True Birth

In today's fast-paced and dynamic world, the modern woman plays many roles, and none is more profound than that of a working mother. The journey of pregnancy and motherhood is an extraordinary experience, one that transforms a woman in ways that cannot be fully comprehended until lived. As we navigate the complexities of balancing work and family life, it is crucial to recognize the challenges faced by working moms and advocate for policies that support their well-being and success in both realms. Pregnancy and the Career Woman: Pregnancy marks a momentous chapter in a woman's life, but for career-driven women, it can also raise concerns about the impact on their professional trajectory. Many working mothers find themselves questioning whether they can maintain their career ambitions while nurturing their growing family. The fear of being overlooked for opportunities or facing discrimination in the workplace due to pregnancy can be very real, and it's essential to address these concerns proactively. Supportive Work Environments: Creating supportive work environments for pregnant employees and working mothers should be a top priority for employers and policymakers alike. This includes fostering a culture that values work-life balance, providing flexible work arrangements, and promoting a family-friendly corporate ethos. It is in the best interest of organizations to invest in policies that empower their female workforce, as it not only boosts employee satisfaction but also enhances productivity and retention. Paid Parental Leave: One of the most significant challenges faced by working mothers is the lack of comprehensive paid parental leave policies. The United States, for instance, remains one of the few developed countries without a federal paid maternity leave policy. This disparity places undue burdens on working mothers, forcing many to return to work prematurely or make difficult choices between their careers and their families. To create a more equitable society, it is imperative that we advocate for and implement robust paid parental leave policies that benefit both parents and children. Affordable Childcare: Access to affordable and high-quality childcare is another pivotal aspect of empowering working moms. The exorbitant costs of childcare services often force women to reconsider their career choices or significantly reduce their working hours. By investing in accessible childcare options, we not only provide essential support for working mothers but also help cultivate a thriving and diverse workforce that benefits society as a whole. Addressing Unconscious Bias: Recognizing and addressing unconscious bias is vital to promoting gender equality in the workplace. This bias can manifest in subtle ways, such as assumptions about a woman's commitment to her job after becoming a mother or her ability to take on challenging projects. Employers must undergo training to identify and rectify unconscious biases, ensuring that working mothers are judged on their skills, expertise, and dedication rather than stereotypes. Remote Work and Flexible Schedules: The COVID-19 pandemic showed us that remote work and flexible schedules are feasible options that benefit working mothers. Embracing these arrangements not only allows women to balance their professional and personal lives effectively but also opens up new possibilities for women who might otherwise face geographic or logistical barriers to employment. In an age of progress and innovation, we must strive to create a society that supports and empowers working mothers. Pregnancy and the journey of motherhood should never be perceived as barriers to a successful career. By advocating for policies such as paid parental leave, affordable childcare, and remote work options, we can foster an environment where working mothers can thrive in both their personal and professional lives. Ultimately, supporting working moms is not just an act of compassion; it is an investment in building a more resilient, inclusive, and prosperous society for all.   Your feedback is essential to us! We would love to hear from you. Please consider leaving us a review on your podcast platform or sending us an email at info@maternalresources.org. Your input helps us tailor our content to better serve the needs of our listeners. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources Instagram: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB Thank you for being part of our community, and until next time, let's continue to support, uplift, and celebrate the incredible journey of working moms and parenthood. Together, we can create a more equitable and nurturing world for all.

The fetal echocardiogram is a targeted ultrasound that is used to examine the fetal heart in more detail than a standard anatomy ultrasound.  This test is typically performed after the 18th week of gestation by a highly trained sonographer and is do in addition to a routine anatomy ultrasound. This test can be utilized to determine the structure and the function of the fetal heart and gives a better imaging of any inconclusive or insufficient readings on a standard test. This episode explores the benefits of fetal echos and who needs them and why.   We'd love to hear your feedback.    Our practice website can be found at: Maternal Resources: https://www.maternalresources.org/ Remember to subscribe wherever you get your podcasts.  Please consider leaving us a review on iTunes Our Social Channels are as follows Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB  

