RE: [ozmidwifery] managed versus physiological 3rd stage, was: after birth pains

[Mary Murphy]

Physiological 3rd stage is usual in homebirths and I observe that pain is often when the placenta is separated and sitting in the cervix.  The uterus is signaling, “get it out”. It is a sign for the woman to make efforts to expel it. This may be squat over a bucket, sit on the toilet or simply bear down.  The pain goes when the placenta is expelled.  Afterbirth pains then take over and this has already been discussed.  Cheers, MM