Explore every episode of True Birth
| Pub. Date | Title | Duration | |
|---|---|---|---|
| 30 Dec 2021 | Progesterone Supplementation in Pregnancy: Episode #65 | 00:18:47 | |
Progesterone supplementation in pregnancy and the preconception period has been debated for several years as to its effectiveness. In this episode, Dr. Yaakov Abdelahk gives his take on the use of progesterone for fertility, the prevention of first trimester loss and there prevention of preterm labor. 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 | |||
| 21 Nov 2023 | RSV Vaccine in Pregnancy: Episode #143 | 00:25:08 | |
Respiratory syncytial virus (RSV) is a common virus that can cause respiratory infections in people of all ages, including pregnant women. RSV infections are more prevalent during the fall and winter months. While RSV infections are usually mild and cold-like in healthy adults, they can lead to more severe respiratory symptoms in certain populations, including young infants and individuals with weakened immune systems. In the context of pregnancy, RSV infections are generally considered a concern primarily because of the potential impact on the health of the mother and the developing fetus. Here are some key points to consider regarding RSV in pregnancy:
It's important for pregnant women to consult with their healthcare providers if they develop symptoms of a respiratory infection like RSV, especially if the symptoms are severe or persistent. Healthcare professionals can provide guidance on appropriate management and treatment. As with any health concern during pregnancy, it's essential to follow the advice and recommendations of your healthcare provider to ensure the health and well-being of both the mother and the developing fetus.
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 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. | |||
| 13 Mar 2023 | Cerclage Placement in Pregnancy: What to Expect. Episode #121 | 00:46:29 | |
For some women, the risk of premature birth or second trimester miscarriages are real and imposing concerns in pregnancy. In some cases, a cerclage may be recommended to help prevent these complications. Here's what you can expect when you get a cerclage during pregnancy: What is a cerclage? A cerclage is a procedure in which a stitch or band is placed around the cervix to help keep it closed and prevent premature birth or miscarriage. It is typically recommended for women who have a history of premature birth, cervical insufficiency, or a shortened or known weakened cervix. The procedure is usually done around 12-14 weeks of pregnancy and is removed around 36-37 weeks of pregnancy. Before the cerclage procedure, your OB/GYN will perform a cervical exam and may order an ultrasound to check the length of your cervix. The cerclage procedure is typically done under with local anesthesia and sedation. The OB/GYN will place a stitch or band around the cervix to keep it closed. After the cerclage procedure, there is some monitoring and rest that ensures, but only for a short period of time. will likely need to There can be cramping and spotting for a few days after the procedure. Often sexual activity and heavy lifting for several days to weeks after the procedure is recommended. A cerclage can be an effective way to prevent premature birth or miscarriage in certain high-risk pregnancies. If your doctor recommends a cerclage, it is important to understand the procedure, the recovery process, and the potential risks and complications. With proper care and monitoring, you and your baby can have a healthy pregnancy and delivery.
Our practice can be found at www.maternalresources.org
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows | |||
| 25 Mar 2024 | The Importance of the Right Location for Birth: Episode #151 | 00:32:42 | |
When expecting a baby, among the flurry of decisions to be made, choosing where to deliver stands out as one of the most significant. It's a choice that goes beyond mere geography or convenience; it's about where you'll welcome your child into the world and the first level of care both of you will receive. It's about safety, support, and a positive birth experience. Today, we're spotlighting Hackensack University Medical Center (HUMC) as an exemplary choice for families looking to ensure the best start for their newborns. The Importance of the Right LocationThe location you choose for delivery impacts the medical care quality, emotional support, and the array of services available to you and your baby. A hospital equipped with top-tier facilities, specialized care, and a nurturing environment can make a significant difference in your childbirth experience. It's not just about the immediate moments post-birth but also about the comprehensive care leading up to and following this life-changing event. Why Hackensack University Medical Center Stands ApartMagnet Hospital Recognition: A Mark of Nursing ExcellenceHUMC isn't just any hospital; it's recognized as a Magnet hospital. This prestigious designation is the gold standard for nursing excellence and quality patient care. It signals a supportive environment not just for patients but for the medical professionals dedicated to your care, ensuring that you receive the best possible support during this critical time. Level III NICU: Ready for Every PossibilityBabies don't always arrive as expected, and some need a little extra help getting started. HUMC's Level III Neonatal Intensive Care Unit (NICU) is equipped for a high level of neonatal care. This means that even the smallest or sickest of newborns receive top-notch, specialized care, offering peace of mind that, should your baby need it, the best possible support is right there. All Private Rooms: Comfort, Privacy, and BondingThe benefits of all private rooms cannot be overstated. Privacy during these first moments can significantly impact a mother's stress levels and overall recovery. HUMC offers this serenity, facilitating a peaceful environment where families can bond with their new arrivals without the intrusion of a shared space. Lactation Consultations 7 Days a Week: Support for Breastfeeding MothersBreastfeeding, while natural, can come with its set of challenges. HUMC's commitment to lactation consultations seven days a week ensures that mothers receive the support and guidance they need, promoting successful breastfeeding practices and addressing any concerns promptly. High-Level Experience: A Team You Can TrustAt HUMC, you're in good hands. The hospital prides itself on its highly experienced team of obstetricians, pediatricians, nurses, and other healthcare professionals who bring a wealth of knowledge and compassion to their roles. This high level of experience means that expectant parents can relax, knowing they're supported by some of the best in the field. Choosing where to give birth is a pivotal decision for expecting families. It's about more than just the physical location—it's about the care, the support, and the environment that will surround you and your baby during one of life's most momentous occasions. Hackensack University Medical Center stands out as a beacon of excellence in this regard, offering everything from unparalleled medical care to the peace and privacy families deserve. As you consider your options, remember the difference the right location can make—not just for the birth itself but for the lifelong memories it will help create.
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 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. | |||
| 06 Jan 2022 | The Cervical Exam in Pregnancy: Episode# 67 | 00:26:04 | |
What happens in a digital cervical exam done in pregnancy? What is the purpose and what to expect are all reviewed in this podcast. Dilation, effacement, station, position, consistency and all the components of the bishop score are reviewed. During pregnancy, healthcare providers employ various assessments to gauge the progress of labor and determine the most appropriate course of action. One crucial evaluation is the cervical exam, which involves assessing the cervix for signs of readiness for childbirth. In this blog post, we will delve into the details of a cervical exam, its significance in labor management, and the role of the Bishop score in assessing cervical readiness. The Cervical Exam: A Key Tool in Labor Assessment: A cervical exam is a medical procedure performed by healthcare providers to evaluate the cervix's condition in preparation for childbirth. It involves manually examining the cervix to assess its dilation, effacement (thinning), consistency, and position within the birth canal. By closely monitoring these parameters, healthcare providers can determine the progress of labor and make informed decisions regarding interventions or the need for further assessment. Some charts are included for reference:
The Bishop score is a standardized system developed by Dr. Edward Bishop in the 1960s to assess the readiness of the cervix for labor induction. This scoring system evaluates five key components: cervical dilation, effacement, consistency, position, and the station of the baby's head in the birth canal. Each component is assigned a score ranging from 0 to 3, with a higher score indicating favorable conditions for a successful induction. Understanding the Bishop Score Components
A higher Bishop score (8 or above) indicates a favorable cervix for induction, suggesting a higher likelihood of a successful induction and vaginal delivery. Conversely, a lower Bishop score may indicate the need for further cervical ripening or alternative approaches to labor management. Healthcare providers use the Bishop score as a valuable tool in decision-making, guiding the timing and method of labor induction. The cervical exam and Bishop score play a critical role in assessing the readiness of the cervix for labor induction. By evaluating specific cervical parameters, healthcare providers gain valuable insights to guide informed decisions and optimize the management of labor and delivery.
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 | |||
| 11 Apr 2022 | Thrombophilias in Pregnancy: Episode #90 | 00:34:08 | |
In pregnancy, thrombophilias or blood clotting disorders can either be inherited or acquired. As you can imagine, blood clotting is not a preferred state in pregnancy a condition laden with micovessels which could clot easily. Inherited thrombophilias are usually genetic in nature and increase the risk for thromboembolic disease. During pregnancy, the potential for these disorders to be problematic is enhanced because pregnancy is a hypercoagulable state. The most severe sequela is a resulting DVT (deep vein thrombosis) or a blood clot in a deep vein. DVTs can be life threatening and very serious. Acquired thrombophilias are primarily the result of systemic autoimmune disease resulting in antibodies that predispose the body to clot. A term commonly used for acquired thrombophilias is antiphospholipid syndrome or APS and this condition can occur as a primary condition, or it can occur in the presence of systemic lupus erythematosus (SLE) or other autoimmune conditions. Thrombophilias in pregnancy are reviewed in detail in this episode as well as how to manage and treat them throughout the pregnancy, labor and postpartum period. 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
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| 30 May 2023 | Natural Childbirth: Unmedicated Birth Episode #129 | 00:23:41 | |
Childbirth is a miraculous and transformative experience, marking the beginning of a new chapter in a woman's life. While many women choose to opt for pain relief measures like epidurals during labor, there is a growing movement of mothers who seek to embrace the raw intensity of childbirth without medical interventions. In this blog post, we explore the empowering journey of childbirth without an epidural, highlighting its benefits, challenges, and the profound strength it requires. There are several reasons why women would choose an unmedicated birth over birth with aqn epidrual. Choosing to forego an epidural is a deeply personal decision. Women who opt for unmedicated childbirth often have a strong belief in the body's innate ability to give birth naturally. They embrace the beauty of the physiological process, trusting that their bodies are designed to navigate the journey of labor and delivery. By choosing a drug-free birth, women often find themselves more connected to their bodies and their babies. Without the numbing effects of an epidural, they remain fully present during the entire experience. This heightened awareness allows them to actively participate in the process, feeling each contraction, and working in harmony with their bodies to bring their little one into the world. Childbirth without an epidural requires coping mechanisms to manage the intensity of labor. Many women practice mindfulness and breathing techniques, learning to focus their minds and ride the waves of contractions. These techniques help them stay centered, calm, and in control, harnessing the power within themselves to navigate the peaks and valleys of labor. Unmedicated childbirth triggers the release of hormones such as oxytocin, endorphins, and adrenaline. These natural hormones not only help manage pain but also foster a sense of euphoria, promote bonding with the baby, and facilitate breastfeeding. Mothers who experience childbirth without an epidural often speak of the incredible rush of love and joy that accompanies the unmediated birth experience. Childbirth without an epidural can present unique challenges. The intensity of the pain requires mental and physical endurance. However, women who choose this path often find immense satisfaction in conquering these challenges. They emerge from the experience with a profound sense of accomplishment, knowing they have tapped into their inner strength and persevered through one of life's most transformative moments. Creating a supportive birth environment is crucial for women choosing unmedicated childbirth. Surrounding oneself with knowledgeable and empathetic healthcare providers, a loving birth partner, and a supportive birthing team can provide the encouragement and reassurance needed during labor. Birth plans, communication, and a clear understanding of one's options help ensure a positive and empowering birth experience. Childbirth without an epidural is a personal choice that demands courage, resilience, and a deep trust in the body's abilities. It allows women to tap into their inner power and experience the full spectrum of emotions during the miraculous journey of bringing a new life into the world. While this path is not without its challenges, the rewards are immeasurable. Each unmedicated birth represents a testament to the incredible strength and capabilities of women, leaving an indelible mark on both mother and child, forever cherished and celebrated.
Our practice can be found at www.maternalresources.org
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob https://www.truebirthpodcast.com | |||
| 17 Jan 2022 | Pregnancy over 40: Episode #70 | 00:37:20 | |
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 | |||
| 10 Mar 2022 | How to Calculate Your Due Date: Episode #85 | 00:21:33 | |
All the different ways to calculate and accurate due date in a pregnancy. How to utilize the calender, ovulation and ultrasound technologies to determine when is the best estimated due date. Due dates are in some ways misleading because most babies are not born on their due dates. In some cases, it could be more accurate to give a due range rather than an acutal date. Nonetheless, due dates are essential in planning for the safe management and delivery of babies in the world today. So, what is the best method to calcuate your baby's due date? For most pregnancies, the best estimate of the delivery date is cacluated using a reliable last menstrual period (LMP) and confirming that date with an ultrasound as close to 8 weeks as possible. The problem with last menstrual periods, is that the cacluation of the due date assumes a patient has 28 day cycles and ovulated on the 14th day. We now know that there can be a wide range of normal variation when it comes to ovulation time in a month and also menstrual cycle lengths. This is why a first trimester ultrasound is often used to confim a due date calucated using a last menstrual period alone. In this epsiode, our True Birth experts discuss how to most accurately cacluate the due date, other methods of calcuating the date such as conception date and quickening and why it's improtant to have an accurate date. We'd love to hear from you and get your feedback. Send us a topic that you'd like us to revew! Reach out to us on www.truebirthpodcast.com
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
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| 02 Oct 2023 | The Future of Obstetrics: Episode #140 | 00:40:45 | |
The landscape of obstetrics is undergoing a profound transformation, characterized by both positive and challenging changes. On the positive side, advancements in medical technology and evidence-based practices are enhancing the safety and well-being of expectant mothers and their babies. Access to prenatal care, maternal education, and support systems is improving, leading to better outcomes. However, this evolution also presents challenges, such as concerns about the medicalization of childbirth and potential disparities in access to care. Striking a balance between embracing innovation and preserving the fundamental principles of compassionate, patient-centered obstetric care will be crucial as the field continues to evolve. In the future of obstetrics, a transformation is underway that heralds a shift away from the traditional model of solo and private practitioners towards a landscape dominated by doctors employed by hospitals. This evolution carries implications that transcend the clinical realm and touch upon the intricate dynamics of patient care. As the scales tip towards hospital-employed physicians, the alignment of interests between patients and healthcare institutions may become increasingly nuanced. While this transformation may foster greater collaboration and coordination within healthcare systems, it also raises questions about whether the primacy of patients' needs and preferences might be diluted in favor of institutional priorities. Navigating this terrain will require thoughtful consideration of how to maintain patient-centered care amid changing structures, ensuring that the future of obstetrics continues to prioritize the well-being and autonomy of expectant mothers and their newborns. The future of obstetrics is likely to involve several advancements and changes, driven by advancements in technology, evolving medical practices, and shifting societal needs. While we can't predict the future with certainty, we can provide some insights into potential trends and developments in obstetrics:
It's important to note that the future of obstetrics will also be influenced by cultural, social, economic, and political factors, and healthcare systems will need to adapt to address the evolving needs of pregnant individuals and their families. These trends and developments are not exhaustive, but they provide a glimpse into potential directions in which obstetrics may evolve in the coming years. 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 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.
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| 23 Dec 2024 | Patient Feedback - Reading Client Reviews: Episode #160 | 00:20:47 | |
In this episode, we sit down to read and reflect on a range of patient reviews—both the glowing ones that warm our hearts and the critical ones that challenge us to grow. Join us as we take an honest look at the feedback we’ve received, share the stories that resonate, and explore how these reviews shape our perspective and commitment to improving patient care. It’s a candid, heartfelt conversation about the impact of words and the lessons we learn along the way. 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 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.
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| 22 Aug 2022 | Cerclage Types: McDonald, Shirodkar and Abdominal. Episode: #112 | 00:32:26 | |
Cervical cerclage is a fantastic tool used to prevent preterm labor. The placement of a cerclage is a surgical procedure in which a synthetic suture or tape is used to reinforce the cervix. This mechanical enhancement of the tensile strength of the cerclage reinforces the cervix, keeps it closed and is very successful at lengthening many pregnancies. This podcast covers the different types, why and when each is used.
