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  • New ACOG Guidance - "Transformation" to U.S. Prenatal Care Delivery #185

    New ACOG Guidance - "Transformation" to U.S. Prenatal Care Delivery #185
    2025/07/28

    The American College of Obstetricians and Gynecologists released new clinical guidance on April 17, 2025 that recommends fundamentally reimagining prenatal care in the U.S. Instead of the traditional 12–14 in‑person visits, ACOG now advocates for individualized prenatal care schedules—especially for average‑ and low‑risk patients—tailored based on medical, social, and structural determinants of health as well as patient preferences The guidance encourages early needs assessments (ideally before 10 weeks), shared decision‑making, coordination of social support resources, telemedicine, and group care modalities to reduce barriers and drive equity Drawing on the PATH framework developed with the University of Michigan, ACOG presents sample visit schedules and monitoring strategies reflecting evidence that fewer visits—with flexible modalities—can maintain quality while improving access and patient experience

    Find out what Dr. Abdelhak and his team at Maternal Resources think of this new update.

    • YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources .
    • Instagram: Follow us for daily inspiration and updates at @maternalresources .
    • Facebook: Join our community at facebook.com/IntegrativeOB
    • Tiktok: NatureBack Doc on TikTok

    Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .
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    32 分
  • Introducing Dr. Apig Mosses

    Introducing Dr. Apig Mosses
    2025/07/21

    Dr. Mosses comes to Maternal Resources after serving as the Medical Director of the OB/GYN department at Ezra Medical Center in Brooklyn, where he built a thriving obstetric practice from the ground up, now averaging over 50–60 deliveries per month. Prior to that, he was a senior attending physician at NYU Langone in Midwood, Brooklyn, where he maintained a cesarean section rate of under 10%—a testament to his skill in supporting vaginal births, including twin deliveries and VBACs (vaginal birth after cesarean). His approach combines clinical rigor with a strong belief in giving patients safe options for physiologic birth.

    Expertise in Vaginal Twins, VBACs, and Minimally Invasive Surgery

    Known for his hands-on experience with high-volume deliveries, Dr. Mosses has a deep expertise in managing vaginal twin deliveries and has successfully supported many patients through VBACs. He has performed thousands of deliveries and a wide range of gynecologic surgeries using open, laparoscopic, and vaginal approaches. Whether managing a routine pregnancy or a more complex case, his goal is always the same: to deliver excellent care that respects patient autonomy and promotes healthy outcomes. This commitment perfectly mimmics the core of what Maternal Resources is all about.

    Training, Awards, and Teaching Excellence

    Dr. Mosses completed his OB/GYN residency as Chief Resident at Richmond University Medical Center, where he received the Society of Laparoendoscopic Surgeons Award and completed advanced training in gynecologic oncology at Sloan Kettering. He has also supervised and trained residents at multiple academic institutions, including NYU Langone and Lutheran Medical Center. His academic background, combined with his leadership and research accolades, reflects his ongoing commitment to advancing women’s health.

    Dr. A. Jay Mosses has been recognized for his outstanding contributions to the field of obstetrics and gynecology with several prestigious awards. During his residency at Richmond University Medical Center, he was honored with the Society of Laparoendoscopic Surgeons Award, acknowledging his excellence in minimally invasive surgical techniques. Additionally, his research on the use of double balloon cervical ripening catheters in managing massive hemorrhage in cervical ectopic pregnancies earned him the First Place Award at the 2016 Annual Residents’ and Fellows’ Research Paper Competition. These accolades reflect his commitment to advancing clinical care through both surgical skill and academic research.

    We’re honored to have Dr. Mosses on our team and know our patients will benefit from his skill, warmth, and unwavering dedication to their care.

    • YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources .
    • Instagram: Follow us for daily inspiration and updates at @maternalresources .
    • Facebook: Join our community at facebook.com/IntegrativeOB
    • Tiktok: NatureBack Doc on TikTok

    Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .
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    26 分
  • Sometimes You Don't Know: Birth Stories

    Sometimes You Don't Know: Birth Stories
    2025/07/16

    In this powerful and eye-opening episode, we explore birth stories. Through candid, firsthand birth stories, we highlight how listening to your body, trusting your instincts, and building the right care team can make all the difference.

    Whether you're planning a hospital birth, birth center experience, or home delivery, this episode reminds us that not all providers are created equal—and sometimes, your OB just doesn’t know when it comes to birth.

    Who This Episode is For:
    Pregnant people, birth workers, doulas, midwives, and anyone curious about the realities of modern maternity care.

    • YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources .
    • Instagram: Follow us for daily inspiration and updates at @maternalresources .
    • Facebook: Join our community at facebook.com/IntegrativeOB
    • Tiktok: NatureBack Doc on TikTok

    Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .
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    30 分
  • Re-Release: Epidurals in Labor & Delivery: Episode #78

    Re-Release: Epidurals in Labor & Delivery: Episode #78
    2025/06/09

    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.

    When it comes to managing labor pain, epidurals are one of the most commonly requested and effective options. But despite their widespread use, many expecting parents still have questions or concerns. Here’s what you need to know.

    An epidural is a type of regional anesthesia that blocks pain in a specific part of the body—most commonly from the waist down. It’s administered through a small catheter placed in the lower back and can significantly reduce the intensity of contractions without making you drowsy or disconnected from the birth experience.

    One of the biggest benefits of an epidural is flexibility. It can be adjusted throughout labor depending on your needs and comfort. Some people feel enough relief to rest, while others maintain enough sensation to push effectively during delivery. Contrary to popular myth, an epidural does not usually slow labor or increase the risk of cesarean delivery in most healthy pregnancies.

    Like all medical interventions, epidurals do carry some risks—such as a drop in blood pressure, headache, or in rare cases, complications related to placement. However, for many, the benefits far outweigh the risks, especially when monitored by an experienced anesthesiologist.

    Choosing pain relief is a deeply personal decision. Whether you plan to get an epidural, go unmedicated, or keep your options open, the most important thing is that you feel supported, respected, and informed.

    Remember, there’s no one “right” way to give birth. Empowered birth is about making choices that align with your values, goals, and comfort. An epidural doesn’t take away your strength—it supports your 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 on iTunes

    Our Social Channels are as follows

    Twitter: https://twitter.com/integrativeob
    YouTube: https://www.youtube.com/maternalresources
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    Facebook: https://www.facebook.com/IntegrativeOB
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    57 分
  • Fetal Head Size in Pregnancy: Episode #182

    Fetal Head Size in Pregnancy: Episode #182
    2025/05/27
    In this episdoe, we explore how biometry is used to measure key metrics like Biparietal Diameter (BPD) and Head Circumference (HC), shedding light on what these measurements reveal about your baby’s growth and development. We talk about their role in predicting potential challenges during labor, and how they help ensure a safe and healthy birth. From understanding head size’s impact on delivery to offering expectant parents valuable insights, this episode unpacks the critical connection between fetal head measurements and the labor process.
    • YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources .
    • Instagram: Follow us for daily inspiration and updates at @maternalresources .
    • Facebook: Join our community at facebook.com/IntegrativeOB
    • Tiktok: NatureBack Doc on TikTok
    Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .
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    41 分
  • Unicornuate Uterus: Episode #181

