After your baby is born, it may feel like the birth is complete — but your body still has one important step left: delivering the placenta. This stage is called the third stage of labour, and for most people it is calm, short, and far less intense than the birth of the baby. The uterus continues contracting, but these contractions are usually mild, similar to menstrual cramps rather than strong labour contractions.

The placenta has been your baby’s life support throughout pregnancy, providing oxygen and nutrients and removing waste products. After the baby is born, the placenta is no longer needed. Your body releases oxytocin — especially through skin-to-skin contact — which causes the uterus to tighten rhythmically. As the uterus contracts, the surface area inside decreases, helping the placenta separate gradually from the uterine wall.

The midwife closely monitors your bleeding and the firmness of your uterus. When the placenta has fully detached, you may be asked to give a gentle push, or it may slip out on its own. You can keep your baby on your chest throughout the process. This closeness not only supports bonding but also increases oxytocin levels, making the uterus contract more effectively.

Once the placenta is out, the midwife examines it carefully to ensure all parts are present — the lobes, membranes, and vessels. This is important because even small retained fragments can increase the risk of bleeding or infection. Afterward, your uterus continues to contract, and the midwife monitors your bleeding and overall condition. Any tears are repaired when you and your baby are stable.

For many, this stage feels like a quiet, gentle ending to the birth — a moment when the body completes its work while you meet your baby in warmth and safety.

Alma’s tips

• Keep your baby skin-to-skin — it helps the placenta release naturally.

• Breathe through the afterpains; they are usually brief and mild.

• Tell your midwife immediately if you feel dizziness, heavy bleeding, or strong pain.