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
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| 03 Sep 2024 | PPROM (Preterm Premature Rupture of Membranes): Episode #156 | 00:45:45 | |
The Unexpected Journey: Understanding and Navigating PPROMLife throws curveballs, and sometimes, those curveballs come in the form of these little letters: PPROM. For those unfamiliar, PPROM stands for Preterm Premature Rupture of Membranes, a medical term that sounds as serious as it is. In plain English, it means that the water breaks too early—before 37 weeks of pregnancy and often long before anyone is ready. What Is PPROM?Preterm Premature Rupture of Membranes, or PPROM, is a condition that affects roughly 3% of pregnancies, yet it accounts for nearly one-third of all preterm births. It occurs when the amniotic sac, which surrounds and protects the baby in the womb, breaks open before 37 weeks of pregnancy and before the onset of labor. This rupture can lead to significant complications, making it a critical condition to recognize and manage promptly. What Causes PPROM? The exact cause of PPROM is often unclear, but several factors can increase the risk. Infections of the reproductive tract, such as bacterial vaginosis, are a common cause. Other risk factors include a history of PPROM in a previous pregnancy, cervical insufficiency, multiple pregnancies (such as twins or triplets), and lifestyle factors like smoking. In some cases, the condition may occur without any identifiable risk factors, which makes it all the more important for expectant mothers to be vigilant about their health and prenatal care. Signs and Symptoms Recognizing the signs of PPROM is crucial for early intervention. The most common symptom is a sudden gush or a steady leak of fluid from the vagina, indicating that the amniotic sac has ruptured. Other symptoms may include increased vaginal discharge, a sensation of wetness in the underwear that doesn’t dry, or a trickling of fluid that may come and go. Some women may also experience pelvic pressure or mild cramping. If you notice any of these signs, it’s essential to contact your healthcare provider immediately. Diagnosis and Management If PPROM is suspected, your healthcare provider will likely perform a physical examination and order tests to confirm the diagnosis. This may include testing the vaginal fluid for amniotic fluid, ultrasound to assess the amount of amniotic fluid around the baby, and checking for signs of infection. Once diagnosed, the management of PPROM depends on several factors, including the gestational age of the pregnancy, the presence of infection, and the health of the mother and baby. If the pregnancy is near term (after 34 weeks), labor may be induced to reduce the risk of complications. If the pregnancy is earlier, the goal is often to prolong the pregnancy while minimizing risks. This may involve hospitalization, administration of antibiotics to prevent infection, corticosteroids to speed up the baby’s lung development, and careful monitoring of both mother and baby. Potential Complications PPROM can lead to several complications, primarily due to preterm birth. Babies born prematurely may face challenges such as respiratory distress syndrome, infections, and developmental delays. Additionally, the longer the membranes remain ruptured, the higher the risk of infection for both the mother and the baby. Chorioamnionitis, an infection of the amniotic sac, is a serious complication that requires immediate medical treatment. Emotional Impact and Support The diagnosis of PPROM can be an emotionally challenging experience for expectant mothers and their families. Anxiety about the health of the baby, uncertainty about the outcome, and the potential for an extended hospital stay can all contribute to significant stress. It’s important to seek emotional support, whether through counseling, support groups, or talking with other mothers who have experienced PPROM. Your healthcare team can also provide resources and guidance to help you navigate this difficult time. Outlook While PPROM is a serious condition, advances in prenatal and neonatal care have significantly improved outcomes for both mothers and babies. Early recognition and appropriate management are key to minimizing risks and ensuring the best possible outcome. If you’re pregnant and have concerns about PPROM, don’t hesitate to discuss them with your healthcare provider. Being informed and proactive about your health is the best way to safeguard the well-being of both you and your baby.
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 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. | |||
| 26 May 2022 | Placenta Encapsulation: Episode #99 | 00:10:45 | |
Placenta encapsulation is the procedure of taking a placenta and making it into pill form for consumption usually following birth. Placenta encapsulation has gained popularity in the past decade as a remedy to aid and assist with postpartum depresssion, lactation, and overall health and well-being following childbirth. Encapsulation is not the only form of placenta ingestion utlized, but has become the most common. In this episode, we review the practices that are associated, the rational and the safety.
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 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
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| 26 Jun 2023 | Trisomy 13/18: Episode #133 | 00:22:14 | |
The world of genetics is an intricate and complex field, a web of codes that define every aspect of our being. Occasionally, unexpected changes that occur during the formation of these genetic blueprints, and these can lead to various genetic disorders. Among these disorders are Trisomy 18 and Trisomy 13, also known as Edwards Syndrome and Patau Syndrome, respectively. Although relatively rare, their impact is profound, often leading to serious health challenges for affected individuals. Trisomy 18 - Edwards Syndrome: Trisomy 18, commonly known as Edwards Syndrome, is a genetic disorder caused by an error in cell division that results in an extra chromosome 18. The condition is often characterized by severe intellectual and developmental delays, as well as a myriad of physical abnormalities. Children born with Edwards Syndrome may exhibit a variety of signs, including a small, abnormally shaped head; a small jaw and mouth; and clenched fists with overlapping fingers. They can also have heart defects, kidney problems, and other organ abnormalities. Sadly, due to these severe health issues, many infants with Trisomy 18 do not survive past into birth and the majority to not survive their first year. Trisomy 13 - Patau Syndrome: Patau Syndrome, also known as Trisomy 13, is another chromosomal disorder, this time involving an extra copy of chromosome 13. Similar to Trisomy 18, this genetic condition results in severe intellectual and physical challenges. Infants with Trisomy 13 often have multiple malformations, including heart defects, brain or spinal cord abnormalities, very small or poorly developed eyes (microphthalmia), extra fingers and/or toes (polydactyly), and cleft lip or cleft palate. As with Edwards Syndrome, the prognosis for infants with Patau Syndrome is unfortunately poor, with many not surviving past infancy. Both Trisomy 18 and Trisomy 13 are incredibly challenging conditions, not just for those directly affected, but also for their families. These disorders highlight the importance of genetic health and the complexity of our chromosomal blueprint. While medical advancements continue to strive for better understanding and treatment options, it's crucial to provide support and understanding for families affected by these conditions. Early diagnosis, comprehensive care, and a multidisciplinary approach are essential in managing these conditions. But equally important is a supportive and empathetic society that recognizes the unique challenges that individuals with Trisomy 18 or Trisomy 13 and their families face. Remember, behind every statistic is a person—a life filled with potential and a heart capable of giving and receiving love. In understanding disorders like these, we step toward a more inclusive world where every individual is acknowledged, respected, and celebrated.
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. Send us an email with your feedback at info@maternalresources.org Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 25 Jul 2022 | Why does someone become an Obstetrician? Episode #108 | 00:23:22 | |
Obstetrics and Gynecology can be a wonderful beautiful experiene as a place to work but also have its fair share of challenges. In this episode, Dr. Yaakov Abdelhak, Maternal Fetal Medicne Specilaist, and Kristin Mallon, Certified Nurse Midwife, disucss why someone chooses the field of OB/GYN. The choice of a medical specialty is a significant decision for physicians, influenced by a combination of personal interests, experiences, lifestyle considerations, and professional goals. Why someone might choose a particular field in medicine:
The choice of a medical specialty like OB/GYN is often a blend of personal interests, life experiences, professional aspirations, and a desire to make a meaningful impact in a specific field of medicine. Each physician's journey to their specialty is unique, reflecting their individual passions and the experiences that shape their professional life.
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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 21 Apr 2022 | AFP: The Alpha-Fetoprotein Test. Episode #93 | 00:15:31 | |
The AFP test of the Alpha-Fetoprotein Test is a blood test done in the second trimeter of pregnancy screening for nerual tube defects (NTDs). This maternal serum along with ultrsasound screening has led to identification of nerual tube defets in most pregnancies, allowing parents to make decisions about pregnancy management. Neural tube defects are birth anomalies that can develop when a portion of the neural tube fails to close normally during the fifth and sixth weeks of pregnancy. This failure to close can result in a defect in the spine along the vertebrae, spinal cord, cranium, or brain. Several advancements have been made in recent decades to reduce the incidence of NTDs mainly including the supplement folic acid into the diets of pregnant women throught food fortification and prenatal supplements. In this episode, we review what you need to know before your AFP test.
We'd love to hear your feedback or hear from you in general. Please send us a question or a comment on our website www.truebirthpodcast.com. You can send us topic suggestions or leave a review. 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 | |||
| 27 Jun 2022 | Labor Induction: What to expect a step-by-step guide. Episode #104 | 00:18:58 | |
This episode will cover exaclty what to expect from your labor induction. From addmission to the hospital to delivery of the baby, we've covered everything and the order of events so you can undertand the labor induction process.
There are several reasons why your OB/GYN or midwife may suggest induction of labor and several pregnant patients prefer labor induction, electively. Labor induction has been shown to improve maternal and fetal outcomes for the right situations and conditions. Some condditions that may warrant induction of labor include: high blood pressure, pre-eclampsia, diabetes in pregnancy, low amniotic fluid, and decreased fetal movement after 40 weeks. Traditionally, it was not suggested that prengancy continue after the 42nd week and gestational age was used as a reason for induction of labor.
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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob | |||
| 18 Dec 2023 | The Postpartum Stay. What to Expect After Your Delivery. Episode #144 | 00:43:41 | |
Bringing a new life into the world is a miraculous and life-changing experience. The 24 hours following childbirth are a crucial time for both mother and baby, as they require specialized care and support. In this episode of True Birth, we will take you through what to expect during this period, from the delivery of the placenta to the early stages of postpartum recovery in the immeidate hours after birth, learning about breastfeeding, receiving help with your newborn, and preparing for discharge. Let's embark on this journey of the first days after giving birth.
The first two days in the hospital after giving birth are a time of great adjustment and learning for both you and your baby. Hospital staff are there to provide support, guidance, and education to ensure a smooth transition into parenthood. Remember to ask questions, seek assistance when needed, and cherish this precious time with your newborn. Parenthood is a beautiful journey, and with the right resources and support, you can start it off on the right foot. 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 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.
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| 20 Jan 2022 | Vaginal Lacerations and Repair: Episode #71 | 00:25:15 | |
This episodes walks through the different types of lacerations and how they are repaired. 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 | |||
| 10 Apr 2023 | Gender Revelation during Pregnancy: Episode: #125 | 00:19:28 | |
Modern Ways of Finding Out Your Baby's Gender: A Sneak Peek into the Womb Discovering the gender of your baby is an exciting milestone for expectant parents. With advances in technology, there are now several ways to determine the gender of your unborn child with remarkable accuracy. There are several ways not to determine the gender of your baby which differs much more than a few decades ago. Ultrasound Ultrasound is the most common and widely used method to find out a baby's gender. Typically performed between 18 and 22 weeks of pregnancy, this non-invasive procedure uses sound waves to produce images of the baby in the womb. A skilled sonographer can identify the baby's gender by analyzing the images. The accuracy of ultrasound in gender determination is quite high, ranging from 95% to 99%, depending on the position of the baby and the expertise of the sonographer. Non-Invasive Prenatal Testing (NIPT) Another popular method is Non-Invasive Prenatal Testing (NIPT). This advanced screening test is performed as early as 10 weeks into the pregnancy, and it uses a blood sample from the mother to analyze the baby's DNA. NIPT is primarily used to screen for genetic conditions such as Down syndrome, but it can also determine the baby's gender with over 99% accuracy. Although NIPT is highly accurate, it is not typically performed solely for gender determination due to the higher cost compared to ultrasound. At-Home Gender Prediction Kits For parents seeking a more affordable and convenient option, at-home gender prediction kits have gained popularity. These kits use a small sample of the mother's urine to predict the baby's gender based on hormone levels. While the accuracy of these kits varies, most claim to have an accuracy rate of about 80-90%. It's important to note that at-home kits are not as reliable as ultrasound or NIPT, and the results should be taken with a grain of salt. Gender Reveal Parties Once parents have discovered the gender of their baby, many choose to share the news with friends and family in a creative way. Gender reveal parties have become a popular trend, with couples using various methods to disclose the big news, such as cutting into a cake with colored filling, popping balloons filled with colored confetti, or setting off colored smoke bombs. These parties not only make for an exciting way to reveal the baby's gender but also create lasting memories for everyone involved.
Our practice can be found at www.maternalresources.org
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob https://www.truebirthpodcast.com | |||
| 23 May 2022 | Birth Plans for Labor Delivery & Pregnancy: Episode #98 | 00:36:13 | |
Birth plans have increased in popularity in the last several decades and many templates exist online from popular pregnancy and birthing websites, vlogs and blogs. What really needs to be included in a birth plan? A birth plan is a great way to have a conversation with your OB/GYN or midwife to be on the same page about the expectations surrounding birth. This episode covers what are key components to include in your birth plan. 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
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| 30 Sep 2024 | Fasting in Pregnancy: Episode #157 | 00:27:57 | |
Fasting During Pregnancy: What You Need to Know Pregnancy is a transformative time, full of excitement, anticipation, and, often, many questions about what you should or shouldn't do. One question that occasionally comes up for expectant mothers is: Is it safe to fast during pregnancy? Fasting might be part of a religious practice or lifestyle choice, but when you’re growing a baby, the rules can change. Here’s what you need to know about fasting while pregnant and why it’s crucial to approach this with care. Why Fasting During Pregnancy Isn’t Generally RecommendedPregnancy is a time when your body requires extra nutrients and energy to support both your health and the development of your baby. Nutrients such as folic acid, iron, calcium, and vitamins are crucial for the growth of your baby’s organs, bones, and overall development. Fasting, whether it's skipping meals, restricting calories, or eliminating certain food groups, can impact the availability of these essential nutrients. Additionally, regular meals help regulate blood sugar levels. During pregnancy, hormonal changes can already make it more challenging to maintain steady blood sugar, and fasting may lead to dizziness, fatigue, and other health concerns for both mother and baby. This is why many healthcare providers typically advise against fasting during pregnancy, particularly if it involves prolonged periods without food or water. When Fasting Might Be Acceptable During PregnancyWhile routine fasting is not generally recommended during pregnancy, some women may choose to fast for religious reasons, such as Ramadan or other spiritual observances. If you’re considering fasting while pregnant for religious purposes, it’s possible that you can still do so safely with some precautions and guidance. Here are a few considerations that can help determine if fasting might be okay for you:
Tips for Safe Fasting During PregnancyIf you and your healthcare provider decide that fasting is safe for you, consider these tips to make the process easier and safer:
The Bottom LineWhile fasting is generally not recommended during pregnancy due to the increased need for nutrients and energy, it can sometimes be done safely under specific conditions. If you want to fast for religious or spiritual reasons, it’s important to have a detailed discussion with your healthcare provider first. Together, you can make a plan that prioritizes both your health and the well-being of your growing baby. Always listen to your body and be prepared to modify or end the fast if you experience any adverse effects. Your health and your baby’s development should always come first, and there are often ways to honor your spiritual practices while keeping both of you safe.
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 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. | |||
| 12 Sep 2022 | Doulas, Labor and Birth Coaches: Episode #115 | 00:35:20 | |
On today’s episode of True Birth, we’re talking about labor coaches, birth coaches, and doulas.
Dr. Yaakov Abdelhak and Certiied Nurse Midwife Kristin Mallon highly recommend having a birth coach during labor. They share some of their positive experiences with the recommended birth coaches and doulas on their site www.maternalresources.org.
It helps to have already a reputation of being practitioners that are C-section averse and always put their patients first because doulas come into the situation less wary.
Some doula certifications are more rigorous than others, and just like any coach or guide, it’s essential to find one with plenty of expertise and high recommendations from trusted sources. Labor coaches and doulas should also have a good relationship with your physician, communicate with them well, and understand their reasoning, instead of having an unnecessarily antagonistic or mistrusting angle.
Coaches and doulas vary in how involved they are pre-labor; some do consultations, going over labor preferences and expectations, and others spend less time with patients until labor unless a question comes up or help is needed. However, once labor starts, they will all be present with the mother to explain what’s going on and provide a familiar point of view about the everyday hospital happenings around them. Some labor coaches and doulas provide lactation and postpartum guidance as well.
What makes a bad labor coach? Someone who’s inactive during labor or who taps out during long labors, increases anxiety in the room, or gives bad advice.
What makes a good labor coach? Someone who can spend hours with a patient during labor, be emotionally present, provide good information, and bring some extra confidence into an often difficult experience. If you’re planning to avoid an epidural, a labor coach or doula is a must.
In this episode, you’ll also hear about the costs of having a doula, the range of rates they usually charge, and even the different styles of some of the recommended doulas on MaternalResources.org.
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
Maternal Resources’ website is:
Remember to subscribe wherever you listen, and leave us a review!
Our Social Channels are as follows
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| 27 Mar 2023 | Complimentary and Alternative Medicine in Pregnancy: Acupuncture, Chiropractic, Massage, etc: Episode #123 | 00:19:27 | |
Acupuncture, Chiropractics, Massage and other complimentary medicine practices are safe in pregnnacy.
Complementary and alternative medical therapies, such as acupuncture, acupressure, chiropractic, and massage, are often sought out by pregnant women to relieve common pregnancy-related discomforts such as back pain, nausea, and fatigue. Many women wonder if these therapies are safe during pregnancy, and the good news is that they generally are. Acupuncture, for example, involves the insertion of thin needles into specific points on the body to stimulate energy flow and promote healing. Many studies have found that acupuncture is safe during pregnancy and can be an effective treatment for nausea, back pain, and other pregnancy-related discomforts. However, it's important to seek out a licensed and experienced acupuncturist who has experience treating pregnant women. Acupressure is a similar therapy that involves applying pressure to specific points on the body, instead of using needles. This therapy can also be effective for relieving pregnancy-related symptoms, and it's generally safe for most women during pregnancy. Chiropractic care can also be safe during pregnancy, with many women finding relief from back pain and other musculoskeletal issues. However, it's important to seek out a chiropractor who is experienced in working with pregnant women and who knows how to adjust their techniques to ensure the safety of both the mother and the baby. Massage is another therapy that can be safe and beneficial during pregnancy. Prenatal massage can help relieve muscle tension, improve circulation, and reduce stress and anxiety. However, it's important to seek out a massage therapist who is trained and experienced in prenatal massage, as certain techniques may need to be adjusted to ensure the safety of both the mother and the baby. Many complementary and alternative medical therapies can be safe and effective during pregnancy, but it's important to discuss any concerns with your healthcare provider and to seek out licensed and experienced practitioners who know how to modify their techniques to ensure the safety of both you and your baby.
Our practice can be found at www.maternalresources.org As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows | |||
| 03 Mar 2022 | Pubic Symphysis Pain in Pregnancy: Episode #83 | 00:15:24 | |
Pubic symphysis pain which is also known as symphysis pubis dysfunction refers to symptoms a patient feels when the joint between the left and right pelvic bones allows for more movement than usual. This is a common discomfort in pregnancy due to the increase in the relaxation and increased mobility of the of the ligaments surrounding the pelvis. Unfortunately, this can cause a lot of pain in the pregnancy. In this episode, the causes and remedies are reviewed for pubic symphysis pain.
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
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| 23 Dec 2021 | Anemia in Pregnancy: Episode #63 | 00:15:00 | |
Anemia in pregnancy is a common concern that affects a significant number of expectant mothers worldwide. It is characterized by a deficiency of red blood cells or a decrease in the level of hemoglobin, the protein responsible for carrying oxygen throughout the body. Pregnancy places additional demands on a woman's body, as she needs to supply oxygen and nutrients to both herself and her growing baby. Consequently, anemia during pregnancy can have various adverse effects. Firstly, anemia can lead to fatigue, weakness, and a decreased ability to perform daily tasks. The decreased oxygen-carrying capacity of the blood can result in feelings of exhaustion, making it challenging for pregnant individuals to maintain their usual level of physical activity. Additionally, severe anemia can pose serious risks to the baby, including preterm birth and low birth weight. Furthermore, maternal anemia can increase the risk of postpartum hemorrhage and impact the overall well-being of both mother and child. Therefore, early detection and appropriate management, often through iron supplementation and dietary adjustments, are crucial to ensuring a healthy pregnancy and a positive outcome for both mother and baby.
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 | |||
| 17 Apr 2023 | Roadside Delivery: When the Baby Can't Wait for the Hospital: Episode #126 | 00:29:33 | |
Extramural delivery is a term used to describe a situation in which a woman gives birth outside of a hospital or birth center setting. This can happen for a variety of reasons, such as a fast labor, lack of transportation, or unexpected complications. While extramural delivery is relatively rare, it can be a stressful and dangerous situation for both the mother and baby. So, what can you do if you find yourself in this situation? Here are some steps to take:
Extramural delivery in childbirth can be a stressful and dangerous situation, but by staying calm, calling for help, and preparing for delivery, you can increase the likelihood of a positive outcome. Remember to seek medical attention as soon as possible, even if everything appears to have gone smoothly, to ensure that both you and your baby are healthy and safe.
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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 13 Jan 2022 | Round Ligament Pain: Episode #69 | 00:09:32 | |
The round ligaments are ligaments that sit near the uterus and, pass near the inguinal canal and end in the labia majora. It is a very common report in pregnancy to experience pain in the round ligament area. The pain is most common in the second trimester and can be on either the right or left side and often described as a pulling sensation. It is thought to be caused by irritation of the nerve fibers along the ligament. In this episode, we discuss treatments and the best course of action in pregnancy. Pregnancy is a remarkable journey, but it can come with its fair share of discomforts. One common discomfort experienced by many expectant mothers is round ligament pain. In this blog post, we will delve into the causes, symptoms, and methods of relief for round ligament pain, providing insights to help pregnant women better manage this discomfort. Round ligament pain is a common complaint during pregnancy, especially during the second trimester. The round ligaments are bands of tissue that support the uterus and stretch as the baby grows. As the ligaments stretch and accommodate the expanding uterus, they can become strained, leading to pain. This pain is often described as sharp, stabbing, or aching, and typically occurs on one or both sides of the lower abdomen or groin area. The primary cause of round ligament pain is the stretching and pulling of the round ligaments to accommodate the growing uterus. Activities that involve sudden movements, such as coughing, sneezing, laughing, or changing positions quickly, can trigger or exacerbate the pain. Physical exertion, such as exercise or lifting heavy objects, may also contribute to the discomfort. Round ligament pain is characterized by sharp or stabbing pain on one or both sides of the lower abdomen or groin. The pain is often short-lived but can sometimes last for several minutes. It is typically more pronounced when transitioning from a resting to an active state. While round ligament pain is usually harmless, it is important to consult with a healthcare provider to rule out other potential causes of abdominal pain and ensure an accurate diagnosis. Several strategies can help alleviate round ligament pain and provide relief to expectant mothers. These include:
Round ligament pain is a common discomfort experienced during pregnancy, caused by the stretching and pulling of the round ligaments supporting the growing uterus. By understanding the causes, recognizing the symptoms, and adopting appropriate strategies for relief, expectant mothers can manage this discomfort and continue to embrace the joy of their pregnancy journey with greater ease
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 | |||
| 11 Mar 2024 | A Day in the Life of an OB/GYN | 00:58:50 | |
A typical day for an OB/GYN on the labor floor in Labor and Delivery (L&D) is dynamic and multifaceted, blending clinical acumen with compassionate patient care. Their day begins with rounding on patients who are in various stages of labor, assessing their progress, and managing any complications that arise. Throughout the day, the OB/GYN is constantly on the move, alternating between the labor ward, the operating room for cesarean sections, and the antepartum unit for high-risk pregnancies. They collaborate closely with nurses, midwives, and other healthcare professionals to develop care plans, conduct deliveries, and provide postpartum care. The OB/GYN must be prepared to make quick decisions in response to emergent situations, such as fetal distress or pre-eclampsia, ensuring the health and safety of both mother and baby. Amidst the clinical duties, they also find time to counsel and reassure expectant parents, guiding them through one of the most significant moments of their lives. Each day is unpredictable and rewarding, filled with the joy of new beginnings and the satisfaction of overcoming challenges. 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 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. | |||
| 14 Feb 2022 | Epidurals in Labor & Delivery: Episode #78 | 00:56:36 | |
Epidural anesthesia is a type of local anesthetic that is injected into the epidural space. This procedure numbs the spinal nerve roots and provides a block to the lower abdomin, pelvic and lower extremity portion of the body. It is the safest and most effecive method of pharmacologic pain management in labor available. In this episode, True Birth reviews all the pros and cons of epidurals.
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 | |||
| 27 Jan 2022 | Group Beta Strep (GBS) in Pregnancy: Episode #73 | 00:14:49 | |
Group B Strep BacteriaIn this episode, we talk about Group B Strep bacteria found on the lower genital tract. The reason why Group B Strep is a problem, how to know the women with Group B Strep, how to treat women with the bacteria and, why women with Group B Strep are not given antibiotics before labor.
Timestamps [01:38] About Group B Strep bacteria [03:31] The reason why the bacteria is a problem [05:30] How to know the women with Group B Strep [07:12] How to treat women with the bacteria [09:34] Why women with Group B Strep are not given antibiotics before labor [12:12] The test for Group B Strep
Notable quotes
Resource links
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 | |||
| 01 Aug 2022 | Labor & Delivery acronyms and shorthand: Episode #109 | 00:20:14 | |
We've included a list of the most common acronyms and short hand lingo used common in with medical professionals in labor and delivery. This is a great refrence for when you are surronded by new medical lingo and acronyms and you need some help naviating through.
We'd love to hear from you and hear what topics you would like us to cover. If you are interested in more information about our practice love C/S delivery rate, VBACs, twins or breech deliveries. 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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 10 Jan 2022 | Induction of Labor: Episode #68 | 00:48:50 | |
Induction of labor has been a topic of debate and study in the field of obstetrics for many years. One of the key discussions surrounding this practice is its potential impact on the rate of cesarean delivery. In this blog post, we will explore the findings of the landmark ARRIVE Trial and discuss why induction of labor can reduce the chance of cesarean delivery. The ARRIVE Trial, published in the New England Journal of Medicine in 2018, was a randomized control trial involving over 6,100 patients, 41 hospitals, and a duration of 40 months. It focused on comparing induction of labor at 39 weeks gestation with expectant management among low-risk nulliparous women. The study found no difference in the primary outcome of perinatal morbidity or mortality between the induction and expectant management groups. However, what caught the attention of many was the significantly lower cesarean rate in the induction group. The trial's results were groundbreaking, as they challenged previous studies that suggested induction of labor increased the risk of cesarean delivery. The relative risk of cesarean delivery was reduced from 22.2% to 18.6% in the induction group, which was statistically significant. This finding aligned with the philosophy and practice of individualized induction of labor recommended by many obstetricians. It is important to note that the ARRIVE Trial did not address the individualization of induction. Each patient's case should be evaluated based on factors such as estimated fetal weight by ultrasound, maternal height/pelvis, and the readiness of the cervix (Bishop score). The patient's comfort and preferences regarding induction should also be taken into account. To understand why the results of the ARRIVE Trial differed from earlier studies, we need to examine the flaws in those studies. Early studies comparing induction of labor to spontaneous labor used an incorrect control group for comparison. They compared women who underwent induction at a specific gestational age to women who went into spontaneous labor at the same gestation age. However, the alternative to induction is not spontaneous labor but conservative management. This flaw in the study design led to inaccurate conclusions. Moreover, early studies were observational and lacked the rigorous design of randomized controlled trials (RCTs). RCTs are considered the gold standard in clinical trials as they involve random assignment of patients to different groups and prospectively study outcomes. RCTs eliminate bias in patient selection and provide more reliable results. Let's dive into the advantages of labor induction and how it mitigates the likelihood of cesarean delivery. By initiating labor at 39 weeks in an uncomplicated pregnancy, we facilitate prompt intervention when unexpected complications may arise. This proactive approach prevents excessive fetal growth, which can lead to labor difficulties and potential obstruction. Moreover, induction minimizes the potential risks associated with aging placenta, thus safeguarding the baby's well-being throughout the labor process While induction of labor can be beneficial in reducing the risk of cesarean delivery, it should be used judiciously and with thorough patient consultation. Protocols often require continuous monitoring and the use of medications like pitocin, limiting the freedom of movement during labor. The intensity of labor may also increase, potentially leading to the need for an epidural. Therefore, patients with a preference for natural labor may approach induction more cautiously. The ARRIVE Trial and subsequent research have shed light on the benefits of induction of labor in reducing the chance of cesarean delivery. However, individualization is key when considering this intervention, taking into account various factors that can influence the success and safety of the induction process. Shared decision-making between healthcare providers and patients remains crucial to ensure the best outcomes for both mothers and babies
Our practice can be found at www.maternalresources.org As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob https://www.truebirthpodcast.com | |||
| 20 May 2024 | Twin Vaginal Delivery. What to Expect. Episdoe #153 | 00:54:39 | |
| 28 Mar 2022 | Sciatica, Muscle Cramps & Leg Pain in Pregnancy. Episode #88 | 00:26:27 | |
Different types of leg pain in pregnancy are reviewed.
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 | |||
| 05 Sep 2022 | Circumcision: Episode #114 | 00:27:36 | |
Today’s episode of True Birth is all about circumcision. Circumcision often falls under the category of obstetrics, and many obstetricians are the ones who perform circumcisions at the hospital because it’s considered surgical.
It’s rare to need a suture or have bleeding complications after an infant is circumcised, but having someone familiar with surgery perform the procedure is an added advantage, just in case.
Historically, removing the foreskin of the penis was thought to prevent certain medical complications, but nowadays, many of those beliefs have been debunked. Many people choose to have their male children circumcised because of tradition. For instance, in the U.S., about 71% percent of biological males are circumcised, but in many other countries, that statistic is much lower.
Some medical considerations could delay the timing of the procedure: if the baby is premature or has any homeostasis issues, the procedure should be postponed until it’s safer.
One common instrument used for circumcision is called the Gomco clamp, which lowers the amount of bleeding. Pain medication such as local, non-epi lidocaine is often given. Alternately, a Mogan instrument can be used, but Dr. Abdelhak doesn’t necessarily prefer it because the shape of the cut often doesn’t present as clean-looking initially.
The primary necessity in the procedure is knowing where on the skin to cut. Understand that for a few days before skin regrowth; the area will look quite bare and raw.
Jewish patients often choose to bring their baby back eight days after birth to make it a bris circumcision in accordance with religious tradition. When this is the case, Dr. Abelhak includes a special blessing and respectfully follows the Kosher protocol wherever applicable. We’ll hear some of his accounts of times that Jewish patients came to the office for their child’s bris and why this option might be culturally advantageous for many families.
We hope this episode clarifies some of the details of circumcision for you and adds to your ever-growing knowledge base on pregnancy and birth.
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
Maternal Resources’ website is:
Remember to subscribe wherever you listen, and leave us a review!
Our Social Channels are as follows | |||
| 22 May 2023 | Placenta Variations. Different types of Placentas in Pregnancy: Episode #128 | 00:16:13 | |
The placenta, a remarkable organ facilitating the vital exchange of nutrients and waste between mother and fetus, exhibits incredible diversity in its structure and composition. Beyond the conventional placental configurations, such as the discoid shape, several intriguing variations have been discovered. In this blog post, we embark on an enlightening journey to explore and understand four distinctive placental anomalies: circumvallate placenta, balltledore placenta, vasa previa, and accessory lobe placenta. Join us as we delve into these fascinating adaptations and uncover their implications for pregnancy and maternal-fetal health. Circumvallate Placenta: Unraveling the Ring of Mystique The circumvallate placenta, a captivating anomaly characterized by a raised ring around its periphery, captures our attention first. We delve into the etiology, prevalence, and potential complications associated with this unique placental variant. Additionally, we shed light on the diagnostic methods employed to identify circumvallate placenta and the impact it may have on fetal growth and maternal well-being. Balltledore Placenta: Peeling Back the Layers of Complexity Intriguing and enigmatic, the balltledore placenta exhibits an unusual lobed appearance, distinct from the typical discoid shape. We embark on an exploration of the developmental mechanisms underlying this fascinating variation. Moreover, we examine the potential ramifications of a balltledore placenta on maternal health, fetal growth, and the overall progress of pregnancy. Vasa Previa: Navigating the Precarious Pathways Vasa previa, a rare and potentially life-threatening condition, captures our attention next. We delve into the anatomy and pathophysiology of vasa previa, highlighting the presence of fetal blood vessels crossing the cervical os or lying in close proximity to it. Through an in-depth analysis, we emphasize the critical importance of early detection, prenatal monitoring, and timely intervention to mitigate the potential risks associated with vasa previa and safeguard the well-being of both mother and baby. Accessory Lobe Placenta: The Unseen Intruder Our exploration of placental anomalies concludes with a closer look at the accessory lobe placenta. Often concealed and unnoticed, this variant manifests as an additional lobe attached to the main placental mass. We unravel the diagnostic challenges associated with identifying accessory lobe placenta and shed light on its implications for maternal health and fetal development. Furthermore, we explore the potential obstetric complications and management strategies that healthcare providers employ to ensure optimal outcomes in pregnancies affected by this hidden intruder. Placental lakes, intriguing pools of blood within the placenta, form an enigmatic feature worthy of exploration. These fluid-filled spaces, ranging in size and distribution, arise from the branching and coalescence of maternal blood vessels within the placental tissue. Placental lakes often appear as dark, irregularly shaped areas on ultrasound scans, and their presence can indicate underlying placental abnormalities or complications. While small placental lakes are usually considered normal and benign, larger or extensive placental lakes may raise concerns regarding impaired placental function and potential risks to fetal health. In-depth monitoring and evaluation are crucial when placental lakes are detected, as they can serve as indicators of underlying conditions that require appropriate management to ensure a successful pregnancy outcome. Placental anomalies, such as circumvallate placenta, balltledore placenta, vasa previa, and accessory lobe placenta, serve as captivating reminders of the incredible intricacy and adaptability of the human body. As we uncover the mysteries surrounding these unique variations, it becomes evident that each holds profound implications for pregnancy, childbirth, and maternal-fetal health. By increasing awareness and understanding, we empower healthcare professionals and expectant parents to navigate these distinctive scenarios with confidence, ensuring the best possible outcomes for all involved.
