Lotus birth (or umbilical cord nonseverance - UCNS) is the practice of leaving the

umbilical cord In Placentalia, placental mammals, the umbilical cord (also called the navel string, birth cord or ''funiculus umbilicalis'') is a conduit between the developing embryo or fetus and the placenta. During prenatal development, the umbilical cord i ...

uncut after

childbirth Childbirth, also known as labour, parturition and delivery, is the completion of pregnancy, where one or more Fetus, fetuses exits the Womb, internal environment of the mother via vaginal delivery or caesarean section and becomes a newborn to ...

so that the baby is left attached to the

placenta The placenta (: placentas or placentae) is a temporary embryonic and later fetal organ that begins developing from the blastocyst shortly after implantation. It plays critical roles in facilitating nutrient, gas, and waste exchange between ...

until the cord naturally separates at the umbilicus. This usually occurs within 3–10 days after birth. The practice is performed mainly for spiritual purposes, including for the perceived spiritual connection between the placenta and the newborn. As of December 2008, no evidence exists to support any medical benefits for the baby. The

Royal College of Obstetricians and Gynaecologists The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional association based in London, United Kingdom. Its members, including people with and without medical degrees, work in the field of obstetrics and gynaecology, that is ...

has warned about the risks of infection as the decomposing placenta tissue becomes a nest for infectious bacteria such as

Staphylococcus ''Staphylococcus'', from Ancient Greek σταφυλή (''staphulḗ''), meaning "bunch of grapes", and (''kókkos''), meaning "kernel" or " Kermes", is a genus of Gram-positive bacteria in the family Staphylococcaceae from the order Bacillale ...

. In one such case a 20-hour old baby whose parents chose UCNS was brought to the hospital in an agonal state, was diagnosed with

sepsis Sepsis is a potentially life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage of sepsis is followed by suppression of the immune system. Common signs and s ...

and required an antibiotic treatment for 6 weeks.

History

Although recently arisen as an alternative birth phenomenon in the West, super-delayed (1+ hours post-birth) umbilical severance is common in home births. Early American pioneers, in written diaries and letters, reported practicing nonseverance of the umbilicus as a preventative measure, as they believed it protected the infant from an open wound infection.

Modern practice

In the 1980s, yoga master and

midwife A midwife (: midwives) is a health professional who cares for mothers and Infant, newborns around childbirth, a specialisation known as midwifery. The education and training for a midwife concentrates extensively on the care of women throughou ...

Jeannine Parvati Baker was the main advocate for the practice in the United States. The practice spread to Australia by a midwife, Shivam Rachana, founder of the International College of Spiritual Midwifery and author of the book ''Lotus Birth''. In the full lotus birth clinical protocol, the

, which is attached to the baby's

navel The navel (clinically known as the umbilicus; : umbilici or umbilicuses; also known as the belly button or tummy button) is a protruding, flat, or hollowed area on the abdomen at the attachment site of the umbilical cord. Structure The u ...

and

, is not clamped or cut. The baby is immediately placed on the mother's belly/chest (depending on the length of the cord) or kept in close proximity to the mother in cases when medically necessary procedures such as

resuscitation Resuscitation is the process of correcting physiological disorders (such as lack of breathing or heartbeat) in an Acute (medicine), acutely ill patient. It is an important part of intensive care medicine, anesthesiology, trauma surgery and emerg ...

may be needed. In Lotus birth, the placenta is delivered vaginally, often with the maternal informed choice for passive management of third stage of labor, allowing for natural detachment of the placenta within appropriate time allowed for it, with no hormonal injections (such as

oxytocin Oxytocin is a peptide hormone and neuropeptide normally produced in the hypothalamus and released by the posterior pituitary. Present in animals since early stages of evolution, in humans it plays roles in behavior that include Human bonding, ...

) or via cesarean section. Following birth, the placenta is simply put in a bowl or quickly wrapped in absorbent toweling and placed near the mother-baby. Caregivers step back to allow for undisturbed maternal-child bonding to occur as the primary event for an hour or more. It is only after this initial intense bonding period that the placenta is managed by rinsing, drying, applying preservatives, and positioning it in a way that allows for plentiful air circulation and proximity to the baby. The placenta, once ejected from the womb, has no circulation and quickly dies; and within 3–10 days postpartum the umbilical cord dries and detaches from the baby's belly. The practice requires the mother and baby to be home bound as they wait for the placenta and umbilical cord to dry, decompose, and separate from the baby.

Risks

Lotus births are an extremely rare practice in hospitals. The

(RCOG) has stated, "If left for a period of time after the birth, there is a risk of infection in the placenta which can consequently spread to the baby. The placenta is particularly prone to infection as it contains blood. At the post-delivery stage, it has no circulation and is essentially dead tissue," and the RCOG strongly recommends that any baby that undergoes lotus birthing be monitored closely for infection. Other risks include

jaundice Jaundice, also known as icterus, is a yellowish or, less frequently, greenish pigmentation of the skin and sclera due to high bilirubin levels. Jaundice in adults is typically a sign indicating the presence of underlying diseases involving ...

caused by abnormally high bilirubin and

polycythemia Polycythemia (also known as polycythaemia) is a laboratory finding in which the hematocrit (the volume percentage of red blood cells in the blood) and/or hemoglobin concentration are increased in the blood. Polycythemia is sometimes called erythr ...

, which is an abnormally high percentage of red blood cells in circulation. Case descriptions about adverse medical conditions related to this praxis are emerging, indicating severity of potential complications. The

World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...

does not support Lotus Birth, instead recommending a delayed cord clamping.

Deaths

In May 2020, the Coroners Court of Victoria concluded that a baby died 16 hours after birth from sepsis in the setting of a lotus birth, which took place in 2017 at the Royal Children's Hospital in Melbourne. The investigation identified that the most significant and severe risk factors for sepsis were vaginal seeding and lotus birth.

Spiritual

Relation to nature

In the animal world, the placenta is usually consumed by the mother. This is called placentophagy. Primates have been observed keeping the placenta attached to their newborns for a longer period. Primatologist

Jane Goodall Dame Jane Morris Goodall (; born Valerie Jane Morris-Goodall; 3 April 1934), formerly Baroness Jane van Lawick-Goodall, is an English zoologist, Primatology, primatologist and Anthropology, anthropologist. She is considered the world's foremo ...

, who was the first person to conduct long-term studies of chimpanzees in the wild, reported that they did not chew or cut their offspring's cords, instead leaving the umbilicus intact, like many other monkeys. Other researchers report that chimpanzees consume placentas after birth. Though other mammals may sever their offspring's cords, they only do so after initial maternal sensory reception, unwinding of the cord, massage/cleaning (through touch), and initiation of nursing. This has been observed to last at least one hour, if left undisturbed.

Energy

Pseudo-scientific proponents of lotus births view the baby and the placenta as one on a cellular level, as they are from the same source, the egg and sperm conceptus. They also assert that the newborn and the placenta exist within the same quantum field, thus influencing various expressions of

quantum mechanics Quantum mechanics is the fundamental physical Scientific theory, theory that describes the behavior of matter and of light; its unusual characteristics typically occur at and below the scale of atoms. Reprinted, Addison-Wesley, 1989, It is ...

that influence health.The New Physics of Healing lecture, Harvard Medical School, Deepak Chopra MD, Cambridge, MA , Audio recording. They claim transfers of energy & cellular information continue to take place, moving gradually from the tissue of the placenta to the baby during the drying process. Scientists challenge this claim of a metaphysical dimension related to