"Btw, my body went in some kind of shock of flip out mode after the placenta was born. It was like "hey! wait! not ready!" and I immediately felt awful/wrong and lost a lot of birth energy... which led to more concerns from m/w because I laid down and did not want to move for hours."
Yeah, that's how it felt to me too, with my midwife-led expulsion efforts. (It had been 15 minutes, "too long", and I was so tired... ugh.)
Pam, gooood questions. My one waterbirth was also the one where the placenta took over an hour to come out (not in the water, I'd been asked to get out so they could get a better idea of blood loss) -- I'm sure it had detached long
before that, I have no idea when though because I was really not focused on what my body was doing -- I was focused on the other people in the room, and what the midwife wanted me to do.
I don't remember much of my 1st UC third stage, because again I was unfortunately distracted. But this last time, I remember very well what happened. I sat for about 15 minutes with the baby, totally blissed out, and I then started getting a bit uncomfortable and knew that moving would relieve that. It was exactly like how it is when you're laying in bed in one position too long and you get that clear message from your body that you need to turn over or bend your legs or whatever. There was also a distinct shift in my consciousness. I'm certain that's when the placenta separated. I got up then and walked to the other end of the house and sat in the recliner with the baby and nursed a bit. About 15 minutes later, again, it felt like I needed to do
something, a kind of restlessness. I just felt done with that phase of it. I cut the cord, handed the baby to my husband, and squatted over a bowl while doing a little nipple and breast stimulation. I felt for the tension on the cord, not sure why I did that as I wouldn't actually pull
on the cord. Then I bore down a bit, experimentally, and shortly thereafter felt that indescribable feeling of fullness and release as the placenta plopped out.