Nachgeburtsphase

The Nachgeburtsphase, also known as the third stage of labor or the placental stage, is the period following the birth of the baby and preceding the complete expulsion of the placenta and fetal membranes. This phase is crucial for the mother's recovery and begins immediately after the umbilical cord is cut.

During the Nachgeburtsphase, the uterus, which has been contracting to push the baby out, continues to contract. These contractions help to shear the placenta away from the uterine wall. The placenta, along with the amniotic sac and fetal membranes, collectively referred to as the afterbirth, then detaches.

The expulsion of the afterbirth can occur spontaneously, often within 5 to 30 minutes after the baby's birth, or it may require some assistance. Healthcare providers monitor this stage closely, observing for signs of placental separation, such as a gush of blood, lengthening of the umbilical cord, and a firmer, rounder shape of the uterus. Gentle fundal pressure or controlled cord traction may be used to aid the expulsion.

Once the placenta is delivered, it is examined to ensure it is complete and intact. Retained placental fragments can lead to postpartum hemorrhage or infection. The Nachgeburtsphase is also a time when the mother's body begins to stabilize. Blood pressure and pulse are monitored, and any signs of excessive bleeding are addressed promptly. This phase concludes when the uterus has contracted sufficiently to control bleeding and the afterbirth has been fully expelled.