The native API doesn't have a direct equivalent of the _changes feed from the REST API.
In the latest revisions on the master branch (but not in beta 2) you can create your own equivalent by defining a view whose key is the sequence number of the document; the map block would look like
emit(doc[@"_local_seq"], nil);
Then you can query the view with the startKey being one more than the last sequence you saw.
This support didn't make it into beta 2 (the "_local_seq" key isn't available in the map function) but will be in the GA release.
—Jens