Some women consider any vaginal birth a natural childbirth, regardless of whether it includes getting an epidural or Pitocin to induce labor. Others think natural childbirth is only when there is no medical intervention. Most patients fall somewhere in the middle.
The physician making episiotomy (a cut to widen the opening of the vagina) Continuous pushing by the mother to expel the baby out. The baby's head comes out first, then the shoulders, and then the butt. Cutting the umbilical cord as a final step after the baby is completely out and has the first cry.