Having a managed third stage reduces the risk of heavy bleeding, post-partum haemorrhage (PPH), straight after the birth (Begley et al 2019, Mavrides et al 2016, NCCWCH 2014). This supports your womb while she eases out the placenta (NCCWCH 2014).Ī managed third stage usually takes fewer than 10 minutes (Frolova et al 2016, Yildrim et al 2016), although it's normal for it to take up to 30 minutes for some women (Frolova et al 2016, Weeks 2018). When your midwife sees the signs the placenta is coming away, she pulls gently on the cord while holding your tummy. syntometrine, a combination of syntocinon and another synthetic hormone, ergometrine.syntocinon, an artificial form of oxytocin, or.
The hormone injection helps your womb to contract down and the placenta and membranes to come away. With a managed third stage, your midwife gives you a hormone injection in your thigh, just as your baby is born or immediately after (NCCWCH 2014, Reed 2015). This makes the placenta detach from the wall of your womb, and helps you to push it out.Ī natural third stage usually takes around 10 minutes (Begley et al 2019, Yildirim et al 2016), although it's normal for it to take up to an hour for some women (RCM 2012, Weeks 2018). With a physiological third stage, your womb starts to contract naturally after the birth. You can opt for a physiological (natural) third stage or a managed third stage. You'll be able to discuss this with her before the birth. If your pregnancy, labour and birth have gone well, you can choose how your midwife will care for you during your third stage. This is called the third stage of labour. Usually, your body sheds the whole placenta after your baby is born, and it passes out through your vagina. What is a retained placenta?A retained placenta happens when all or part of the placenta, and the membranes attached to it, stay in your womb (uterus) longer than normal after birth (NHS 2018a). Can I prevent a retained placenta in my next pregnancy?.What if there's some placental tissue left after the treatment?.How is a retained placenta treated after my baby’s birth?.
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