05/20/2026
Look, you don’t want to just w***y nilly pull on a cord… not even to manage a hemorrhage (leave that to someone that can think through this situation a little… and likely have other tools than pulling on cords). Pulling on a cord to an ATTACHED placenta may cause tearing of the placenta leaving pieces behind that can cause more bleeding OR uterine prolapse… NOT COOL! BUT… when the placenta is DETACHED… grab it, give it a gentle tug and FEEL the tautness and how it moves and how the cord lengthens.
Do you notice pain in your belly or just pressure in your bottom?
If you’re a support person, midwife…etc., helping out a mom with your placenta birth… TALK TO HER… we’re not trying to rush things along. There are times where it isn’t going to be quick… mom might even need a nap to be emotionally ready for this part. But if you’re helping and there are clear indications that it is time for the placenta to come, ask her what she’s feeling and go slow and gentle. We’re just trying to teach moms to listen to their body’s communication rather than just suffering through a bunch of strong after pains thinking that’s just what it’s supposed to feel like when really if she’d just get the placenta birthed her after birth contractions would lighten up a little. Yea, you might need to change positions, sit on the toilet. You might even need to push your bladder out of the way if your pelvic floor is a little out of whack. You might need to change positions AND pull on the cord.
But it’s all about logically thinking through this part of birth and working with your body. It’s not just about pulling straight down either. This is a big hunk of meat that has to squish through a canal that’s already squished back to quite a small size. It might take some breathing, relaxation, position changes, and a little wiggling front, back, and then some.