Certified Nurse Midwife Roxanne explains the third stage of labor—the time from baby’s birth to placenta delivery. How long does it last for most people, and why it matters for postpartum hemorrhage and potentially breastfeeding. Roxanne describes how oxytocin-driven uterine contractions help the placenta separate and the signs of separation and compares expectant/physiologic management (waiting and monitoring) with active management (Pitocin IM/IV and sometimes gentle cord traction) to reduce hemorrhage risk. As always, the emphasis is on individualized, informed, risk-based decision-making! 

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