You do not have to have anything but you need to know the risks.
Often hospitals are happy for you to have a physiological 3rd stage as long as you are happy to have it if you do bleed, most peopel do not loose much blood and a physiological 3rd stage means you can leave the cord still pulsating until it natuarally stops and not clamp the cord immediatly.
Ways to help the placenta come out is putting baby to breast if cord is long enought or nipple stimulation by fingers.
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