How can placental expulsion be facilitated after delivery?

Facilitating placental expulsion after delivery can be effectively achieved by applying gentle continuous tension on the cord. This method encourages the placenta to detach from the uterine wall as it helps to facilitate the natural physiological process of expulsion. The gentle tension can promote separation of the placenta from the decidua (the endometrium during pregnancy), allowing it to be expelled more easily.

This technique is based on the understanding of the mechanisms governing placental delivery, where the cord provides a pathway to exert light traction. It is important that this tension is gentle to avoid cause of excessive pulling, which could lead to complications such as cord rupture or retained placenta.

In contrast to this, applying intense pressure can be harmful, as it could lead to trauma or complications. While providing maternal pain relief plays a significant role in improving the overall comfort of the patient during and after delivery, it does not specifically aid in the physical process of placental expulsion. Immediate suction of the placenta is not a standard approach, as it may disrupt the natural process and also carry risks of uterine trauma or bleeding.