Sam,

I'm not going to be much help given I haven't been there, done that yet, but in our ANC the midwife made it very clear that some dr's are in a rush to get the placenta out, and tug too hard. Mainly the Doogie Howsers of the medical world - ie young!
I'm not sure I want the needle, but Shane has said he wants me too. Even then, I dont care if the placenta takes 1 hr to come out - just keep me safe please.
She said a good midwife will be able to feel if its coming away - it doesn't need to be yanked, and they should be strong enough to stand up to the dr and say - back away buddy, dont touch this woman yet!!

HTH
Fi