“…Examples of these practices include: multiple vaginal examinations, practice of "forced gagging to expel the placenta" coupled with heavy pressure (the attendant's knee or full arm with body weight) on the abdomen or utilizing an object, internal version to change the placement of the baby during delivery, pulling on the umbilical cord, and manual removal of the placenta (Fronczak, Arifeen, & Moran, 2007). These practices cause unnecessary trauma potentially creating postpartum complications such as damage to the perineum, urinary tract, uterus, and other internal visceral structures with an increased risk of infection (Fronczak et al, 2007;Anwar et al, 2008).…”