Our practice can be found at www.maternalresources.org
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob https://www.truebirthpodcast.com | |||
| 13 Nov 2023 | Navigating the OB Healthcare System in the US: Episode #142 | 00:38:35 | |
Navigating the healthcare payor system in the United States can be a complex and sometimes overwhelming task. Understanding the intricacies of in-network and out-of-network insurance, as well as co-pays and deductibles, is crucial for making informed decisions about your healthcare. Here's a guide to help you through this labyrinth. Understanding Your Insurance Plan1. In-Network vs. Out-of-Network:
2. Co-Pays and Co-Insurance:
Deductibles and Out-of-Pocket Maximums
Tips for Navigating the System
Clinical care in private physician offices and hospital-owned practices can differ in several key aspects. Private physician offices are typically owned and operated by individual doctors or small groups of physicians. These settings often provide a more personalized experience, as the physicians may have a smaller patient base and can offer more individualized attention. The administrative processes in private practices are usually more straightforward, potentially leading to a quicker and more efficient patient experience. On the other hand, hospital-owned practices are part of larger healthcare systems. They often have access to more extensive resources, including specialized equipment and a broader range of healthcare professionals. These practices can offer a more integrated approach to care, especially for patients with complex health needs, as they have direct links to the hospital's services and specialists. However, this can sometimes come with a less personal touch and potentially more bureaucratic processes due to the larger system's structure. ConclusionNavigating the U.S. healthcare payor system requires patience and a good understanding of your insurance plan. By being proactive and informed, you can make choices that suit your healthcare needs while also managing your financial obligations. Remember, when in doubt, reaching out to your insurance provider for clarification can help alleviate confusion and ensure you make the most out of your healthcare plan.
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 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. | |||
| 24 Jul 2023 | Pregnancy and the Working Mom: Episode #135 | 00:30:54 | |
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. | |||
| 27 Feb 2023 | Dr. Mother Nature's OB/GYN Clinic. Episode #119 | 00:37:44 | |
What would happen if Mother Nature opened a labor and delivery unit? In a world where labor and delivery were left to all things natural, and there were no doctors to guide the process, how would women and babies fair? Before the advent of modern medicine, women relied on Mother Nature to ensure a safe delivery. But without medical intervention, complications were much more common than they are today As time passed, communities began to realize the importance of medical care during childbirth. They trained midwives and created clinics to provide prenatal and postnatal care. Women no longer had to rely solely on chance for a safe delivery. Although Mother Nature still plays a role, medical intervention can be a great asset to achieve better outcomes. As a result, childbirth became safer and more women and babies had healthier births.
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
Maternal Resources’ website is:
Remember to subscribe wherever you listen, and leave us a review!
Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 26 Feb 2024 | Back pain in Pregnancy. Episode: #149 | 00:24:29 | |
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 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.
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| 16 Dec 2021 | Retained Placenta: Episode #61 | 00:15:26 | |
Retained placenta is when the placenta is not delivered within 30 minutes of the delivery of the baby. Some facilities or institutions will consider the placenta to be retained only after 60 minutes or even more, but for the majority of locations, 30 minutes is considered a placenta that is retained (stuck). There prevalence of retained placenta is about 2-3% of deliverer and can happen in vaginal deliveries or cesarean births. There are several factors that can increase the changes of a retained placenta such as :
In the episode, we discuss what to expect in the case of a retained placenta. We hope you are enjoying this and all of our podcasts. Please share with a friend and tell them about your favorite episode. We greatly appreciate those of you who have written in and told us about what you want to hear about in pregnancy and birth. Please keep these notes coming. You can reach out to us directly on our website on www.truebirthpodcast.com 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
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| 08 Aug 2022 | Postpartum Depression: Episode #110 | 00:36:47 | |
Postpartum Depression (PPD) is a depressive period or series of depressive episodes that can happen after the birth of a baby. While there is some debate, most psychological and OB/GYN experts agree that any depression that occurs within the first 12 months after birth may be related to the birth. This type of depression affects 1 in 7 moms and 1 in 10 dads. Postpartum Depression is not to be confused with postpartum anxiety or perinatal depression and anxiety which can occur shortly before or during pregnancy. These types of anxiety and depression are not covered in this episode. The suspected incidence is hard to pinpoint and has a large range as some parents are now aware they are experiencing postpartum depression until months or even years later. The symptoms can be confused or confounded with sleep deprivation and new onset sleep disorders that often follow the birth of a baby. The rate of PPD is higher in low and middle income countries. Many studies have landed on the incidence of PPD to be around 10-20% and a parent is 50% more likley to end up in this staistic if they had a history of depression prior. More than 50% of PPD presents by 6 months postpartum.
This epsiode is a from the perspective of the OB/GYN on the first steps in identifying and beginning treatment and connection to resources.
A great resource for everything related to PPD including support groups nationwide can be found on this website As always, we'd love to hear from you!. Please drop us a line on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org 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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 20 Feb 2023 | VBAC2: Vaginal Delivery after two previous Cesarean Deliveries: Episode #118 | 00:29:48 | |
VBAC stands for Vaginal Birth After Cesarean, which is a delivery method chosen by women who have previously had a c-section but want to deliver vaginally for their next birth. VBAC2, on the other hand, refers to the second or subsequent vaginal birth after a c-section. VBAC and VBAC2 are two different terms that can be confusing for new parents. Women who have had a previous c-section may be wondering about their options for future deliveries. So, let's break down the difference between these two terms. VBAC: Vaginal Birth After Cesarean, or VBAC, is a safe and successful option for many women who have previously delivered by c-section. The American College of Obstetricians and Gynecologists (ACOG) states that women who have had one prior low transverse uterine incision are candidates for VBAC. The success rate for VBAC is high, around 60-80%, and it has several benefits over repeat c-section, including a shorter recovery time, a reduced risk of surgical complications, and a lower risk of infections. However, VBAC is not recommended for all women, as it carries a small risk of uterine rupture, which can be life-threatening for both mother and baby. Other factors, such as the reason for the previous c-section, may also play a role in determining whether VBAC is a safe option for a woman. However, just like with VBAC, there are factors to consider when deciding whether VBAC2 is a safe option. Women who have had multiple c-sections or a previous uterine rupture may not be good candidates for VBAC or VBAC2, yet VBAC2 may still be safe and recommended or some women. VBAC and VBAC2 are both viable options for women who have previously had a c-section and want to deliver vaginally in the future. VBAC is a safe option for most women with one or two prior low transverse uterine incisions. It is important to discuss your options with your healthcare provider, who can help you make an informed decision based on your medical history and individual circumstances. As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob | |||
| 07 Jun 2022 | RH Factor in Pregnancy: Episode #101 | 00:32:04 | |
RH factor in pregnancy and RhD alloimmunization in pregnancy. What happends when a patient has RH negative blood during prengnacy and what happends when alloimmunization takes place. RhD-negative patients who deliver an RhD-positive newborn or who are otherwise exposed to RhD-positive red blood cells are at risk of developing antibodies which can leadd to alloimmunization. This primarily affects a subsequent pregnancy if the patient is exposed to RhD positive blood during the pregnancy or labor.
If the next pregnacy has a RhD-positive fetuses, that pregnancy is at risk for developing hemolytic disease of the fetus and newborn (HDFN), which can be associated with serious fetal anemia and fetal hydrops. This episode reviews the importance of the Rh factor in pregnancy.
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 | |||
| 29 Jul 2024 | The OB/GYN Shortage in the US: Episode 155 | 00:35:55 | |
The Growing OB/GYN Shortage in the United States: Causes and Implications The United States is currently facing a significant shortage of obstetricians and gynecologists (OB/GYNs), a crisis that poses serious implications for women’s health care across the nation. This shortage is driven by a combination of factors that are causing many OB/GYNs to leave the field and deterring new doctors from entering it. High Stress and Burnout One of the primary reasons for the OB/GYN shortage is the high level of stress and burnout associated with the profession. OB/GYNs often work long hours, are on call frequently, and deal with high-stakes situations such as childbirth complications and emergency surgeries. The intense pressure and demanding schedule can lead to burnout, causing many practitioners to reduce their hours, retire early, or switch to less demanding specialties. Malpractice Insurance Costs OB/GYNs face some of the highest malpractice insurance premiums in the medical field due to the risks associated with childbirth and surgical procedures. The fear of litigation and the financial burden of high insurance costs are significant deterrents for both current and prospective OB/GYNs. This financial strain can make it less appealing for medical students to choose OB/GYN as their specialty, exacerbating the shortage. Decreased Reimbursement Rates Another contributing factor is the declining reimbursement rates for obstetric and gynecological services. Insurance companies and government programs have reduced the amount they pay for these services, making it financially challenging for OB/GYNs to sustain their practices. This economic pressure has led some doctors to leave the field or limit the number of obstetric services they offer. Aging Workforce The OB/GYN workforce is aging, with a large number of practitioners nearing retirement age. As these experienced doctors retire, there are not enough new OB/GYNs entering the field to replace them. The aging population also means that there is an increasing demand for gynecological care, further straining the already limited resources. Geographical Disparities The OB/GYN shortage is particularly severe in rural and underserved urban areas. Many OB/GYNs prefer to practice in larger cities where they can access better facilities, support, and lifestyle amenities. This leaves rural communities and economically disadvantaged areas with inadequate access to essential women’s health services, resulting in higher maternal and infant mortality rates in these regions. Impact on Women’s Health The shortage of OB/GYNs has serious implications for women’s health. Longer wait times for appointments, reduced access to prenatal and reproductive care, and increased travel distances to see a specialist are some of the immediate consequences. The lack of accessible OB/GYN services can lead to delayed diagnoses and treatments, negatively impacting health outcomes for women and newborns. Addressing the Shortage Addressing the OB/GYN shortage requires a multi-faceted approach. Potential solutions include increasing funding for medical education and residency programs to attract more students to the field, implementing loan forgiveness programs for those who choose to work in underserved areas, and advocating for policies that reduce the financial and legal burdens on OB/GYNs. Improving work-life balance through flexible scheduling and better support systems can also help retain current practitioners and reduce burnout. In conclusion, the OB/GYN shortage in the US is a complex issue with far-reaching effects on women’s health care. By understanding the causes and working towards sustainable solutions, it is possible to ensure that all women have access to the essential reproductive and obstetric care they need.
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 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. | |||
| 13 Jun 2022 | Postpartum Hemorrhage: Uterine Atony. Episode #102 | 00:32:51 | |
Postpartum hemorrhage (PPH) is heavy or excessive bleeding after giving birth. There are several reasons why PPH may occur following delivery. In this episode, postpartum hemorrhage as a result of uteirne atony is reviewed. Uterine atony is when the placenta deliveres but the uterus does not cramp down and stop its own bleeding following birth. After birth, there is a natural mechanism where the uterus itself acts as it's own mechanical block of excessive bleedding. When the uterus does not cramp down, uterine atony ensures and excessive bleeding can be the result. We'll review identificatoin, treatment, and. prevnetion.
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 | |||
| 20 Jun 2022 | Midwives, OB/GYNs, Perinatologists, MFMs: What's the difference? Episode #103 | 00:43:43 | |
What is the difference between midwives, OB/GYNs, and high risk MFM specilaits? What about douals. and labor coaches? Is a midwive like an OB/GYN? Isn't a midwife just a doula? What are the differences between each?
According the the American College of Midwives the definition of midwifery is: "Midwifery as practiced by certified nurse-midwives (CNMs®) and certified midwives (CMs®) encompasses a full range of primary health care services for women from adolescence beyond menopause. These services include the independent provision of primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods; admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. These services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers."
The definition of an OB/GYN from the American College of Obstetricians and Gynecologist is: "Ob-gyns are doctors who have special training and education in women’s health care. They are dedicated to the medical and surgical care of women’s health throughout the lifespan. Ob-gyns who are members of ACOG are called Fellows or Junior Fellows. ACOG Fellows are ob-gyns who are board certified in obstetrics, gynecology, or both. They are identified by the initials FACOG after their name. ACOG Junior Fellows are ob-gyn residents or recent graduates of an approved residency program and not yet board certified. Some ob-gyns have extra training in a focused area of women’s health care. These areas include:
The defintion of a doula or a labor coach from the Doulas of North America is: "A [doula] is a trained professional who provides continuous physical, emotional and informationl support to a mother before, during and shortly after childbirth to help her ahieve the healtiest, most satifying expericne possible."
An MFM (Maternal Fetal Medicine) specilaist is: "Maternal-Fetal Medicine (MFM) physicians are high-risk pregnancy experts, specializing in the un-routine. For moms-to-be with chronic health problems, we work with other specialists in an office or hospital setting to keep mom healthy as her body changes and her baby grows. We also care for moms who face unexpected problems that develop during pregnancy, such as early labor, bleeding, or high blood pressure. We’re the go-to for moms who arrive in the hospital while they are pregnant for any reason, whether after an accident or at the onset of a kidney infection. In other cases, it’s the baby who faces the un-routine. If we find birth defects or growth problems, we can start treatment before birth, providing monitoring, blood transfusions and surgery to support babies with the best possible care until they are ready to arrive in the world. TrainingA maternal-fetal medicine sub-specialist is an obstetrician/gynecologist who has completed 4 years of Ob/Gyn training followed by 2-3 years of additional education and clinical experience to develop specialized skills to help both the mom and baby before and during an un-routine pregnancy. Our training includes both medical treatment and complex procedures for moms and babies. We are high-risk pregnancy experts. Our extra training enables us to conduct and interpret research on new approaches for pregnancy problems. Through educational courses, development of clinical protocols, and research, we share our knowledge of optimal care for complicated pregnancies with others. Our overarching goal is to improve outcomes for moms and babies. Maternal-Fetal Medicine physicians partner with multiple caregivers to consult, co-manage or care directly for complicated situations, both before, during and after pregnancy. We know it takes a team --starting with the mother and her family--to navigate the un-routine and achieve the best possible outcome. When should I see an MFM Specialist?MFM specialists treat two patients at the same time. We partner with the mom-to-be, her family, and her medical team to navigate the un-routine and achieve the best possible outcome. We see families who have experienced un-routine pregnancies in the past, mothers with chronic health conditions, and women who develop unexpected problems during their pregnancy. Learn More"
We hope you enjoyed our podcast about how each of these important aspects of childbirth and birthing medicine are uniquley beneficial in the field of reporduction. As alwasys we'd love to get your feedback. Please email us at info@maternalresoures.org or visit our podcast website to leave a comment or feedback regarding this or any episode.
One final comment, Kristin mentions incluidng the Muni Train information fo anyone who wants to check out what part of the San Francisoc train system looks like. You can find it here
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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 18 Apr 2022 | Maternal Resources. Where Nature is What We Nurture: Episode #92 | 00:37:17 | |
Dr. Yaakov Abdelhak explains the inception of Maternal Resources, what makes it tick and how it's the most special place on the planet to have a baby. Find out why familes come from over 5 different states to deliver with this special team. Maternal Resources is a renowned OB/GYN practice located in the northeastern region of New Jersey. With a dedicated team of perinatologists, OB/GYNs, and midwives, Maternal Resources is committed to delivering exceptional care to women throughout their reproductive journey. From prenatal care to childbirth and beyond, their comprehensive approach ensures the well-being of both mother and baby. Expertise and Specializations At Maternal Resources, a team of highly skilled healthcare professionals works together to provide specialized care. Led by Dr. Yaakov Abdelhak, a perinatologist and maternal-fetal medicine specialist, the practice excels in managing high-risk obstetrics. Dr. Abdelhak's expertise includes complex cases such as vaginal breech deliveries, external cephalic versions (ECV), preterm labor, and uterine anomalies. Additionally, Maternal Resources is well-equipped to handle vaginal twins and triplets deliveries. Collaborative Approach Maternal Resources takes a collaborative and modern approach to optimize birth outcomes and enhance the birth experience. Dr. Abdelhak works in conjunction with Dr. Ratzersdorfer, Dr. Resnikoff, and Kristin Mallon CNM to provide comprehensive care. This unique collaboration brings together the skills and expertise of perinatologists, physician OB/GYNs, and a certified nurse midwife. By leveraging their diverse medical backgrounds, the team aims to achieve high vaginal delivery rates and better birth experiences for women and their families. Reduced Cesarean Delivery Rates and VBAC Success Maternal Resources is committed to avoiding unnecessary cesarean deliveries. As a practice that promotes successful vaginal childbirth whenever safe, they have achieved lower cesarean delivery rates. Their focus on reducing surgical interventions has led to an exceptionally high success rate for vaginal birth after cesarean (VBAC). With their expertise and support, over 85% of patients who have had previous cesarean deliveries have been able to deliver vaginally. Maternal Resources is a trusted OB/GYN practice in northeastern New Jersey that prioritizes providing exceptional care for women throughout their reproductive journey. With a skilled team of perinatologists, OB/GYNs, and midwives, they offer specialized services, reduced cesarean delivery rates, and a high success rate for VBAC. Their collaborative and modern approach ensures better birth outcomes and an improved birthing experience for women and their families.