In this episode of True Birth, we explore late preterm birth which are deliveries that occur between 34 and 36 weeks of pregnancy, and why this window matters more than it is often given credit for. Late preterm babies are frequently described as "almost term," yet that framing can obscure the very real physiologic differences that exist in these final weeks of gestation. We begin by defining what late preterm birth actually means and why it occupies a unique clinical and emotional space. Babies born in this window often look mature and strong, which can make it easy to underestimate the developmental work still happening in the brain, lungs, feeding reflexes, and metabolic systems during the final weeks of pregnancy. From there, we talk about why late preterm births happen. This includes spontaneous preterm labor, preterm rupture of membranes, and medically indicated deliveries due to maternal or fetal conditions. We discuss how these decisions are made, the balance between continuing a pregnancy and intervening for safety, and why timing can be one of the most nuanced clinical judgments in obstetrics. A central part of this episode focuses on outcomes, not to create fear, but to offer clarity. We discuss the most common challenges late preterm babies may face, including feeding difficulties, temperature instability, low blood sugar, jaundice, and breathing issues. We also talk about how these risks compare to earlier preterm births and why many late preterm babies do very well with appropriate monitoring and support. We then shift to the postpartum experience for families. Late preterm birth often comes with unexpected separations, longer hospital stays, or feeding plans that look different than anticipated. We explore the emotional impact of this liminal space when a baby is not critically premature, but not quite ready in the way parents expected and how families can be supported through that adjustment. Throughout the conversation, we emphasize the importance of preparation and communication. Understanding the possibility of late preterm birth, even in otherwise healthy pregnancies, can help families feel more grounded if plans change. We also discuss how care teams can better frame expectations, provide anticipatory guidance, and avoid minimizing the experience simply because a baby is "close to term." This episode is about honoring the complexity of late preterm birth: medically, emotionally, and developmentally and recognizing that those last weeks of pregnancy matter, even when outcomes are ultimately positive. For more episodes and resources, visit truebirthpodcast.com and subscribe wherever you listen to podcasts. Got something you want to share or ask? Keep it coming. We love hearing from you. Email us or send a voice memo, and you might just hear it on the next episode. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/ You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: youtube.com/maternalresources Instagram: @maternalresources Facebook: facebook.com/IntegrativeOB TikTok: NatureBack Doc on TikTok Grab Our Book: The NatureBack Method for Birth—your guide to an empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com  

In this episode of True Birth, we take a closer look at pelvic rest in pregnancy, what it actually means, when it is medically indicated, and when it may be unnecessarily prescribed. Pelvic rest is one of the most commonly given recommendations in pregnancy, yet it is often poorly explained and widely misunderstood. This conversation is about bringing clarity, nuance, and context to a topic that can feel confusing and anxiety-provoking for many families. We begin by unpacking what providers typically mean when they recommend pelvic rest. For many people, the phrase immediately triggers fears of strict limitations or complete inactivity. We explain what pelvic rest usually involves, what it does not, and why the language itself can create more stress than clarity when it is not carefully defined. From there, we discuss the situations in which pelvic rest is clinically appropriate. This includes conditions such as placenta previa, certain cervical changes, unexplained bleeding, or the presence of a cerclage. We explore the reasoning behind these recommendations and how pelvic rest is used as a precaution in specific, higher-risk scenarios to reduce cervical or placental irritation. Just as importantly, we talk about when pelvic rest is not routinely necessary. In uncomplicated pregnancies with normal placental placement and no concerning symptoms, pelvic rest has not been shown to improve outcomes. We address how pelvic rest has often been carried forward out of habit rather than evidence, and why many people are advised to restrict sexual activity or vaginal contact without a clear medical reason. This episode also explores the emotional and relational impact of pelvic rest. Recommendations around intimacy can affect connection, body image, and a person's sense of normalcy during pregnancy. We discuss how couples can navigate these changes with communication and flexibility, and why understanding the "why" behind a recommendation matters just as much as the recommendation itself. Throughout the conversation, we emphasize the importance of individualized care. Pelvic rest is not a one-size-fits-all prescription, and pregnant people deserve clear explanations, shared decision-making, and the ability to ask questions about risks, benefits, and alternatives. This episode is an invitation to move away from blanket restrictions and toward thoughtful, evidence-informed guidance, care that respects both physiology and the lived experience of pregnancy. For more episodes and resources, visit truebirthpodcast.com and subscribe wherever you listen to podcasts. Got something you want to share or ask? Keep it coming. We love hearing from you. Email us or send a voice memo, and you might just hear it on the next episode. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/ You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: youtube.com/maternalresources Instagram: @maternalresources Facebook: facebook.com/IntegrativeOB TikTok: NatureBack Doc on TikTok Grab Our Book: The NatureBack Method for Birth—your guide to an empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com

In this episode of True Birth, we share more birth stories. As always, stories are honest, nuanced, and deeply human. Some are empowering, some are complicated, some are unexpected, and all of them are real. Birth is often spoken about in extremes. Perfect or traumatic. Natural or medical. Success or failure. But lived experience is far more layered than that. These stories remind us that birth unfolds within bodies, families, systems, and moments we can't always predict and that meaning is often found in how supported, informed, and heard someone feels along the way. If you are pregnant, postpartum, planning a future birth, or simply holding space for others, this episode is a reminder that your story matters too. There is wisdom in sharing it and healing in being heard. We want to hear from you. Have a birth story, a question, or something you're still processing? Send us an email or a voice memo. Your message may be featured in an upcoming episode. If this episode resonated, please like, comment, and subscribe. Your engagement helps us continue these conversations and bring more voices into the space. For additional resources, education, and support, visit our website at Maternal Resources: https://www.maternalresources.org/ You can also connect with us across our social channels: YouTube: youtube.com/maternalresources Instagram: @maternalresources Facebook: facebook.com/IntegrativeOB TikTok: NatureBack Doc And if you want to go deeper, explore The NatureBack Method for Birth, our guide to an informed, empowered pregnancy and delivery: naturebackbook.myshopify.com

In this episode of True Birth, we explore the powerful and often underestimated role partners play in childbirth. Birth is not something that happens only to the person giving birth. It is a shared experience, and the presence, preparation, and emotional steadiness of a partner can profoundly shape how labor unfolds. This conversation is about moving beyond the idea of the partner as a passive observer and into a role that is grounded, supportive, and intentionally engaged. We talk about what partners actually do during labor and birth, from providing physical comfort and emotional reassurance to helping maintain focus when things become intense or unpredictable. We discuss how partners can support without trying to fix, manage, or control the experience, and why simply being calm, present, and responsive matters more than doing everything perfectly. Communication is a central theme of this episode. We cover how couples can talk openly before birth about fears, expectations, and preferences, and how partners can communicate effectively during labor with both the birthing person and the care team. Advocacy is explored in a realistic and balanced way, focusing on how partners can help ensure the birthing person feels heard and supported without creating additional stress. We also address the emotional side of being a partner at birth. Many partners feel pressure to perform, to say the right thing, or to know exactly what to do. This episode reframes that pressure and offers a more compassionate and realistic view of the partner role, especially when birth does not go according to plan. We share practical guidance partners can use in real time, including ways to offer comfort, support coping through contractions, and stay connected during the postpartum period as recovery and adjustment begin. Whether you are preparing for your first birth or reflecting on a previous experience, this episode is an invitation to approach childbirth as a team and to recognize the meaningful role partners play in creating a safe, supported, and connected birth experience. For more episodes and resources, visit truebirthpodcast.com and subscribe wherever you listen to podcasts.   Got something you want to share or ask? Keep it coming.  We love hearing from you. Email us or send a voice memo, and you might just hear it on the next episode. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

When pregnancy takes an unexpected turn, it can feel disorienting and deeply personal. In this episode, we talk about the curve balls no one plans for: pregnancy loss, placenta previa, emergency cesarean birth, and how to move through them with clarity, compassion, and support. This is a conversation about honoring grief without losing hope, finding steadiness in uncertainty, and reclaiming a sense of agency even when plans change. If your pregnancy story didn't follow the script you imagined, this episode is a reminder that you are not alone, that your experience matters, and that there is still space for healing, strength, and meaning on the other side. Got something you want to share or ask? Keep it coming.  We love hearing from you. Email us or send a voice memo, and you might just hear it on the next episode. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

Low-dose aspirin, often called baby aspirin, is one of the most commonly recommended medications in pregnancy today. But despite how frequently it's prescribed, many patients still ask the same questions: Why do I need it? Is it safe? When should I start or stop? And who actually benefits? In this episode, we take a clear, evidence-based look at baby aspirin in pregnancy—cutting through myths, confusion, and mixed messaging. In this episode, we cover: What "baby aspirin" actually is (dose, formulation, and how it works) Why it's recommended in pregnancy, especially for preventing preeclampsia Who should take it—including high-risk and moderate-risk patients When to start and when to stop (timing matters) What the research says about safety for both parent and baby Common concerns and misconceptions, including bleeding risk What to do if you're unsure or were told conflicting advice Why baby aspirin matters: Preeclampsia remains one of the leading causes of pregnancy complications worldwide. Decades of high-quality research now show that low-dose aspirin, started early in pregnancy for the right patients, can significantly reduce risk—with an excellent safety profile. For many patients, this simple intervention can make a meaningful difference in pregnancy outcomes. Who this episode is for: Pregnant patients wondering "Do I really need this?" Anyone with a history of preeclampsia, hypertension, infertility, IVF, or pregnancy complications Clinicians counseling patients on aspirin use Anyone navigating pregnancy advice that feels unclear or contradictory The takeaway: Baby aspirin isn't about doing more—it's about doing the right thing at the right time, guided by evidence and individualized care. If you've been prescribed baby aspirin—or think you might benefit—this episode will help you understand why it's recommended and how to take it with confidence.   Got something you want to share or ask? Keep it coming.  We love hearing from you. Email us or send a voice memo, and you might just hear it on the next episode. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

In this episode, we tackle one of the most common questions in pregnancy of late: Is Tylenol safe? It's the medication nearly every pregnant person reaches for at some point, yet the internet is full of conflicting headlines and confusing studies. We break down what the data actually shows, when Tylenol is appropriate, and how to use it safely. What We Cover • Why Tylenol (acetaminophen) is considered one of the first-lines in pregnancy We explain decades of clinical use, major guideline recommendations, and why it remains the preferred option for fever and pain relief. • What the research actually says about safety We unpack the difference between correlation and causation, discuss recent observational studies, and highlight what ACOG and SMFM currently recommend. • When Tylenol is truly needed Fever above 100.4, migraines, musculoskeletal pain, postpartum use, and how untreated fever or pain can create more risk than the medication itself. • How to use it safely Typical dosing, maximum limits in 24 hours, how to avoid hidden acetaminophen in combination products, and who should be more cautious. • What to avoid We clarify why NSAIDs (like ibuprofen) are not recommended in most stages of pregnancy and why people often confuse these medications. Resources Mentioned • ACOG guidance on pain and fever management during pregnancy • SMFM clinical recommendations • FDA medication safety overview (pregnancy and lactation) Call to Action If you have questions about medication safety in pregnancy or aren't sure what's right for your symptoms, talk with a clinician who understands the nuances of both maternal health and functional medicine. The right guidance can give you confidence and peace of mind.   Got something you want to share or ask? Keep it coming.  We love hearing from you. Email us or send a voice memo, and you might just hear it on the next episode. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

You wrote in, and we listened! In this special listener mail episode, we're answering your questions,reading your stories, and diving into what's been on your minds. From real-life experiences to the big "what ifs," we're here to talk, laugh, and think it through together. Got something you want to share or ask? Keep it coming — we love hearing from you. Email us or send a voice memo, and you might just hear it on the next episode. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

This show is about the VBAC Playbook—your complete guide to Vaginal Birth After Cesarean. We bring together everything you need to know in one place: all of our experience, the risks and benefits, the latest evidence, and the practical steps to prepare. Whether you're weighing your options, looking for reassurance, or wanting to feel fully informed before talking with your provider, this playbook equips you with clear, comprehensive, and empowering information to help you make the best decision for your birth. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

Pregnancy and childbirth are filled with important decisions, and sometimes the advice you receive from your OB/GYN or midwife can feel overwhelming—or incomplete. In this episode of True Birth, we take an honest look at when and why you might consider seeking a second opinion during pregnancy or for birth planning. A second opinion is not about questioning your provider's expertise—it's about ensuring you have the full picture before making decisions that impact your health and your baby's well-being. We discuss situations where a second opinion can be especially valuable: when facing a major intervention such as induction, cesarean birth, or surgery; when you're given limited options; or when your instincts tell you something doesn't feel right. We'll explore how different providers approach issues like VBAC (vaginal birth after cesarean), high-risk pregnancy management, and birth preferences, and why those perspectives can vary. Just as importantly, we share practical tips on how to approach the process: how to ask for your records, how to frame the conversation, and how to choose the right expert for a balanced perspective. Our goal is to empower you to feel confident, informed, and supported in your care. Remember: seeking a second opinion is your right, not a sign of mistrust. It's one of the best ways to advocate for yourself and ensure you're making decisions aligned with your values and goals. Tune in as we unpack real scenarios and offer guidance on making the second-opinion process respectful, productive, and ultimately reassuring—for a healthier pregnancy and a birth experience that feels right for you.     Don't forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

In this episode of True Birth, we take on one of the most fraught subjects in pregnancy care: substance use. Their conversation goes beyond the obvious admonition that "drugs are bad in pregnancy" to explore the nuance — what counts as a teratogen, which substances alter fetal development directly, and which compromise pregnancy through vascular, placental, or behavioral pathways. The discussion begins with tobacco, a substance that does not cause specific birth defects but exerts powerful vascular effects that restrict blood flow to the placenta, increasing the risks of low birth weight, preterm birth, and ectopic pregnancy. From there, they move to alcohol, one of the few true teratogens, responsible for fetal alcohol syndrome and its enduring neurodevelopmental and behavioral consequences. The conversation then widens to heroin and opioids, which do not deform fetal anatomy but devastate pregnancy outcomes through miscarriage, placental abruption, and neonatal withdrawal syndromes. Cocaine emerges as a particularly dangerous agent, not for teratogenicity but for its capacity to cause catastrophic circulatory collapse in both mother and fetus — strokes, abruptions, and even loss of fetal limbs due to infarcted placental tissue. The hosts also explore the gray areas: hallucinogens like LSD, stimulants such as ecstasy, and prescription amphetamines. They note the complexity of studying these substances, given the socioeconomic, dietary, and mental health confounders that often accompany their use. What makes this episode compelling is not just the catalog of risks but the larger question of how to think about exposure. Mallon and Abdelhak acknowledge the historical shifts — from a time when physicians condoned "a few cigarettes a day" to today's zero-tolerance policies — and they highlight emerging treatments for addiction, such as Ibogaine, which may offer new hope for patients but remain medically and legally unsettled. The episode's takeaway is clear: in pregnancy, no recreational substance is benign. Some, like alcohol, directly alter embryologic development; others, like nicotine and cocaine, impair the very systems that sustain pregnancy. The evidence is complex, but the principle is simple — abstaining is the only truly safe choice. Don't forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

Two Days, Two Docs: Stories from the Delivery Room takes you inside an unfiltered, behind-the-scenes look at 48 hours in Labor & Delivery through the eyes of two physicians: Dr. Yaakov Abdelhak and Dr. Apig Mosses from Maternal Resources. From the adrenaline of middle-of-the-night emergencies to the quiet, awe-filled moments of new life, these stories capture the highs, lows, and everything in between. Whether you're a fellow clinician, an expectant parent, or simply curious about what really happens beyond those hospital doors, you'll hear the human side of medicine—raw, real, and unforgettable.     YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .  

The American College of Obstetricians and Gynecologists released new clinical guidance on April 17, 2025 that recommends, as they see it, reimagining prenatal care in the U.S. Instead of the traditional 12–14 in‑person visits, ACOG now advocates for individualized prenatal care schedules—especially for average‑ and low‑risk patients—tailored based on medical, social, and structural determinants of health as well as patient preferences The guidance encourages early needs assessments (ideally before 10 weeks), shared decision‑making, coordination of social support resources, telemedicine, and group care modalities to reduce barriers and drive equity  Drawing on the PATH framework developed with the University of Michigan, ACOG presents sample visit schedules and monitoring strategies reflecting evidence that fewer visits—with flexible modalities—can maintain quality while improving access and patient experience As clinicans who have been offering unparalleled care for decades, find out what Dr. Abdelhak and his team at Maternal Resources think of groundbreaking this new update.    YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .

Dr. Mosses comes to Maternal Resources after serving as the Medical Director of the OB/GYN department at Ezra Medical Center in Brooklyn, where he built a thriving obstetric practice from the ground up, now averaging over 50–60 deliveries per month. Prior to that, he was a senior attending physician at NYU Langone in Midwood, Brooklyn, where he maintained a cesarean section rate of under 10%—a testament to his skill in supporting vaginal births, including twin deliveries and VBACs (vaginal birth after cesarean). His approach combines clinical rigor with a strong belief in giving patients safe options for physiologic birth. Expertise in Vaginal Twins, VBACs, and Minimally Invasive Surgery Known for his hands-on experience with high-volume deliveries, Dr. Mosses has a deep expertise in managing vaginal twin deliveries and has successfully supported many patients through VBACs. He has performed thousands of deliveries and a wide range of gynecologic surgeries using open, laparoscopic, and vaginal approaches. Whether managing a routine pregnancy or a more complex case, his goal is always the same: to deliver excellent care that respects patient autonomy and promotes healthy outcomes. This commitment perfectly mimmics the core of what Maternal Resources is all about. Training, Awards, and Teaching Excellence Dr. Mosses completed his OB/GYN residency as Chief Resident at Richmond University Medical Center, where he received the Society of Laparoendoscopic Surgeons Award and completed advanced training in gynecologic oncology at Sloan Kettering. He has also supervised and trained residents at multiple academic institutions, including NYU Langone and Lutheran Medical Center. His academic background, combined with his leadership and research accolades, reflects his ongoing commitment to advancing women's health. Dr. A. Jay Mosses has been recognized for his outstanding contributions to the field of obstetrics and gynecology with several prestigious awards. During his residency at Richmond University Medical Center, he was honored with the Society of Laparoendoscopic Surgeons Award, acknowledging his excellence in minimally invasive surgical techniques. Additionally, his research on the use of double balloon cervical ripening catheters in managing massive hemorrhage in cervical ectopic pregnancies earned him the First Place Award at the 2016 Annual Residents' and Fellows' Research Paper Competition. These accolades reflect his commitment to advancing clinical care through both surgical skill and academic research. We're honored to have Dr. Mosses on our team and know our patients will benefit from his skill, warmth, and unwavering dedication to their care.   YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .

In this powerful and eye-opening episode, we explore birth stories. Through candid, firsthand birth stories, we highlight how listening to your body, trusting your instincts, and building the right care team can make all the difference. Whether you're planning a hospital birth, birth center experience, or home delivery, this episode reminds us that not all providers are created equal—and sometimes, your OB just doesn't know when it comes to birth. Who This Episode is For: Pregnant people, birth workers, doulas, midwives, and anyone curious about the realities of modern maternity care.   YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .

In this episdoe, we explore how biometry is used to measure key metrics like Biparietal Diameter (BPD) and Head Circumference (HC), shedding light on what these measurements reveal about your baby's growth and development. We talk about their role in predicting potential challenges during labor, and how they help ensure a safe and healthy birth. From understanding head size's impact on delivery to offering expectant parents valuable insights, this episode unpacks the critical connection between fetal head measurements and the labor process.   YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .

