Two broad approaches to the management of the third stage of labour are used: active (by using a uterotonic drug) or physiological (also known as “expectant” and omitting the use of a uterotonic drug). These approaches have been described in a consensus statement by the New Zealand College of Midwives [5]. A retrospective cohort study (n = 33,752) which was done in New Zealand (by using the same database which was accessed for this study) [6], which focused on the third stage management of low-risk women, found that 48.1 percent of this group experienced a physiological third stage of labour. Higher proportions of women who gave birth at home and in primary settings had a physiological third stage of labour as compared to those who gave birth in secondary and tertiary hospitals. Despite this important difference in the third stage management by birth setting, significantly fewer