1. Auto-rescusitation (or self delivery). For the first step in a natural cesarean, the drape is either dropped or a clear drape is used so that the mother can see the birth of her baby. The incision is usually low enough that the mother will only see the baby as it emerges, not the incision. In many cases where there is an absence of medical problems in the mother or the baby, the baby is assisted as far as their head and shoulders and then allowed to rest in that position for up to a minute. During this time, the mother can see her baby, the obstetrician can observe the baby's color and tone, and the baby is able to expel lung fluid through the gentle contracting of the mother's uterus. The baby is then able to fully emerge as the contractions push from below and the baby itself pushes with his or her legs and is born. The mother is able to see this moment for herself with the low or clear drape, and can learn the sex of her baby at the same time as the delivery staff.
2. Parent participation. The parents are able to be active participants in the birth of their child. The mother and father can witness the events as they unfold, and the father is able to cut the cord. They are able to see their baby as its emerges, and gently welcome him or her into the world.
3. Immediate skin to skin. Unlike traditional cesareans, during a gentle cesarean the mother is able to take her baby onto her chest immediately, barring any medical emergencies. All newborn testing is performed while baby is on its mothers chest, and weighing takes place after the completion of the surgery.
4. Seeding. A relatively new practice that is based on some amazing new research into the baby's microbiome. When a baby is born vaginally, the mother's body produces trillions of bacteria that are beneficial for the baby's immune system and gut biome and the baby is seeded with this bacteria. In a cesarean birth, the baby does not come into contact with the bacteria. When seeding is done, a sterile gauze is placed inside the birth canal during the time leading up to the cesarean. When the baby is born, the gauze is wiped all over the baby. The bacteria is a special cocktail created by the mother's body to help the baby's immune system identify friendly and harmful bacteria. Without this bacteria during a cesarean, the baby's first exposure will be to the bacteria from the surrounding areas of the hospital and staff. Amazing, isn't it!?
Read more at: