"In absence of external interventions, the umbilical cord occludes
physiologically shortly after birth, explained both by a swelling and
collapse of Wharton's jelly in response to a reduction in temperature and by vasoconstriction
of the blood vessels by smooth muscle contraction. In effect, a natural
clamp is created, halting the flow of blood. If left to proceed
naturally, this physiological clamping will take as little as five
minutes and up to 20 minutes. In water birth
in a warm waterbirth tub, where the temperature of the water may be
equal to inside the body, normal pulsation can be 5 minutes and longer."
Here in the US - they cut the cord the second the baby comes out instead of letting the final blood pulse out on it's own which can take up to 20 minutes. There are tons of stem cells and all kinds of good stuff in this final blood. My docs won't cut the cord until the process is complete.
Yes, I will pull the baby out myself. I want to be the first person to come in contact with my lil one.
Also here in the US, they take the baby immediately, dry it off in towels by rubbing the crap out of it, weight it, measure it and return it. My docs won't take my babe away until we have had a chance to bond. Plus, the cord will still be attached. I don't want any loud noises or "PUSH, PUSH!!!" either. Just calm.