During controlled cord traction, the mother may be
asked to push to assist expulsion. This may be of
particular use in situations where the cord is beginning
to separate, and the practitioner wishes to use minimal
traction in facilitating expulsion. As the placenta begins
to appear at the introitus, the non-dominant hand
continues to guard the uterus by applying suprapubic
pressure slightly toward the umbilicus until the placenta
is completely expelled.