After your baby is born, the final stage of labour begins: the delivery of the placenta. Many parents are so focused on their newborn that they barely notice this part, but your body continues working calmly behind the scenes.

Soon after the birth, the uterus starts to contract again. These contractions help the placenta detach from the uterine wall. You may feel mild pressure or a few smaller contractions, but they are usually far less intense than in the pushing stage. While you hold your baby, your midwife keeps track of the uterus, your bleeding, and your overall wellbeing.

Often, you don’t need to do anything. Skin-to-skin contact and early breastfeeding stimulate oxytocin, which helps the uterus contract. Once the placenta has detached, it is born in one piece, and your midwife checks it carefully to ensure everything is complete.

Some bleeding is normal, but your midwife monitors the amount closely. You may receive medication to help the uterus contract if needed.

If you have any tears, they are examined once the placenta is out. You will be given local anaesthesia before any stitching, and the midwife will explain each step.

Most people experience this stage as calmer than the rest of labour — a mix of relief, stillness, and the first intense moments with the baby.

Alma’s tips


• Skin-to-skin and breastfeeding help the uterus contract effectively.


• Tell us if you feel dizzy, have strong pain, or if anything worries you.

• Try to relax and let your body finish this final step.


• You can still ask questions — you deserve to feel safe the entire way through.

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