Giving Birth

3rd Stage Labour

During the third stage, the uterus contracts. The placenta completes its separation from the wall of the uterus and is birthed. This stage can take 5 to 30 minutes or longer.

What is happening?

• The umbilical cord will be cut and clamped after the baby is born.
• Just after birth a health care provider will take an Apgar score. This checks your baby’s overall health.
• The baby’s placenta separates from the wall of the uterus and is pushed out the vagina.
• The uterus rises in the abdomen and takes on a grapefruit shape and size.
• A gush of blood often comes out with or before the placenta comes out.
• You may be given a shot to stimulate contractions of the uterus and stop you from bleeding too much.
• If you have had a tear or an episiotomy, the area may be frozen and stitched.

What might you be feeling?

• You may have cramps as the placenta comes out.
• You may be asked to push out the placenta.
• Your may feel relieved, grateful, and filled with joy. Some mothers don’t have any particular feelings at this time.
• Exhausted.
• Shaky and cold.
• Hungry and thirsty.
• Focused on the baby and wanting to know that your baby is healthy.

What can you and your support person do?

• Cuddle with you baby on your chest.
• If your partner wants to cut the umbilical cord, he or she will be given scissors and told where to cut.
• Bring your baby to your breast to begin breastfeeding. Some will suck right away; others will take a little while. For information on how to start breastfeeding, click here.
• Warm blankets will be put over you and your baby to keep your baby warm.
• If asked to, give small pushes to push out the placenta.
• Talk to your baby. Your baby already knows the sound of your voice.