Understanding Unicornuate Uterus: What It Is, Prevalence, Risks, and a Positive Outlook A unicornuate uterus is a rare congenital condition where the uterus develops with only one half, or "horn," instead of the typical two-horned shape of a normal uterus. This happens during fetal development when one of the Müllerian ducts, which form the uterus, fails to develop fully. As a result, the uterus is smaller, has only one functioning fallopian tube, and may or may not have a rudimentary horn (a small, underdeveloped second horn). This condition falls under the category of Müllerian duct anomalies, which affect the female reproductive tract. For those diagnosed, understanding the condition, its implications, and the potential for a healthy pregnancy can provide reassurance and hope.   What Is a Unicornuate Uterus? The uterus typically forms as a pear-shaped organ with two symmetrical halves that fuse during fetal development. In a unicornuate uterus, only one half develops fully, creating a smaller-than-average uterine cavity. This anomaly can occur with or without a rudimentary horn, which may or may not be connected to the main uterine cavity. If a rudimentary horn is present, it might cause complications like pain if it accumulates menstrual blood, as it often lacks a connection to the cervix or vagina. The condition is often diagnosed during routine imaging, such as an ultrasound, MRI, or hysterosalpingogram (HSG), typically when a woman seeks medical advice for fertility issues, pelvic pain, or irregular menstruation. In some cases, it's discovered incidentally during pregnancy or unrelated medical evaluations.   How Prevalent Is It? Unicornuate uterus is one of the rarest Müllerian duct anomalies, occurring in approximately 0.1% to 0.4% of women in the general population. Among women with Müllerian anomalies, it accounts for about 2% to 13% of cases. The condition is congenital, meaning it's present at birth, but it often goes undiagnosed until adulthood because many women experience no symptoms. Its rarity can make it feel isolating for those diagnosed, but awareness and medical advancements have made it easier to manage and understand. Risks Associated with Unicornuate Uterus While many women with a unicornuate uterus lead healthy lives, the condition can pose challenges, particularly related to fertility and pregnancy. The smaller uterine cavity and reduced endometrial surface area can increase the risk of certain complications, though these are not inevitable. Below are some potential risks: Fertility Challenges: The smaller uterus and single fallopian tube may slightly reduce the chances of conception, especially if the rudimentary horn or other structural issues interfere with ovulation or implantation. However, many women with a unicornuate uterus conceive naturally without intervention. Miscarriage: The limited space in the uterine cavity can increase the risk of miscarriage, particularly in the first trimester. Studies suggest miscarriage rates may be higher (around 20-30%) compared to women with a typical uterus, though exact figures vary. Preterm Birth: The smaller uterus may not accommodate a growing fetus as easily, potentially leading to preterm labor or delivery before 37 weeks. Research indicates preterm birth rates in women with a unicornuate uterus range from 10-20%. Fetal Growth Restriction: The restricted uterine space can sometimes limit fetal growth, leading to low birth weight or intrauterine growth restriction (IUGR). Malpresentation: Babies in a unicornuate uterus may be more likely to position themselves in a breech or transverse position due to the confined space, which could complicate delivery. Cesarean Section: While not mandatory, a cesarean may be recommended in cases of malpresentation, preterm labor, or other complications. However, this is not a universal requirement. Other Complications: Women with a unicornuate uterus may have a higher risk of endometriosis or painful periods, especially if a non-communicating rudimentary horn is present. Kidney abnormalities are also associated with Müllerian anomalies, as the kidneys and reproductive tract develop simultaneously in the fetus. Despite these risks, it's critical to note that not every woman with a unicornuate uterus will experience these complications. With proper medical care, many achieve successful pregnancies and deliveries.   A Positive Outlook: Normal Vaginal Delivery Is Probable The diagnosis of a unicornuate uterus can feel daunting, but it's important to emphasize that a healthy, full-term pregnancy and a normal vaginal delivery are entirely possible. Advances in obstetrics and prenatal care have significantly improved outcomes for women with this condition. Here's why you can remain optimistic: Personalized Care: Working with an experienced obstetrician or maternal-fetal medicine specialist ensures close monitoring throughout pregnancy. Regular ultrasounds can track fetal growth, position, and amniotic fluid levels, allowing for timely interventions if needed. Not Doomed to Cesarean: While some women may need a cesarean due to specific complications, many with a unicornuate uterus deliver vaginally without issue. The decision depends on factors like fetal position, labor progression, and overall health, not the uterine anomaly alone. Full-Term Pregnancies Are Achievable: With careful monitoring, many women carry their pregnancies to term (37-40 weeks). Preterm birth is a risk, but it's not a certainty, and modern neonatal care can support babies born slightly early if needed. Healthy Babies: Countless women with a unicornuate uterus give birth to healthy, thriving babies. The condition does not inherently affect the baby's development or genetic health. Support and Advocacy: Connecting with others who have similar experiences, whether through online communities or support groups, can provide emotional strength and practical advice. Knowing you're not alone can make all the difference. A unicornuate uterus is a rare but manageable condition that requires awareness and, in some cases, specialized care. While there are risks to consider, they are not insurmountable, and many women with this anomaly experience successful pregnancies and vaginal deliveries without complications. With the right support, you can embrace your unique journey, knowing that a unicornuate uterus does not mean you're destined for preterm birth, cesarean delivery, or pregnancy complications. Instead, it's a testament to your resilience and the incredible capabilities of modern medicine to support you every step of the way.   Connect With Us: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .    

In this podcast we shedding light on rare and complex obstetric conditions that impact pregnancy and maternal health. Without the need for unnecessary alarm, which can happen in pregnancy, we dive into challenging medical cases, exploring the science, emotional weight, and real-world implications of conditions that are often under-discussed.      Connect With Us: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources. Instagram: Follow us for daily inspiration and updates at @maternalresources. Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com.