
12/08/2025
What is the third stage?.
After your baby is born, the third stage of labour begins with delivery of the placenta and the membranes that surrounded your baby in your uterus.
You have 2 options for this stage:
• Active management, where your midwife will give you an injection of synthetic oxytocin to help the uterus contract and expel placenta.
• Natural (also known as physiological or expectant) management, where you are not given an injection.
Your midwife may ask you to push gently to help with contractions during this stage.
The third stage of labour can take anywhere from 5 to 30 minutes if you opt for active management. It can take up to one hour if you decide to have a natural third stage.
Discuss your preferences with your midwife or doctor during pregnancy and consider including them in your birth plan.
During the third stage of labour the umbilical cord is clamped and cut. If you would like the umbilical cord to be left intact, to be clamped later, or if your birth partner would like to cut the cord, let your midwife know ahead of time so that they can arrange this.