Typically, delivering the placenta isn't painful. Often, it occurs so quickly after birth that a new parent may not even notice because they're so focused on baby (or babies!). But it's important that the placenta is delivered in its entirety.
Does delivering the placenta hurt? Delivering the placenta feels like having a few mild contractions though fortunately, it doesn't usually hurt when it comes out. Your doctor will likely give you some Pitocin (oxytocin) via injection or in your IV if you already have one.
The placenta should be delivered within 30 to 60 minutes after having the baby. If it isn't delivered or doesn't come out in its entirety, this is called a “retained placenta.” There are many reasons the placenta may not fully deliver. The cervix may have closed and is too small for the placenta to move through.
Your placenta will come away, and the blood vessels that were holding on to it will close off as your womb gets smaller. This helps to prevent too much bleeding – although it's normal to bleed a little. You may feel the placenta slide down and out between your legs.
Second Stage or Active Labor
The second stage is the most painful stage of labor. The baby passes through the cervix, through the pelvis and birth canal, and out through the vaginal opening. On average, it takes one to three hours from the time that the cervix becomes fully dilated to the birth of the baby.
The most common description of the level of pain experienced was extreme menstrual cramps (45 percent), while 16 percent said it was like bad back pain and 15 percent compared it to a broken bone.
Painless normal delivery or delivery with labor analgesia (Epidural) is a technique where very specific concentration of drug is used. Although the drug reduces the pain, it maintains the ability to push your baby out through the birth canal.
They aren't usually as strong as labor contractions. However, some doctors may ask you to continue to push, or they may press on your stomach as a means to advance the placenta forward. Usually, placenta delivery is quick, within about 5 minutes after having your baby. However, it can take longer for some people.
Pulling also carries a slight risk of tearing the cord and of causing a rare but life-threatening condition — uterine inversion, in which the organ is pulled inside out or even out of the body. The study concluded that the oxytocin injection was the most important thing a midwife could do to stop bleeding.
Do Hospitals Keep Placentas? Hospitals treat placentas as medical waste or biohazard material. The newborn placenta is placed in a biohazard bag for storage. Some hospitals keep the placenta for a period of time in case the need arises to send it to pathology for further analysis.
Your first option is called active management. This means you'll have an injection of a drug called oxytocin into your thigh as you give birth. This makes your womb contract so the placenta comes away from the wall of your womb and you'll usually deliver the placenta within 30 minutes.
If your placenta is not delivered, it can cause life-threatening bleeding called hemorrhaging. Infection. If the placenta, or pieces of the placenta, stay inside your uterus, you can develop an infection. A retained placenta or membrane has to be removed and you will need to see your doctor right away.
How big is a normal placenta? The placenta is about 10 inches long and 1 inch thick at its center. It weighs around 16 ounces (1 pound) by the time your baby is born.
If after an hour your placenta has not birthed hospital guidelines usually recommend that an injection is given to help to expel it. If you are not bleeding or there are no other concerns you can discuss with your midwife or doctor about leaving it a little longer.
But medical advice advances with research. “Randomized control trials have shown no decrease in infections with hair removal and, in fact, have shown a slight increase with shaving compared to clipping or waxing before procedures. Hospital infection control doesn't recommend [shaving] at this time.”
Breastfeeding and skin-to-skin contact with your baby stimulate contractions and may help your natural third stage along. Being in an upright position may also help the placenta to separate and for you to push it out.
"Hospitals are very worried about safety, because the placenta really is a biohazard," says Titi Otunla, a certified nurse midwife at Texas Children's Pavilion for Women in Houston. "It's full of blood, it's not very sanitary-it could be a public health nightmare."
Placenta: 1 1/2 pounds (about 0.7 kilogram) Amniotic fluid: 2 pounds (about 0.9 kilogram)
The first stage of labor is the longest stage. For first-time moms, it can last from 12 to 19 hours. It may be shorter (about 14 hours) for moms who've already had children. It's when contractions become strong and regular enough to cause your cervix to dilate (open) and thin out (efface).
A trapped placenta occurs when the placenta detaches from the uterus but doesn't leave the body. This often occurs because the cervix starts to close before the placenta is removed, causing the placenta to become trapped behind it.
A placenta provides a perfect environment for germs to grow, which can be a threat to your health and the health of other people around you.
Pushing can be one of the most intense and exhausting parts of the labor and delivery process—and it can take anywhere from several minutes, up to a few hours to push your baby out.
Vaginal delivery is the most common and safest type of childbirth. You'll probably hear the term “natural childbirth” used to describe a vaginal delivery without medication for pain or to start or speed up labor. Some mothers will still choose to have other medical help during labor like a monitor for the baby's heart.
Common options for coping with pain include massage, water therapy, and breathing exercises. Music and calming smells (aromatherapy) can help relax you. Consider taking short walks and changing positions during labor—moving around can reduce pain.