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Not waiting on the placenta to come out on its own can actually increase risks. It’s important that if there isn’t any uterus atony, retention or hemorrhaging, that we give the placenta time to be birthed by itself. ACOG guidelines suggest a 30mins window of time where it is safe to wait for the placenta to be birthed. Pulling the placenta out can cause: - Hemorrhaging - Parts of the placenta to stay behind - Uterine inversion (uterus collapsing- very RARE) - Uterine atony (uterus stops contract
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