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
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| 16 May 2022 | Diagnostic Imaging in Pregnancy: X-Rays, CT Scans, MRIs and Ultrasound: Episode #97 | 00:24:40 | |
Radiology and imaging techniques in pregnancy are reviewed such as x-rays, CT scans and MRIs. Find out when it is safe to get imaging done in prengnacy. The United States Preventive Services Task Force (USPSTF) recommend that routine X-rays and other diagnostic procedures be avoided during pregnancy primarily because if it can be delayed, that is advisable. However, they state that imaging studies are sometimes unavoidable and some may be medically necessary. In this podcast, we explain what imaging in pregnancy is 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 | |||
| 22 Jan 2024 | How to Choose a VBAC Friendly Provider: Episode #147 | 00:19:51 | |
| 07 Mar 2022 | Macrosomia: Large for Gestational Age Infants: Episode #84 | 00:43:00 | |
Macrosomia refers to a fetus larger than 4000 to 4500 grams (or 9 to 10 pounds) at birth. About 9% of infants are born macrosomic and there is a wide variation of size by country.
When a baby is large or even too large for vaginal birth, there can be several complications (maternal, fetal and neonatal) that can arise. Maternal complications can include: slowed or stopped labor, an increase in instrumentation at birth (forceps or vaccum), an increase in cesarean birth, an increase in lacerations along the genital tract, postpartum hemorrhage or even uterine rupture. Fetal complications can include shoulder dystocia or even stillbirth. Neonatal complications include high sugar after birth, respiratory problems and even minor birth defects can be found all leading to an increase in NICU admissions after birth. In this episode, our True Birth experts discuss everything about macrosmia from complications to causes and prevention strategies. Find out all you need to know about macrosomia on this True Birth Podcast.
We'd love to hear your feedback. You can reach us on our website at www.truebirthpodcast.com
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
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| 17 Feb 2022 | Listener Mail. Episode #79 | 00:21:10 | |
We've compiled all your emails and answered them in this listener mail episode. 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 | |||
| 06 Mar 2023 | Uterine Scar Pregnancies. What happens when a pregnancy implants on a previous uterine scar? Episode #120 | 00:19:02 | |
A scar pregnancy is a rare type of ectopic pregnancy where the fertilized egg implants in the scar tissue of a previous cesarean section or other surgical procedure in the uterus, rather than in the lining of the uterus where a normal pregnancy should occur. This can occur when the scar tissue is not fully healed or is weakened, allowing the fertilized egg to implant and grow in the scar tissue where the uterine muscle can be weakened. Scar pregnancy can be dangerous, as the scar tissue may not be able to support the growing embryo and can rupture or cause other complications, but it is not always associated with miscarriage or loss of the pregnancy. A scar pregnnacy can actually produce a live. birth. In addition, scar pregnancy can be difficult to diagnose, as it may not produce typical pregnancy symptoms and may not be visible on a standard ultrasound. A highly trained expert sonographer is generally what is needed for diagnosis. Dr. Ilan Timor is an expert OB/GYN with extensive years in scanning for these types of pregnancies and is world-renown in how to treat and diagnosis these types of pregnancies. Fortunate of us a Maternal Resources, he has recenlty joined our team and can assist us in the diagnosis, treatment and managment of different types of pregnancies. From Dr. Timor's perspective he doesn't alwasy consider a scar pregnancy an ectopic pregnancy. It is generally accepted in the medical community that a scar pregnancy is a type of ectopic pregnancy, despite the fact that the gestational sac is located within the uterus. This is because the fertilized egg has implanted in scar tissue outside of the normal location in the endometrial lining of the uterus. In fact, the American College of Obstetricians and Gynecologists (ACOG) defines an ectopic pregnancy as "any gestation that implants outside the endometrial lining of the uterine cavity." This includes implantation in the fallopian tube (the most common location for ectopic pregnancy), as well as other locations outside the uterus, such as the cervix, ovaries, and abdominal cavity. While scar pregnancy is a relatively rare type of ectopic pregnancy, it can still pose serious health risks and requires prompt medical attention and treatment. Treatment for scar pregnancy typically involves surgical removal of the ectopic pregnancy and the scar tissue, in order to prevent further complications and preserve the health of the uterus. Maintaining the integrity of the uterus is very important in scar pregnancies. When a fertilized egg implants in the scar tissue of a previous cesarean section or other surgical procedure, it can weaken the scar tissue and put the integrity of the uterus at risk. Scar tissue may be thinner and more prone to tearing, which can lead to bleeding and other complications. If a scar pregnancy is not treated promptly, it can result in further damage to the uterus and potentially require more extensive surgical intervention, such as a hysterectomy. Therefore, early detection and prompt treatment of scar pregnancy is important to preserve the health and integrity of the uterus. Treatment typically involves the removal of the ectopic pregnancy and scar tissue, which may be done through surgery or medication depending on the severity of the case. If you suspect you may have a scar pregnancy, it is important to seek medical attention right away. Your healthcare provider can perform an ultrasound and other diagnostic tests to determine the best course of treatment for your individual situation.
Dr. Timor can be found in our practice at www.maternalresources.org As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows | |||
| 10 Jun 2024 | Online Reviews for Doctors. Are they to be Trusted? Episode #154 | 00:22:10 | |
Should You Trust Online Reviews? The Pros and Cons of Relying on Online FeedbackIn our increasingly digital world, online reviews have become a staple for making decisions, especially when it comes to choosing healthcare providers. But with so much information at our fingertips, how do we know if we should trust these reviews? Let's explore the pros and cons of trusting online reviews to help you navigate this critical decision-making tool. The Pros of Trusting Online Reviews1. Access to Collective Experiences
2. Convenience and Accessibility
3. Insight into Patient Satisfaction
The Cons of Trusting Online Reviews1. Risk of Misleading Information
2. Lack of Verification
3. Inconsistent Quality of Reviews
Finding a Balanced ApproachGiven these pros and cons, how should you approach online reviews? Here are some strategies to help you make the most of the information available: 1. Look for Consistency
2. Use Multiple Sources
3. Consider the Context
4. Use Reviews as a Starting Point
While online reviews can be a valuable tool for making informed decisions about healthcare providers, it's essential to approach them with a critical eye. By recognizing their limitations and using them in conjunction with other information, you can make a more informed and confident choice.
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 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.
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| 14 Mar 2022 | Precipitous Labor & Delivery: Episode #86 | 00:29:03 | |
Precipitous labor is labor that is rapid, usually 3 hours or less from start to finish. This episode is a follow up to a previous episode with some new insights. To some, precipitous labor may sound like a great idea because the labor can be over very quickly, but it can be associated with other complications. In this episode, we review the risk factors, the potential risks and how to spot who may be more susceptible to having a rapid labor.
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
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| 09 May 2022 | Uterine Anomalies in Pregnancy: Episode #96 | 00:38:14 | |
Different types of uterine shapes and sizes are reivewed and how they affect pregnancy and delivery, mainly septate, unicornuate, bicornuate, and didelphys uterus. Each of these different types of congential uterine differences can have different affects during pregnancy and labor leading to an increase in preterm labor, spontaneous miscarriage, or malpresentation of the fetal presenting part. Even though there is a slight increase in undesired outcomes, overall most pregnancies are healthy and normal even with a uterus that has an unusal shape, size or volume. 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 | |||
| 28 Aug 2023 | Evolving Practices in field of Obstetrics. Techniques that are out of date. Episdoe #138 | 00:47:20 | |
While many things have remained the same for millenia, the field of Obstetrics and Gynecology (OB-GYN) has witnessed remarkable advancements over the years, revolutionizing the way healthcare professionals care for pregnant individuals and women's reproductive health. As medical understanding deepens and technology progresses, certain practices that were once considered standard have fallen out of favor. In this epidsode, we will explore techniques that were once commonly used the field of obstetircs but are no longer the go-to methods due to advancements in medical knowledge and technology. Some of the examples on this podcast include fetal scalp sampling, L/S ratios, Quad testing, and Wet preps.
Fetal scalp sampling, also known as fetal scalp blood sampling (FBS), was a procedure frequently employed to assess the well-being of a fetus during labor. The procedure involved sampling a small amount of blood from the fetal scalp to monitor oxygen levels and acidity (pH) during contractions. It was particularly useful in cases of uncertain fetal well-being. However, the procedure had its limitations, including the potential for infection and fetal injury. Advancements in electronic fetal monitoring and non-invasive techniques like fetal heart rate monitoring have largely replaced the need for fetal scalp sampling. These modern methods provide real-time information about the fetal heart rate, oxygen levels, and other important parameters, making them safer and more effective alternatives.
Lecithin-sphingomyelin (LS) ratio testing was a method used to predict fetal lung maturity. The ratio between these two phospholipids in amniotic fluid was believed to indicate the readiness of the fetal lungs for breathing air after birth. An LS ratio greater than 2:1 was considered indicative of fetal lung maturity. However, this method had its limitations, as factors like maternal diabetes could affect the accuracy of the results. With advancements in medical understanding, it was realized that the LS ratio was not always a reliable predictor of lung maturity. Instead, other tests such as lamellar body counts and phosphatidylglycerol testing have emerged as more accurate indicators of fetal lung development, rendering the LS ratio less relevant in modern OB-GYN practice.
Maternal serum alpha-fetoprotein (MSAFP) level checking was a screening test used to detect potential neural tube defects and chromosomal abnormalities in the fetus. The MSAFP level in the maternal blood was measured, and abnormal levels were associated with an increased risk of conditions like spina bifida and anencephaly. While MSAFP testing provided valuable information, it was a screening tool and not a diagnostic test. Today, prenatal screening has evolved to include more comprehensive tests like cell-free DNA testing and ultrasound scans. These tests offer greater accuracy in detecting a wider range of fetal abnormalities, including Down syndrome and other chromosomal conditions, reducing the reliance on MSAFP level checking alone.
Wet preps, a microscopic examination of vaginal secretions, were once used to diagnose vaginal infections and identify the presence of various microorganisms, including yeast and bacteria. This technique involved placing a sample of vaginal discharge on a microscope slide, adding a drop of saline solution, and examining the slide under a microscope. While wet preps could provide valuable information, they had limitations in terms of sensitivity and specificity. Modern OB-GYN practice now relies on more accurate methods such as nucleic acid amplification tests (NAATs) and cultures to diagnose vaginal infections. These tests offer improved accuracy in identifying specific pathogens and guiding appropriate treatment. The landscape of OB-GYN has transformed significantly over the years, thanks to advancements in medical science and technology. While techniques like fetal scalp sampling, LS ratios, MSAFP level checking, and wet preps were once instrumental in providing healthcare insights, they have been largely replaced by more accurate, efficient, and less invasive methods. As the field continues to evolve, these changes underscore the importance of staying up-to-date with the latest practices and technologies in providing optimal care to pregnant individuals and women's health.
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 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. | |||
| 21 Feb 2022 | Gestational Diabetes: When the diagnosis happens in pregnancy: Episode #80 | 00:52:49 | |
Gestational diabetes or diabetes in pregnancy diabetes during pregnancy. This podcast will focus primarily on the type of diabetes that develops during pregnancy. Thoses with pregestational diabetes or diabetes that comes before the pregnacy begins result in diffrent management strageties and carry different risks. 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
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| 31 Jan 2022 | Forensic Obstetrics. Deciphering clues about a obstetrical history: Episode #74 | 00:46:53 | |
Put on your Columbo jackets! When a patient tells the story of what happened in their labor and delivery experience, they often leave clues as to what truly happened from a medical perspective. Every clinician understands that patients are not necessarily coming from a medical background when they recount their own experiences with healthcare. The pertinent medical information can be colored by the patient's own perceptions of what was happening we and what they were informed of at the time. A good physician will be able to piece together the puzzle and find the medical facts in the story to crack the case of what really happened in any labor and delivery room. In this creative and interesting episode, Dr. Abdelhak walks us through how he puts on his Sherlock Holmes’ cap and can make accurate deductions from fragments of information in a patients story and medical records. True Birth presents : Forensic Obstetrics
Our practice can be found at: 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
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| 21 Mar 2022 | Fetal Echocardiograms: Detailed Ultrasounds of the Fetal Heart. Episode #87 | 00:38:33 | |
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
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| 09 Dec 2024 | What to Expect at Your OB's doctor's office visits: Episode #159 | 00:21:39 | |
| 11 Jul 2022 | Pregestational (preexisting) Diabetes Mellitus in Pregnancy: Episode #106 | 00:55:57 | |
Pregnancies affected by pregestational (also called preexisting) diabetes has significantly improved over the past several decades as\ insulin management improved and tighter glycemic control is achieved with glucose monitors. Diabetes in pregnancy is classifed as followes: ●Type 1 diabetes (autoimmune beta cell destruction, usually leading to absolute insulin deficiency): a. Without vascular complications b. With vascular complications (eg, nephropathy, retinopathy, hypertension, atherosclerotic cardiovascular disease, etc) ●Type 2 diabetes (progressive loss of insulin secretion, often in the setting of insulin resistance): a. Without vascular complications b. With vascular complications (eg, nephropathy, retinopathy, hypertension, atherosclerotic cardiovascular disease, etc) ●Gestational diabetes (diabetes of during pregnancy and not clearly overt [eg, type 1 or type 2 diabetes]) ●Other diabetes (eg, genetic origin, drug- or chemical-induced) This episode focuses on type 1 and type 2 diabetes in pregnancy and the principles of management.
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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 04 Jul 2022 | Tips for Getting Pregnant Naturally. Episode #105 | 00:17:17 | |
Tips for getting pregnany naturally may seem simple enough for some, but navigating fertility and the fertile window can sometimes be confuisng. We have broken it down in an easy to understand way and included some fun tips about how to conceive. Preconception visits are becoming increasingly more popular as patients educate themselves about how to set themselves up for a health pre-pregnancy period. In this episode, we review some of our very obvious tips for conceiving and not so obvious ones that you may find suprising about how to get pregnant naturally. We would love to hear from you, make sure to leave a message or comment about topics you'd like us to cover next. 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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob | |||
| 02 May 2022 | Insomnia in Pregnancy: Episode #95 | 00:21:35 | |
What to do when you can't sleep in pregnancy. There are many reasons as to the source of sleepless nights in pregnancy; and the solutions vary by the cause.
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 | |||
| 20 Mar 2023 | Where Politics, Law and Women's Health Overlap. Comments of the Supreme Court Overturning of Roe V. Wade: Episode #122 | 00:27:09 | |
The overturning of Roe v. Wade in 2022 was a significant legal decision that has generated strong reactions from various groups and individuals across the United States. Some see it as a positive development, arguing that it aligns with their moral and ethical beliefs regarding the sanctity of life and the rights of the unborn. Others see it as a negative development, believing that it represents an erosion of women's reproductive rights and bodily autonomy. Regardless of one's perspective, the overturning of Roe v. Wade has implications for women's health and the legal landscape of the country. It could limit access to safe and legal abortion care, potentially putting women's health at risk. It may also lead to legal battles and political debates at the state and federal levels, with different actors seeking to shape the future of reproductive rights. The impact of the decision on women and society as a whole will depend on how it is implemented and enforced. It remains to be seen how states and the federal government will navigate the complex legal and political terrain of abortion regulation in the aftermath of this ruling.
Our practice can be found at www.maternalresources.org
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows | |||
| 15 Aug 2022 | Molar Pregnancy; Episode #111 | 00:26:27 | |
Molar pregnancies, also known as hydatidiform moles, are rare usually unviable pregnancies that develop when trophoblasts (the cells that normally develop into a placenta) grow abnormally. Today’s episode is all about this rare issue in pregnancy, its treatment, and possible complications.
As you may know, human cells should contain 23 pairs of chromosomes; one set from the mother and the other from the father. In a complete molar pregnancy, an empty egg is fertilized by one or two sperm, so all of the chromosomes present are the father’s. In a partial molar pregnancy, the mother’s chromosomes are present but the father’s are double present, meaning the embryo has 69 instead of 46 chromosomes.
Both categories of molar pregnancies require early intervention and care, followed by close monitoring of HCG levels. In cases of complete molar pregnancies, very rarealy, cancer can also be a concern.
Another possible complication is that molar tissue can continue growing even after a D&C procedure, which in very servere cases can prolonged monitoring, further intevention and very rarely chemotherapy.
Symptoms include bleeding, cramping, severe nausea, thyroid issues, and pain. It's hard to diagnose as a normal pregnancy can have all of these symptoms as well. Diagnosis is done by a blood test and ultrasound.
