager to hold the baby and share the moment with her partner, the cut will repair better if it is stitched immediately after the placenta is delivered.

Some hospitals give oxytocin or ergonovine to actively manage this third stage of delivery. Oxytocin stimulates uterine contractions, while ergonovine maintains and prolongs them. The drugs are used to reduce excessive bleeding and help the placenta detach from the uterine wall.

After delivering the placenta the mother may start shivering and shaking uncontrollably. This occurs in response to regain the body heat lost while delivering the baby. A few blankets and some warm hugs should help this sensation pass in about half an hour.

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