Mine basically fell out both times. I *think* I had contractions still, but I just remember feeling something in my vagina and just felt like pushing and it plopped out (ewwwwwww). Felt great to get rid of it!

Now the afterbirth pains...that's completely different....is that what you mean? They are contractions that happen after the baby and placenta have been birthed and the uterus tarts contracting back to normal size. It's like intense perid pain and hurt a lot with the second bub. They last for a few days too and are worse when breastfeeding. I think it's confusing that people call the placenta the 'afterbirth' but these pains are not associated with the placenta at all.

Hth