Did we mention these are rare? 1 in 1,000. Risk factors can include extreme ages (very young as well as what we like to call “adult pregnancies” because we don’t use the word geriatric to describe pregnancies), a history of infertility, a previous diagnosis of molar pregnancy, and possibly a history of terminations. If a person has a molar pregnancy, there’s a slightly elevated chance that they’ll have another one, but the chances are still around 1 percent.
Women are strongly encouraged to avoid getting pregnant while they’re watching their hormone levels return to normal (usually around 6 months to a year for complete molar pregnancies).
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
Maternal Resources’ website is:
Remember to subscribe wherever you listen, and leave us a review!
Our Social Channels are as follows | |||
| 12 Jun 2023 | Braxton Hicks Contractions. Practice Uterine Contractions in Pregnancy: Episode #131 | 00:12:32 | |
As pregnancy progresses, expectant mothers may experience a range of sensations and bodily changes. One common occurrence during the latter stages of pregnancy is Braxton Hicks contractions. These contractions are often misunderstood, leading to confusion and concern. In this blog post, we will explore what Braxton Hicks contractions are and how they differ from real contractions. Understanding Braxton Hicks Contractions: Braxton Hicks contractions are sporadic, irregular contractions of the uterus that occur during pregnancy, typically starting around the second trimester. They are often described as a tightening or squeezing sensation in the lower abdomen, similar to the feeling of a menstrual cramp. Unlike true labor contractions, Braxton Hicks contractions are generally painless or only mildly uncomfortable. Differentiating Braxton Hicks from Real Contractions: While Braxton Hicks contractions may feel similar to real contractions, there are several key differences between the two:
Braxton Hicks contractions are a natural part of pregnancy and serve as a preparation for labor. Understanding the differences between Braxton Hicks contractions and real contractions can help expectant mothers alleviate unnecessary concerns. Remember, if you have any doubts or experience severe pain, it is always advisable to consult your healthcare provider for guidance and reassurance. 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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
Send us an email at info@maternalresources.org | |||
| 14 Apr 2022 | Meconium in Pregnancy, Labor & Delivery: Episode #91 | 00:10:54 | |
Meconium is brown stained amniotic fluid and represents the passage of stool from the bowels of the baby in utero.
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 | |||
| 03 Oct 2022 | Cervical Lacerations in Labor & Delivery: Episode # 117 | 00:20:35 | |
Cervical lacerations are cuts or tears that happen to the cervix during labor and delivery. These types of laceratsion are different from the typical 1st and 2nd degree lacerations that occur during labor and delivery normally. Generally they tend to have more blood flow and can be responsible for more blood loss. They also may have an effect in a subsequent pregnancy and labor.
Today’s episode of True Birth is all about cervical lacerations.
A cervical laceration is a cut or tear on the cervix that can happen during delivery. Despite its intimidating name, it’s certainly treatable, and we’re here to explain some helpful information that will let you know what you might be dealing with.
The cervix almost always tears a little during labor, but if the tear reaches the blood vessels in the cervix, it’s called a laceration, and a patient can have significant hemorrhaging.
Previously, the protocol included a check of the cervical angles (3 o'clock and 9 o'clock) in every vaginal delivery. Still, nowadays, a doctor will usually only examine the cervical angles if there’s a complicated delivery or more bleeding than expected. It’s unlikely to be coming from the uterus, and the placenta is already out.
If there’s a significant cervical laceration, it should be sutured - which is usually done with dissolvable stitches. Making sure the cervix is intact after delivery is essential because a cervical laceration that doesn’t heal well can lead to the issue of cervical insufficiency - which can be a cause of miscarriage in future pregnancies.
Recognizing cervical lacerations is the most significant factor in repairing them. And, if anyone has carried pregnancies to term and then begins to lose any, a thorough exam should be carried out to look for possible cervical insufficiency from previously undetected lacerations.
Previous use of a vacuum, forceps or even a history of precipitous (rapid) labor could increase the likelihood of having an issue with the shape of the cervical opening and therefore increase the chances of cervical insufficiency. Dr. Abdelhak proposes the theory that precipitous delivery is likely a mild form of cervical insufficiency.
Dr. Abdelhak also shares a few stories about times when using a cerclage (such as an abdominal or cervical cerclage) led to more success in carrying pregnancies to full term.
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
Maternal Resources’ website is:
Remember to subscribe wherever you listen, and leave us a review!
Our Social Channels are as follows | |||
| 15 May 2023 | How to Advocate for Yourself in Healthcare: Episode #127 | 00:22:15 | |
Navigating the complex world of healthcare can be overwhelming, especially when you're faced with the task of advocating for your own needs. However, being an active participant in your healthcare decisions is essential for ensuring that you receive the best possible care. In this blog post, we will explore practical strategies and tips to help you effectively advocate for yourself in healthcare settings. Educate Yourself: The first step towards advocating for yourself is to become an informed patient. Take the time to research your medical condition or concern, understanding the available treatment options, potential risks, and alternatives. Reliable sources such as reputable medical websites, patient forums, and support groups can provide valuable insights. Armed with knowledge, you'll be better prepared to communicate and make decisions regarding your healthcare. Build a Strong Relationship with Your Healthcare Provider: Establishing a strong partnership with your healthcare provider is crucial. Actively engage in conversations, ask questions, and share your concerns openly. Remember, your doctor is there to help you, and effective communication is key to a successful healthcare journey. Be honest about your symptoms, medical history, and any lifestyle factors that may affect your health. This information will enable your healthcare provider to develop an accurate diagnosis and tailor a treatment plan specifically for you. Be Assertive and Clear: When advocating for yourself, it's essential to be assertive and communicate your needs clearly. Don't hesitate to ask for further clarification or request additional tests or referrals if necessary. Describe your symptoms accurately, including their severity, duration, and any triggers or patterns you've noticed. Avoid downplaying your concerns, as this may hinder the understanding of your healthcare provider. By expressing your needs confidently and concisely, you increase the likelihood of receiving appropriate care. Seek a Second Opinion: If you have doubts about a diagnosis, treatment plan, or surgery, don't hesitate to seek a second opinion. A fresh perspective from another qualified healthcare professional can provide valuable insights and help you make informed decisions. Requesting a second opinion is your right as a patient, and a reputable doctor will respect your choice. Keep Organized Records: Maintaining organized records is essential for effective self-advocacy. Keep a detailed record of your medical history, including diagnoses, medications, treatments, and any relevant test results. Bring these records to appointments and share them with your healthcare provider. Additionally, document all discussions, recommendations, and decisions made during your healthcare visits. These records will serve as a valuable reference and ensure continuity of care. Utilize Support Networks: Don't underestimate the power of support networks when advocating for yourself in healthcare. Reach out to family, friends, or patient advocacy organizations that can provide guidance and emotional support. Sometimes, having an advocate accompany you to appointments can help ensure that all your concerns are addressed and that you have a strong support system throughout your healthcare journey. Advocating for yourself in healthcare can be challenging, but it is essential to take an active role in your well-being. By educating yourself, building a strong relationship with your healthcare provider, being assertive, seeking second opinions, keeping organized records, and utilizing support networks, you can effectively advocate for your healthcare needs. Remember, your voice matters, and with the right strategies in place, you can navigate the healthcare system with confidence and ensure that you receive the care you deserve. Our practice can be found at www.maternalresources.org
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob https://www.truebirthpodcast.com
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| 13 Dec 2021 | Placenta Previa. Placenta #60 | 00:42:16 | |
Placenta previa is when the placenta (disposable organ of the pregnancy) extends over the cervix and cervical os. When the placenta is completely covering the cervix, this necessitates birth by cesarean, vaginal delivery is not safe or even doable. Even in a practice where there is usually a route to safe vaginal birth, in the case of placenta previa it cannot be done. There is a different between low lying placenta and placenta previa and this episode explores this topic and why a low lying placenta may not necessitate a need for a cesarean birth and vaginal delivery may still be attempted. Other great things covered in this podcast include how placenta previa is managed throughout pregnancy and when bleeding and hemorrhaging could be a concern. We hope you are enjoying this and all of our podcasts. Please share with a friend and tell them about your favorite episode. We greatly appreciate those of you who have written in and told us about what you want to hear about in pregnancy and birth. Please keep these notes coming. You can reach out to us directly on our website on www.truebirthpodcast.com 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
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| 02 Dec 2024 | Spontaneous Labor vs. Induction of Labor: Episode #158 | 00:27:07 | |
When it comes to childbirth, many expectant parents envision waiting for labor to begin naturally. However, recent research, including the groundbreaking ARRIVE Trial (A Randomized Trial of Induction Versus Expectant Management), has reshaped how medical professionals approach labor and delivery, particularly for first-time moms. The ARRIVE Trial studied over 6,000 first-time mothers with low-risk pregnancies. It compared outcomes for those induced at 39 weeks of pregnancy with those who waited for labor to begin spontaneously. The results challenged traditional assumptions about induction, revealing several compelling reasons why induction of labor might be recommended: 1. Lower Cesarean Delivery RatesContrary to concerns that induction might increase the likelihood of cesarean delivery, the ARRIVE Trial found the opposite. Women induced at 39 weeks had a significantly lower rate of cesarean births (18.6%) compared to those who waited for spontaneous labor (22.2%). This finding is critical, as cesarean delivery carries higher risks of complications and a longer recovery period for the mother. 2. Improved Outcomes for BabiesInducing labor at 39 weeks was associated with better neonatal outcomes. Babies born to mothers in the induction group were less likely to require respiratory support or experience other complications. This is significant because it underscores the potential for induction to enhance both maternal and neonatal health. 3. Reduced Risks Associated with Post-Term PregnanciesWhile 39 weeks is considered full term, waiting for spontaneous labor can sometimes lead to pregnancies extending beyond 40 weeks. Post-term pregnancies carry increased risks of complications, including stillbirth and meconium aspiration. By opting for induction at 39 weeks, providers aim to mitigate these risks while ensuring the baby is delivered at an optimal time. 4. Enhanced Predictability for FamiliesFor many first-time parents, induction offers a level of predictability. Knowing when labor will begin can help families plan for childcare, work leave, and support during delivery. This logistical benefit is often a practical consideration in recommending induction. 5. Alignment with Modern Maternal-Fetal CareThe ARRIVE Trial highlights a shift in how healthcare providers view induction. Rather than considering it only when medically necessary, induction at 39 weeks for first-time moms is increasingly seen as a proactive approach to optimize outcomes. Importantly, this recommendation is tailored to women with low-risk pregnancies who meet specific criteria, ensuring that induction is not overused. Things to Keep in MindWhile the ARRIVE Trial has influenced many obstetric practices, it’s essential to remember that each pregnancy is unique. The decision to induce labor should be based on a thorough evaluation of the mother’s health, the baby’s condition, and the preferences of the birthing person.
Other Episodes that related to this topic:
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 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. | |||
| 25 Apr 2022 | First Trimester Bleeding in Pregnancy: Episode #94 | 00:35:39 | |
Bleedding in the first trimester of pregnancy is often more anxiety producing than dangerous in pregnancy. However, it is important to seek the consultation of a medical professional whenever there is bleeding at any point in a pregnancy.
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 | |||
| 05 Jun 2023 | Induction of Labor. Why most inductions take 24 hours or less: Episode #130 | 00:24:29 | |
This episode is a continuation of the episode #104 on "What to Expect When Getting Induced" a step by step guide from getting admitted to delivery of the baby. This episode focuses mainly on how an induction of labor dosen't need to drag on for days when it is actively managed and how Maternal Resources goes about utlizeing an active induction plan of care for their clients. Pregnancy is a beautiful and transformative time in a woman's life. However, there are situations where labor induction can be a better choice for the health and well-being of both the mother and the baby or for avoiding a cesarean birth. When it comes to labor induction, actively managing the process can lead to a more efficient and safer delivery. In this epsiode, we explore why active management of labor induction is crucial and how it can contribute to a 24-hour timeframe (or less!) for a successful delivery. Understanding Labor Induction Labor induction is the process of stimulating contractions to initiate and accelerate the progression of labor. It is typically recommended when there are concerns about the health of the mother or the baby, such as preeclampsia, gestational diabetes, post-term pregnancy, or fetal distress. It can also be performed for medical or personal reasons, including logistical considerations or maternal preference. Active Management of Labor Induction Active management of labor induction involves a proactive approach to monitor and encourage progress during the induction process. It incorporates several interventions to ensure an efficient and timely delivery. These interventions may include the administration of medications, such as prostaglandins or oxytocin, rupturing the membranes (breaking the water), and continuous fetal monitoring. Labor induction is an essential medical intervention that can be necessary for various reasons. However, it is crucial to actively manage the induction process to ensure optimal outcomes for both mother and baby. Active management, involving prompt interventions, close monitoring, and timely decision-making, offers several benefits, including reduced risks, time efficiency, psychological support, and better birth experiences. Disclaimer: It is important to note that each pregnancy and labor is unique, and the duration of labor can vary significantly based on individual circumstances.
Our practice can be found at www.maternalresources.org
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob https://www.truebirthpodcast.com | |||
| 27 Dec 2021 | Doctor, Nurse, Intern, Admin. Who are the players in Labor & Delivery? Episode #64 | 00:50:05 | |
Navigating through the intricacies of labor and delivery can be an overwhelming experience, especially if you're a first-time parent. The labor and delivery floor can seem like a bustling hive of activity with numerous healthcare professionals working together to ensure a safe and positive childbirth experience. In this episode, we'll take you on a journey to introduce you to the key players on the labor and delivery team. From high-risk perinatologists to certified nurse midwives and even doulas, we'll demystify the roles of everyone involved, helping you feel more informed and at ease during this transformative moment in your life. Meet the High-Risk Perinatologist A high-risk perinatologist is a specialist who focuses on the care of pregnant individuals with high-risk pregnancies. These pregnancies may involve complications like gestational diabetes, preeclampsia, or multiple pregnancies. The high-risk perinatologist plays a vital role in assessing and managing the health of both the pregnant individual and the baby during pregnancy and childbirth. If you have a high-risk pregnancy, you can expect close collaboration with this specialist to ensure the best possible outcome. Meet the Certified Nurse Midwife Certified nurse midwives specialize in providing personalized, holistic care to expectant individuals during pregnancy, labor, and postpartum. Midwives are known for their compassionate, low-intervention approach to childbirth. If you're seeking a natural birthing experience with minimal medical intervention, a certified nurse midwife may be a key member of your care team. Meet the Doula Doulas are invaluable members of the birthing team who provide emotional and physical support throughout labor and delivery. They're not medical professionals but are highly trained in comfort measures, relaxation techniques, and advocacy for the birthing person's preferences. Doulas ensure you feel supported, empowered, and informed during this transformative journey, helping to create a positive birthing experience. Meet the Hospital Leadership Hospital leaders, including the hospital president, may not be directly involved in your day-to-day care, but they play a crucial role in setting the hospital's standards and ensuring that you receive high-quality care. Hospital leadership works to create an environment where healthcare professionals can provide the best possible care to patients like you. Meet the Labor and Delivery Nurses Labor and delivery nurses are the unsung heroes of the birthing process. They provide constant support, monitor vital signs, administer medications, and offer guidance during labor. Their expertise and dedication ensure a safe and comfortable experience for both you and your baby. Meet the Anesthesiologist For those considering pain management options during labor, the anesthesiologist is a key player. They specialize in administering epidurals or other pain relief methods, ensuring that you're as comfortable as possible throughout the labor process. Meet the Newest Members of the Healthcare Team Even the newest members of the healthcare team, such as nursing students, play a valuable role. Nursing students gain hands-on experience under the guidance of experienced nurses and midwives, contributing to your care while honing their skills.
