This is a manual removal of placenta, only performed when the placenta isn't coming out on its own. This is NOT standard. Most placenata will be expelled naturally a few minutes after the baby is born. The caption should read 'manual removal of placenta', and then go on to explain what it is. Please check the background of these large accounts posting pregnancy and birth related information. Not all information on social media is accurate! #birth #postpartum #pregnancyfacts | Midwife Marley