Midwives should be clear about the components of physiological management in order to ensure safe practice (8).
The RCM (2005) suggests that ‘physiological third stage can be seen as the logical ending to a normal physiological
labour’ (9). It allows the physiological changes in the uterus to take their natural course (10).
With physiological management, a uterotonic (oxytocin), is usually not given unless uterine tone is poor