As you prepare for the incredible journey of labor and delivery, understanding the roles of the various healthcare professionals on the labor and delivery floor can help alleviate some of the anxiety and uncertainty. From high-risk perinatologists to certified nurse midwives, doulas, and even hospital leadership, each member of the team plays a vital role in ensuring your safety and well-being during this life-changing moment. Trust in their expertise, ask questions, and communicate your preferences to create a birth experience that aligns with your values and desires. With this newfound knowledge, you'll be better equipped to embark on the beautiful journey of bringing new life into the world. 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 | |||
| 08 Apr 2024 | Coping with Perinatal Loss: Episode #152 | 00:27:49 | |
Welcome to True Birth, where we provide raw, honest insights into pregnancy, childbirth, and the postpartum period. Dr. Yaakov Abdelhak, a Perinatologist, and Certified Nurse Midwife Kristin Mallon are here to share their professional perspectives straight from the trenches of the labor floor. Episode Overview: In this special episode, we delve into the sensitive topic of coping with perinatal loss. We recognize the profound impact that pregnancy loss can have on individuals and families, and our goal is to offer compassionate guidance and support. Discussion Points:
We want to express our deepest empathy for anyone who has experienced perinatal loss. Remember, you are not alone, and it's okay to seek support as you navigate this difficult time. Stay tuned for more honest discussions and support on True Birth. 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 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. | |||
| 03 Jan 2022 | External Fetal Monitoring: Episode #66 | 00:56:06 | |
All the categories and classifications of fetal monitoring explained in this thorough episode. What is external fetal monitoring? What is the criteria? What can we do about it? and Is it a good or bad thing? During pregnancy, monitoring the well-being of your baby is of utmost importance. One crucial tool utilized by healthcare providers is external fetal heart rate monitoring. In this blog post, we will explore the significance of external fetal heart rate monitoring, how it works, and its role in ensuring the safety and health of both mother and baby. External fetal heart rate monitoring is a non-invasive method used to assess the baby's heart rate during pregnancy and labor. It involves placing sensors on the mother's abdomen to detect and record the baby's heart rate patterns. This monitoring technique provides vital information about the baby's well-being, helping healthcare providers identify any potential issues or complications. The primary purpose of external fetal heart rate monitoring is to evaluate the baby's heart rate patterns, which can indicate distress or abnormalities. By tracking the heart rate, healthcare providers can detect signs of fetal distress, such as reduced oxygen supply or irregularities in heart rate variability. This allows for prompt intervention to ensure the safety and health of the baby. External fetal heart rate monitoring offers several benefits. It provides real-time feedback, allowing healthcare providers to make informed decisions during labor, such as adjusting the mother's position or initiating interventions if necessary. It also enables the early detection of potential complications, helping to prevent adverse outcomes. During external fetal heart rate monitoring, two sensors are placed on the mother's abdomen: one to detect the baby's heart rate and another to measure uterine contractions. The sensors are connected to a monitoring device that displays the heart rate and contraction patterns. The healthcare provider will carefully analyze the heart rate tracings and look for variations or irregularities. Healthcare providers interpret the heart rate patterns to assess the baby's well-being. Normal heart rate patterns generally demonstrate consistency and appropriate fluctuations. If any concerns arise, healthcare providers may recommend additional testing, interventions, or further evaluation to ensure the safety of both mother and baby. Effective communication between the healthcare provider and the expectant mother is crucial for understanding the results and discussing any necessary steps or interventions. External fetal heart rate monitoring plays a crucial role in monitoring the well-being of the baby throughout pregnancy and labor. By providing valuable insights into the baby's heart rate patterns, it allows for timely interventions and ensures a safe and healthy delivery. 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 | |||
| 18 Jul 2022 | Gender Reveals in Pregnancy: Episode #107 | 00:19:58 | |
Finding out the gender of the baby in pregnancy. What do most familles decide to do? Find out from the persecptve of the exeprts on how familes approach gender revelation in pregnany.
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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 04 Apr 2022 | Postpartum: What to Expect after you've had the Baby. Episode #89 | 00:20:21 | |
Everything that's key to know about the immediate postpartum period. You've done all the hard work and delivered a healthy beautiful baby. Now, in this episode, we've reviewed all the essential things that you need to know about what to expect right after giving birth. 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 | |||
| 24 Jan 2022 | The Causes of the Cesarean Epidemic: Episode #72 | 00:32:07 | |
What was the c-section rate in 1970 compared to what the c-section rate is now? It's much higher. The c-section rate in the United States has been as high as 35% and even higher for first time moms. Dr. Abdelhak speaks to the 5 main causes of the multifactorial cesarean epidemic .
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 | |||
| 25 Dec 2023 | New Tech in Obstetrics. Fetal Monitoring at Home: Episode #145 | 00:21:05 | |
True Birth discusses new tech in pregnancy. Pregnancy is a time of wonder and anticipation, but it also comes with its share of medical checkups and monitoring. Traditional prenatal care often involves frequent visits to the doctor's office, which can be time-consuming and inconvenient for expectant mothers. However, with advancements in technology, a revolutionary change is underway in obstetrics, ushering in the era of fetal monitoring at home. In this episode, we'll delve into a groundbreaking company that has paved the way for this transformation, offering the first FDA-cleared, remote monitoring system designed to make pregnancy care more accessible and convenient. Redefining Pregnancy Care At the forefront of the digital health revolution in obstetrics is new tech that is redefining the way expectant mothers and healthcare providers monitor pregnancies. Their innovative solution is a physician-prescribed, pregnancy monitoring system that empowers women to collect vital data and track their progress comfortably and conveniently from the comfort of home. The Ease of Frequent Monitoring: One of the key challenges in traditional prenatal care is the need for frequent monitoring of both the mother's and baby's well-being. This tech makes this process easier and more accessible. The system includes user-friendly devices that allow expectant mothers to perform monitoring sessions in the comfort of their own homes. These sessions are simple, comfortable, and, dare we say, a joy to do. Data Privacy and Security: One of the major concerns in remote healthcare is data privacy and security. With this new technology providers and patients can be assured that the data captured during readings is fully compliant with the HIPAA Privacy and Security Regulations. This means that your sensitive health information is protected, giving you peace of mind while you track your pregnancy progress remotely. Accurate Diagnoses and Predictions: The data collected throug a remote monitoring system isn't just for show. It plays a crucial role in enhancing the accuracy of diagnoses and predictions related to pregnancy. By continuously monitoring key metrics and trends, healthcare providers can better understand and respond to any potential issues or deviations from the norm in real-time. This proactive approach can lead to better outcomes for both mother and baby. Empowering Mothers: Perhaps one of the most significant advantages of this technology is how it empowers expectant mothers. No longer do you need to rely solely on periodic visits to your healthcare provider to understand your pregnancy's progress. With a remote monitoring system, you have access to real-time data that allows you to actively participate in your own care and make informed decisions about your pregnancy journey. Conclusion: These new ideas and innovations exemplify how technology can revolutionize healthcare, making it more accessible, convenient, and patient-centric. As we look toward the future of obstetrics, it's clear that innovations like these are poised to transform the way we approach pregnancy care, providing expectant mothers with greater peace of mind and control over their health. The journey to motherhood has never been more empowering. 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 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.
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| 21 Aug 2023 | Vasa Previa: Episode #137 | 00:21:30 | |
In the realm of pregnancy complications, vasa previa stands as a rare but potentially life-threatening condition that demands vigilant attention and awareness. Although relatively uncommon, vasa previa requires early diagnosis and appropriate management to ensure the safety of both the mother and the unborn child. In this blog post, we'll delve into the depths of vasa previa, exploring its causes, risk factors, diagnosis, and preventive measures. Understanding Vasa Previa Vasa previa is a rare obstetric complication that involves the abnormal placement of fetal blood vessels within the membranes of the placenta. Normally, the umbilical cord connects the fetus to the placenta, providing the essential nutrients and oxygen necessary for the baby's growth. However, in cases of vasa previa, some of these blood vessels run through the cervix and lie close to or even within the birth canal. Causes and Risk Factors The exact cause of vasa previa remains unclear, but certain risk factors increase the likelihood of its occurrence. These risk factors include:
Diagnosis Early diagnosis of vasa previa is vital for ensuring a safe outcome. However, due to its rarity and the absence of specific symptoms, it can be challenging to identify. Obstetricians typically employ a combination of methods for diagnosis, including:
Preventive Measures and Management While vasa previa cannot be completely prevented, early detection and careful management significantly improve outcomes. The following steps are crucial:
Vasa previa, though uncommon, is a potentially life-threatening complication that demands awareness and prompt medical attention. With the advancements in prenatal imaging and obstetric care, early diagnosis and proper management can significantly increase the chances of a successful outcome for both mother and child. As expectant parents, maintaining open communication with your healthcare provider, attending regular prenatal check-ups, and understanding your risk factors can contribute to a safer and healthier pregnancy journey.
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.
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| 20 Dec 2021 | Pitocin. Could be your Friend: Episode #62 | 00:39:27 | |
Pitocin is the synthetic version of a natural occurring endogenous hormone called oxytocin. Oxytocin, also called the "love hormone" is produced in the hypothalamus and secreted by the pituitary gland. Pitocin, often a word heard in maternity wards and labor and delivery units, plays a significant role in modern obstetrics. This synthetic form of oxytocin is frequently used to initiate or augment labor, making it a critical tool in the labor room. This blog post aims to demystify Pitocin, explaining its use, benefits, risks, and the controversies surrounding it. What is Pitocin? Pitocin is a synthetic version of oxytocin, a naturally occurring hormone that plays a vital role in childbirth. In the medical world, Pitocin is used to start labor contractions or strengthen them if they are too weak or irregular. It is administered intravenously, allowing healthcare professionals to control its dosage carefully. When is Pitocin Used? Pitocin is typically employed in a few specific scenarios: inducing labor for medical reasons, such as when a pregnancy goes past its due date, or augmenting labor when contractions are not strong enough to effectively dilate the cervix. Medical guidelines recommend its use only when necessary, as it is a powerful medication that significantly influences the birthing process. Benefits of Pitocin in Labor The primary benefit of Pitocin is its ability to progress labor, which can be vital for the health of both the mother and the baby. In cases where labor is not progressing naturally, or there are risks associated with prolonging pregnancy, Pitocin can be a lifesaver. It helps in effectively managing the timing and intensity of contractions, often leading to a safer and more controlled delivery. Risks and Controversies Despite its benefits, Pitocin is not without risks. It can cause intense and frequent contractions, which may lead to distress for the baby. There are also concerns about its impact on the natural childbirth experience and the potential for overuse in non-medical situations. Additionally, it’s crucial for healthcare providers to obtain informed consent and educate patients about the potential risks and benefits of using Pitocin. Alternative Approaches and Comparisons While Pitocin is a common intervention, it's not the only method to manage labor. Natural labor, where the process is allowed to progress without medical intervention, is an option preferred by some. Other medical interventions, like breaking the water (amniotomy) or using different medications, are also available. The choice often depends on the specific medical situation and the preferences of the expecting mother. Conclusion Pitocin is an essential tool in modern obstetrics, with its ability to induce or augment labor. However, like any medical intervention, it comes with benefits and risks. Understanding these, along with the available alternatives, is crucial for expectant mothers and healthcare providers. This knowledge enables informed decisions, ensuring the best outcomes for both mother and child. Pitocin is a medication most often used to stimulate uterine contractions to induce or augment labor. Because it can be use to stimulate uterine contractions it is also beneficial in preventing postpartum hemorrhage after birth. Listen in as Dr. Yaakov Abdelhak gives his take on this medication and all the good and bad it has to offer. 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
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| 19 Sep 2022 | Unplanned C-section Delivery. Episode #116 | 00:23:03 | |
What happends when a cesarean birth is not planned. Gving birth is a life-changing experience, and while most women hope for a smooth vaginal delivery, some may end up having an unplanned Cesarean section (C-section). A C-section is a surgical procedure in which the baby is delivered through an incision made in the mother's abdomen and uterus. While a planned C-section can be a positive experience for some women, an unplanned C-section can be stressful and overwhelming. After an unplanned C-section, it's essential to take steps to ensure that you're informed about what happened and what to expect during the recovery process. First and foremost, ask your healthcare provider to explain why the C-section was necessary and what happened during the procedure. Understanding the reasons for the C-section can help you process the experience and make informed decisions about future pregnancies. It's also important to ask your healthcare provider about the recovery process and what you can expect in the coming weeks and months. You may need to stay in the hospital for a few days, and you may experience pain and discomfort as your body heals. Your healthcare provider can provide you with guidance on pain management, activity restrictions, and when it's safe to resume normal activities. Additionally, consider seeking out support from other mothers who have had a C-section. Joining a support group or talking to other moms can help you feel less alone and provide you with tips and advice on how to manage the recovery process. In conclusion, an unplanned C-section can be a stressful and unexpected experience, but taking steps to be informed and prepared can help ease some of the anxiety and uncertainty. By asking your healthcare provider questions, seeking out support, and being patient with yourself during the recovery process, you can make the best of this experience and emerge stronger on the other side.
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
Maternal Resources’ website is:
Remember to subscribe wherever you listen, and leave us a review!
Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 03 Apr 2023 | The Umbilical Cord: Episode #124 | 00:35:13 | |
The umbilical cord is a vital part of pregnancy, connecting the fetus to the placenta and providing essential nutrients and oxygen to support its growth and development. This cord is formed early in pregnancy and typically measures around 1 feet in length at birth. During pregnancy, the umbilical cord acts as a lifeline between the fetus and the mother. It contains two arteries and one vein that transport blood, nutrients, and oxygen from the mother to the baby, while carrying away waste products and carbon dioxide from the baby back to the mother's bloodstream. This exchange of vital substances is essential for the healthy growth and development of the fetus. The umbilical cord also plays a critical role in the delivery process. When the baby is born, the umbilical cord is clamped and cut, separating the baby from the placenta and the mother's bloodstream. The cord is then discarded, and the baby begins to breathe on its own. In some cases, because the umbilical cord is so vital it can have some kinks or variations that can become more concerning. We all know about the cord can get wrapped around the baby's neck, causing complications during delivery. However, this is rare and can often be detected through routine prenatal care. It can also have differenes in shape, length or characteristics that can be crucial in a developing baby. The umbilical cord is a crucial part of pregnancy, providing essential nutrients and oxygen to support the healthy growth and development of the fetus. Proper care and monitoring during pregnancy can help ensure a safe and healthy delivery for both mother and baby.
Our practice can be found at www.maternalresources.org
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org Remember to subscribe wherever you listen and considering leaving us some feedback at info@maternalresoruces.org or writieng a review. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob https://www.truebirthpodcast.com | |||
| 01 Aug 2023 | Pregnancy Myths Busted: Episode #136 | 00:18:06 | |
Throughout the ages, various misconceptions have surrounded this magical phase of a woman's life, often leading to laughter and disbelief. In this blog, we will delve into some of the funniest pregnancy myths and unravel the truth behind them.
One of the most popular and entertaining myths is that a pregnant woman's cravings can predict the gender of her baby. According to the tale, craving salty and savory foods supposedly indicates a boy, while a hankering for sweets signifies a girl. In reality, these cravings are merely due to hormonal changes and the body's nutritional needs during pregnancy, unrelated to the baby's gender. Nevertheless, it's amusing to imagine expectant mothers scrutinizing their cravings for a potential gender reveal!
People have often claimed that the shape of a pregnant woman's belly can reveal the gender of the baby. A high bump suggests a girl, while a low bump means a boy. In truth, the baby bump's shape is determined by factors such as the mother's body structure, the baby's position, and the number of pregnancies she has had. Yet, the notion of strangers trying to guess the baby's gender by merely looking at a bump remains a comical sight.
According to another pregnancy myth, experiencing heartburn during pregnancy is believed to indicate that the baby will be born with a full head of hair. The association between heartburn and a hairy baby is purely coincidental, as heartburn is caused by the relaxation of the lower esophageal sphincter and hormonal changes during pregnancy. So, the sight of a newborn with a full head of hair leading to tales of heartburn predictions never fails to bring a smile to our faces.
Another intriguing pregnancy myth involves the influence of the moon on a woman's labor. Some believe that a full moon can trigger the onset of labor or make it more intense. While this myth may seem strange, it is rooted in folklore and cultural beliefs. Yet, as of now, there is no scientific evidence to support the idea that the moon has any impact on the timing or intensity of labor. This epsidoe covers several more fun pregnancy myths, busted Pregnancy myths have been part of human culture for generations, and while they may not hold scientific weight, they continue to entertain and amuse us. From predicting the baby's gender through cravings to the moon's mysterious influence on labor, these myths showcase the fascinating and humorous aspects of pregnancy. Although we celebrate the joyous arrival of a new life with the wonders of science and medicine, we can't help but chuckle at the funny tales that have surrounded pregnancy throughout history. So, as we embrace the beauty of this life-changing journey, let's also enjoy the lighthearted moments and laughter that pregnancy myths bring into our lives.
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. | |||
| 30 May 2022 | Our 100th Episode | 00:23:55 | |
Today is a big anniversary! We have been at podcasting for 1 year and have reached out 100th episode. In this week's podcast we review our most downloaded episodes and our own personal favorites. 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
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| 10 Feb 2022 | Varicose Veins in Pregnancy: Episode #77 | 00:18:40 | |
Varicose veins are a farily common and benign finding in prengnacy. While these types of veins are not harmful, they can be unsightly and uncomfortable. Lower extremity, anorectal, and vulvar varicosities are different types of varicose veins that can be seen and not much can be done to prevent them. Varicose veins are also very common where as much as 50% of pregnant people experience this type of dilation of the superficial veins. These varicosities can become visible anytime during pregnancy but are most common in the third trimester.
