During the third stage of labour the placenta, sometimes called ‘afterbirth’, is delivered. This usually occurs within 30 minutes of your baby’s birth. Just before your baby is born, you may be given an injection of synthetic oxytocin to help your uterus continue to contract. Contractions are necessary for the placenta to separate from the lining of the uterus and to control bleeding. You may be asked to help push the placenta out and your caregiver may also apply massage and pressure to your abdomen to assist.
If you have had an episiotomy, or tearing that requires repair, your caregiver will repair you now with sutures (stitches). The area will be frozen so you should not feel pain. These stitches do not need to be removed – they will dissolve over the next week.
After the placenta is delivered, your uterus continues to contract and this helps to the control bleeding. For the first few days after birth your healthcare provider will frequently check that your uterus is firm by pressing on your abdomen. They will also check on the amount of blood flow or discharge (lochia) from your vagina. Holding your baby skin to skin after birth can help both you and your baby recover from birth. You can begin breast/chestfeeding as soon as you and your baby are ready.