In this episode, Dr. Yaakov Abdelhak & Kristin Mallon review varicose veins and what to do about them. 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
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| 17 Jul 2023 | Birth Stories: Positive Forcep Deliveries Episode #134 | 00:18:53 | |
The Positive Side of Forced Deliveries: Embracing Birth with Forceps Childbirth is a remarkable journey that brings forth new life and creates an everlasting bond between a mother and her baby. While the majority of births occur naturally, there are instances when medical intervention becomes necessary to ensure the well-being of both mother and child. One such intervention is the use of forceps during delivery. In this episode, we explore the positive aspects of assisted vaginal deliveries when forceps are used skillfully, highlighting the immense benefits they can bring to the birthing process. Understanding Forced Deliveries and Forceps: A forcep delivery, also known as an operative vaginal delivery, refers to a situation where the use of instruments is required to assist in the birth of a baby. Forceps, a specialized tool consisting of two curved metal blades, are used by medical professionals to gently guide the baby's head through the birth canal during contractions. They are designed to mimic the hands of a skilled practitioner and offer an external aid to help facilitate the birthing process. Preserving Maternal and Fetal Well-being: Forceps-assisted deliveries can be a lifesaving measure for both mother and baby. In cases where the baby's heart rate shows signs of distress or the mother's health is at risk, the use of forceps allows for a quicker and safer delivery. By carefully applying forceps, the obstetrician can effectively navigate through complications such as prolonged labor, exhaustion, or fetal distress, ensuring the health and well-being of both mother and child. Minimizing the Need for Cesarean Sections: One of the significant advantages of forceps-assisted deliveries is their potential to reduce the need for cesarean sections (C-sections). When used correctly, forceps can help guide the baby's descent, encouraging a vaginal delivery even in challenging circumstances. This is particularly beneficial for mothers who wish to avoid the risks associated with major surgery and recover more quickly postpartum. By opting for forceps-assisted deliveries, the chances of a successful vaginal birth increase, providing a positive birth experience for the mother. Enhancing Efficiency and Reducing Birth Trauma: The skillful application of forceps can expedite the birthing process, shortening the duration of labor and reducing the need for interventions such as oxytocin augmentation. This not only saves time but also helps minimize the exhaustion experienced by the mother during prolonged labor. Additionally, by facilitating a quicker delivery, forceps can decrease the potential risks associated with prolonged compression of the baby's head, lowering the likelihood of birth trauma and related complications. Empowering Obstetricians and Improving Training: Forceps-assisted deliveries require a high level of skill and expertise from the attending obstetrician. By promoting the utilization of forceps, we encourage the medical community to further refine their techniques and gain proficiency in this valuable tool. This leads to continuous improvement in training programs, fostering a generation of obstetricians who are adept at managing complex deliveries and making informed decisions regarding the use of forceps. Forcep deliveries, when used skillfully, can be a positive approach to birth, benefiting both mothers and babies alike. By preserving maternal and fetal well-being, minimizing the need for cesarean sections, enhancing efficiency, and empowering obstetricians, forceps-assisted deliveries play a vital role in ensuring safe and successful childbirth. While it is essential to remember that each birthing situation is unique, understanding the potential benefits of forceps helps create a more holistic and informed view of operative vaginal deliveries. Through continued research, education, and collaboration between medical professionals and expectant parents, we can foster an environment that prioritizes the well-being and positive outcomes of both mother and child during childbirth. 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. Send us an email with your feedback at info@maternalresources.org Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 11 Sep 2023 | Beating the Odds in Pregnancy: Episode #139 | 00:40:04 | |
In the world of obstetrics and labor and delivery, statistics often play a pivotal role in shaping expectations for both parents and healthcare providers. Whether it's the odds of a smooth pregnancy, a complication-free childbirth, or a successful outcome in high-risk scenarios, we're frequently presented with numbers that can either bolster our hope or sow seeds of doubt. However, it's vital to recognize that beyond these statistics, there exists a powerful force capable of transcending expectations: optimism. The Force of Positive OutlookOptimism is more than just a state of mind; it's a transformative power that can influence outcomes in obstetrics and labor and delivery in ways we may not fully comprehend. Countless stories of families defying daunting predictions and medical odds underscore the extraordinary impact of a positive attitude in the field. Here's why optimism is crucial: 1. Nurturing the Mind-Body ConnectionOur minds and bodies share a profound connection. Approaching the childbirth journey with a positive attitude can have a profound impact on physical well-being. Optimism can bolster a mother's resilience, enhance her emotional well-being, and even contribute to smoother labor and quicker recovery. 2. Resilience in the Face of Obstetric ChallengesMedical statistics often provide generalized data, but every pregnancy and labor experience is unique. Optimism equips expecting parents with resilience and adaptability, enabling them to navigate uncertainties and make informed choices. When faced with challenging circumstances, a hopeful outlook can motivate individuals to explore innovative approaches, seek additional medical opinions, and remain committed to the well-being of both mother and child. 3. Building a Supportive CommunityOptimism has a contagious quality, creating a ripple effect within the support networks of expectant families. A positive outlook doesn't just uplift the spirits of parents-to-be but also inspires and supports the healthcare providers, family members, and friends who are part of the journey. These strong support systems can play a pivotal role in ensuring a positive obstetric experience and successful delivery. Tales of Triumph in ObstetricsTo illustrate the profound influence of optimism in obstetrics and labor and delivery, let's explore real-life stories of families who defied the odds: 1. The High-Risk PregnancyLisa faced a high-risk pregnancy due to a complex medical condition. Although the odds seemed stacked against her, she and her healthcare team remained optimistic and proactive. They monitored her closely and employed cutting-edge treatments. Against all expectations, Lisa safely delivered a healthy baby, demonstrating the power of hope in obstetrics. 2. The VBAC SuccessSarah had experienced a previous cesarean section and was informed of the risks associated with attempting a vaginal birth after cesarean (VBAC). However, she maintained an optimistic attitude, sought out a supportive healthcare provider, and successfully had a VBAC, proving that determination and positivity can lead to positive outcomes. 3. The Premature MiracleJohn and Maria faced the challenge of a premature birth, which carried uncertainties and potential complications. With unwavering optimism and the guidance of a dedicated neonatal team, their premature baby defied the odds and thrived, illustrating the incredible strength that optimism can bring to the neonatal care journey. Embracing Optimism in ObstetricsWhile acknowledging and respecting medical statistics is essential in obstetrics, it is equally crucial not to be confined by them. Optimism can serve as a guiding light in the face of obstetric challenges. Here are some ways to cultivate and embrace optimism during your pregnancy and labor journey: 1. Stay Informed: Educate yourself about your pregnancy, birthing options, and potential challenges. Knowledge empowers optimism.2. Build a Support System: Surround yourself with a caring network of family, friends, and healthcare professionals who share your optimism and provide emotional support.3. Prioritize Self-Care: Focus on self-care, including a healthy pregnancy diet, regular exercise, and stress management, to support your physical and emotional well-being.4. Set Realistic Goals: Establish achievable goals and milestones along your obstetric journey, celebrating each positive step forward.5. Seek Professional Guidance: Consider consulting with obstetric counselors or joining support groups to help you maintain a positive mindset during pregnancy and childbirth.Medical statistics undoubtedly play a role in obstetrics, but they should not overshadow the transformative power of optimism. Your childbirth journey is a unique and deeply personal experience, and maintaining a positive outlook can have a profound influence on both your physical well-being and emotional resilience. As you embark on this extraordinary journey, remember the stories of those who have defied the odds in obstetrics and let optimism guide you towards a safe and joyful childbirth experience.
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 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. | |||
| 28 Feb 2022 | Fibroids in Pregnancy: Episode #82 | 00:35:53 | |
Uterine fibroids, also known as uterine leiomyomas are benign smooth muscle tumors found in or around the uterus. Fibroids are common in women of childbearing age and many women will have no symptoms. Fibroids usually have a minimal effect on the pregnancy, but they can sometimes be associated with fertility concerns and some pregnancy concerns. While many women have no symptoms and may never even know they have a fibroid, pain is usually the most commonly reported symptoms. There is a slightly increased risk of obstetric complications, such as miscarriage, preterm labor and delivery, fetal malpresentation, and placental abruption which are all discussed in this episode of True Birth.
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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
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| 29 Aug 2022 | Delivery Timing for Postdates & Postterm Pregnancies: Episode: #113 | 00:29:31 | |
What is the optimal timing for delivery when a pregnancy goes past the due date? How far past a due date is it recommened to go? Is it safe to go? Why are there different recommendations for each type of pregnancy? A postterm pregnancy is when the pregnancy goes on beyond beyond 42 weeks (294 days) from the calculated first day of the last menstrual period. A postdates pregnancy is a pregnancy that goes beyond the due date. Relevant to this episode is our podcast on how to calcuate a due date, episode #85 linked here In this episode, Dr. Abdelhak explains his rationale for why he prefers pregancies to end by the 41st week and someones even earlier.
As always, we'd love to hear from you! Connect with us on our website at www.truebirthpodcast.com or send us an email at info@maternalresources.org
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| 03 Feb 2022 | Getting Pregnant after a Pregnancy. How long to wait? Episode #75 | 00:11:56 | |
How long is it necessary to wait to get pregnant after a pregnancy in various circumstances? There is no uniform or immediate answer. In this episode, we explore what is recommend in each circumstance: miscarrarriage, vaginal delivery and cesarean birth. What is the interval between pregnancies that is safe? Tune in this week to find out.
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 | |||
| 24 Feb 2022 | Interesting Case #3: A Pregnancy with Guillain-Barré syndrome. Episode #81 | 00:29:44 | |
Guillain-Barré syndrome (GBS) is a very rare, autoimmune disorder in which the immune system damages the nerves, causing muscle weakness, paralysis and pain. The symptoms can last for a few weeks to several years, yet most will make a full recovery. Occasionally, some people with GBS will have permanent nerve damage. In this interesting case, the patient was early in the pregnancy and presented with weakness and numbness that progressed to full paralysis. Dir. Abdelhak explains her progress through the pregnancy and journey from the NJ healthcare system to the MAYO clinic and back. Through it all, the pregnancy was a source of light and hope. Listen in to find out how it all unfolded.
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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 | |||
| 15 Jan 2024 | No Surprises Act: Episode #146 | 00:21:51 | |
The No Surprises Act: A Much-Needed Shield in the Healthcare BattlefieldIn the labyrinth of American healthcare, where the Minotaur of unexpected costs lurks around every corner, the No Surprises Act emerges as a beacon of clarity and protection. Enacted in 2022, this legislation represents a crucial step in untangling the Gordian knot of medical billing, a maze that has perplexed and overwhelmed patients for far too long. Unmasking the Menace of Surprise Medical Bills For years, Americans have navigated the perilous waters of healthcare, often finding themselves blindsided by 'surprise bills' - a phenomenon as common as it is financially debilitating. Picture this: You undergo a surgical procedure at an in-network hospital, believing your insurance has you covered, only to receive a staggering bill weeks later because someone on your medical team was out-of-network. It's akin to dining at a restaurant where the menu prices aren't listed, and the final bill is a roll of the dice. The No Surprises Act: A Shield, Not a Sword This Act isn't about attacking the healthcare system; it's about defending patients. It effectively outlaws these surprise bills for emergency services, regardless of where they're provided, and for certain non-emergency services at in-network hospitals. The key here is that patients are only responsible for their in-network cost-sharing amounts, turning a potentially ruinous bill into a manageable expense. Navigating the New Landscape The implications are profound. Now, in emergency situations, the fear of a financial catastrophe won't loom over patients' heads like the Sword of Damocles. Furthermore, for certain services at in-network facilities, the Act requires providers to obtain patient consent if they intend to bill at out-of-network rates. This is a game-changer, introducing a level of transparency previously unseen in the healthcare arena. The Caveats and the Road Ahead As with any monumental legislation, the No Surprises Act isn't a panacea. Issues like ground ambulance services remain unaddressed, and the Act doesn't directly tackle the underlying issue of healthcare costs. However, it's a pivotal first step towards a more equitable system, where patients aren't casualties in a battle between insurance providers and medical facilities. A Moment of Reflection This Act isn't just about bills; it's about the ethos of our healthcare system. It's a statement that healthcare should not be a predatory enterprise but a safe harbor. As we move forward, let's hope this marks the beginning of a journey towards a system that prioritizes care over cost, and patients over paperwork. 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 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. | |||
| 09 Oct 2023 | Late Transfers in Pregnancy: Episode #141 | 00:28:40 | |
What are some of the reasons someone would choose to transfer OB/GYN providers later in a pregnancy? Say, perhaps after 20 weeks of gestation? There are several reasons why someone may choose to transfer to a different healthcare provider late in pregnancy. These reasons may include:
It's essential for individuals to feel comfortable and confident in their healthcare provider during pregnancy, as this can greatly impact their overall experience. When considering a transfer late in pregnancy, it's advisable to communicate openly with both the current and potential new provider to ensure a smooth transition of care and the best possible outcome for both the expectant person and their baby.
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 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. | |||
| 07 Feb 2022 | Low Platelets in Pregnancy. Thrombocytopenia. Episode #76 | 00:45:16 | |
Platelets, also called thrombocyotes, are a component of red blood cells. They are fragments of cytoplasm that are derived from the bone marrow and are essential for blood clotting. Blood clotting is exteremly important in pregnancy and labor and delivery to prevent excessive bleeding (hemorrhage). Should a woman keep an eye on her platelet levels during pregnancy? The resounding answer is yes. Find out how and why platelets matter on this weeks episode of True Birth.
Key Highlights: [01:54] What are platelets and how are they important to the body? [05:55] What is the job of platelets in the body? [06:35] What happens if you don’t have good platelet function? [07:50] The normal platelet count [08:40] Causes of low platelets count during pregnancy [09:37] #1 cause: haemodilution [12:54] How women get misdiagnosed as having thrombocytopenia [15:10] Different types of thrombocytopenia [18:15] Why is it a problem to have platelets levels below 100k/ml? [21:24] Paralysis during an epidural: why is it rare? [24:32] Epidural alternatives [25:30] Why cancer leads to low platelet levels. [27:49] #2 cause: preeclampsia [28:58] Some treatments to boost your platelets. [32:03] Should you worry about DIC when you have low platelets? [32:21] Can the baby also have low platelets? [34:46] How to determine the baby’s platelet levels [38:14] What is alloimmune thrombocytopenia? [40:49] Thrombocytosis and treatment [42:43] Summary of the episode [43:45] Do women on Heparin or Lovenox have to worry about low platelets? [44:50] Is there anything you can do with your diet to increase your platelets? [45:46] Why platelets transfusion is not recommended [47:00] Does it mean you have low platelets if you regularly have nose or gum bleeds? Notable Quotes
We would love to hear from you, make sure to leave a message or comment about topics you'd like us to cover next. 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. Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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| 19 Jun 2023 | The Vanishing Art of Obstetrical Forceps in Contemporary Childbirth: Episode #132 | 00:30:08 | |
Obstetrical forceps have played a significant role in the history of childbirth assistance, but their use has declined in recent decades. One reason for this decline is the complexity and skill required to effectively and safely use forceps. Mastering the technique of forceps delivery requires extensive training and experience. The risk of complications increases when forceps are not applied correctly. As a result, the medical community has shifted towards alternative methods, such as vacuum extraction and cesarean sections, which are considered safer and more accessible for most healthcare providers. While forceps still have their place in specific situations, their limited use is due to the challenges associated with mastering their application For centuries, obstetrical forceps were hailed as an essential tool in aiding childbirth. Developed in the 16th century, these spoon-shaped instruments provided a means to safely extract a baby when the mother encountered complications during labor. Skilled practitioners utilized their expertise to maneuver the forceps with precision, ensuring the safe delivery of the infant. Several factors have contributed to the diminishing use of obstetrical forceps in contemporary childbirth. First and foremost, advances in medical technology have led to the development of alternative methods that provide safer and more controlled delivery options. Vacuum extraction and cesarean sections have become more prevalent, reducing the need for forceps-assisted deliveries. Obstetrical forceps, once a cornerstone of childbirth assistance, have gradually become a rarity in modern delivery rooms. Advances in medical technology, changing philosophies surrounding childbirth, and the emergence of alternative methods have contributed to their decline. While the art of using obstetrical forceps may be fading into history, it is a testament to the remarkable progress made in ensuring safer and more personalized birthing experiences. As we embrace these advancements, we honor the past and look forward to a future where every birth is a cherished and protected journey.
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. Send us an email with your feedback at info@maternalresources.org Our Social Channels are as follows Twitter: https://twitter.com/integrativeob
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