    Unicornuate Uterus: Episode #181
    2025/05/20
    Understanding Unicornuate Uterus: What It Is, Prevalence, Risks, and a Positive Outlook A unicornuate uterus is a rare congenital condition where the uterus develops with only one half, or "horn," instead of the typical two-horned shape of a normal uterus. This happens during fetal development when one of the Müllerian ducts, which form the uterus, fails to develop fully. As a result, the uterus is smaller, has only one functioning fallopian tube, and may or may not have a rudimentary horn (a small, underdeveloped second horn). This condition falls under the category of Müllerian duct anomalies, which affect the female reproductive tract. For those diagnosed, understanding the condition, its implications, and the potential for a healthy pregnancy can provide reassurance and hope. What Is a Unicornuate Uterus? The uterus typically forms as a pear-shaped organ with two symmetrical halves that fuse during fetal development. In a unicornuate uterus, only one half develops fully, creating a smaller-than-average uterine cavity. This anomaly can occur with or without a rudimentary horn, which may or may not be connected to the main uterine cavity. If a rudimentary horn is present, it might cause complications like pain if it accumulates menstrual blood, as it often lacks a connection to the cervix or vagina. The condition is often diagnosed during routine imaging, such as an ultrasound, MRI, or hysterosalpingogram (HSG), typically when a woman seeks medical advice for fertility issues, pelvic pain, or irregular menstruation. In some cases, it’s discovered incidentally during pregnancy or unrelated medical evaluations. How Prevalent Is It? Unicornuate uterus is one of the rarest Müllerian duct anomalies, occurring in approximately 0.1% to 0.4% of women in the general population. Among women with Müllerian anomalies, it accounts for about 2% to 13% of cases. The condition is congenital, meaning it’s present at birth, but it often goes undiagnosed until adulthood because many women experience no symptoms. Its rarity can make it feel isolating for those diagnosed, but awareness and medical advancements have made it easier to manage and understand. Risks Associated with Unicornuate Uterus While many women with a unicornuate uterus lead healthy lives, the condition can pose challenges, particularly related to fertility and pregnancy. The smaller uterine cavity and reduced endometrial surface area can increase the risk of certain complications, though these are not inevitable. Below are some potential risks: Fertility Challenges: The smaller uterus and single fallopian tube may slightly reduce the chances of conception, especially if the rudimentary horn or other structural issues interfere with ovulation or implantation. However, many women with a unicornuate uterus conceive naturally without intervention. Miscarriage: The limited space in the uterine cavity can increase the risk of miscarriage, particularly in the first trimester. Studies suggest miscarriage rates may be higher (around 20-30%) compared to women with a typical uterus, though exact figures vary. Preterm Birth: The smaller uterus may not accommodate a growing fetus as easily, potentially leading to preterm labor or delivery before 37 weeks. Research indicates preterm birth rates in women with a unicornuate uterus range from 10-20%. Fetal Growth Restriction: The restricted uterine space can sometimes limit fetal growth, leading to low birth weight or intrauterine growth restriction (IUGR). Malpresentation: Babies in a unicornuate uterus may be more likely to position themselves in a breech or transverse position due to the confined space, which could complicate delivery. Cesarean Section: While not mandatory, a cesarean may be recommended in cases of malpresentation, preterm labor, or other complications. However, this is not a universal requirement. Other Complications: Women with a unicornuate uterus may have a higher risk of endometriosis or painful periods, especially if a non-communicating rudimentary horn is present. Kidney abnormalities are also associated with Müllerian anomalies, as the kidneys and reproductive tract develop simultaneously in the fetus. Despite these risks, it’s critical to note that not every woman with a unicornuate uterus will experience these complications. With proper medical care, many achieve successful pregnancies and deliveries. A Positive Outlook: Normal Vaginal Delivery Is Probable The diagnosis of a unicornuate uterus can feel daunting, but it’s important to emphasize that a healthy, full-term pregnancy and a normal vaginal delivery are entirely possible. Advances in obstetrics and prenatal care have significantly improved outcomes for women with this condition. Here’s why you can remain optimistic: Personalized Care: Working with an experienced obstetrician or maternal-fetal medicine specialist ensures close monitoring throughout pregnancy. Regular ultrasounds can track ...
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    26 分
  • Re-Release: C-Section Delivery Done Right: Dr. Abdelhak's Cesarean Birth Guide. Episode #50

    Re-Release: C-Section Delivery Done Right: Dr. Abdelhak's Cesarean Birth Guide. Episode #50
    2025/05/12
    When a c-section birth is done with care and precision it can make all the difference in the healing and recovery for the mother. Operating the right way will also enable a woman to continue to have more pregnancies in a safe and secure way. In this episode, Dr. Yaakov Abdelhak, a high risk perinatologist MFM specialist, lays out his method for operating in a c-section and includes what can be discussed ahead of time from a woman to her provider. What an opportunity as he reveals his unique method for conducting C sections step by step in this episode of The True Birth Podcast. He explains the best ways to perform the surgery to minimize the risking scarring, post-operative pain and complications. Planning C-Section [3:45] No one thinks they're going to have a C-section until the time comes to have a C-section. Because the heart rate in labor may stop progressing, you won't have time to develop a C-Section when the time comes. It is something that needs planning, like a birth plan. Doctors, on the other hand, dislike being taught how to operate. However, they will tell you things that are entirely feasible and reasonable. Plan C [4:43] When a patient is on the operating table, the personnel in the room, such as the surgeon and nurses, must take a timeout to ensure that everyone is on the same page and help the patient clarify the surgical case. [5:48] Before Dr. Abdelhak makes an incision, he uses a marker and draws a line about two inches above the pubic bone. Some people have a natural line that is sometimes faded or darker in pregnancy because of more melanin deposits. Why Dr. Abdelhak has a marker [10:31] If you put a patient back together just a half-centimeter off on the skin, which has the most nerve ending and they're going to feel it, it's important to pay attention and make sure you get them back exactly the way they came apart. Performing C-Section [11:51] Once you open up the skin, the next step is to now get through the subcutaneous fat. Most of the time, you take the electric cautery, and you burn down to the fascia so that you can see the fascia. The fascia is the membranous connective tissue that holds everything together. It's the linings of the muscles that come together in the midline. It's a white, very thick sheet that's holding your abdominal sheet. Cut down to the level of the fascia only in the midline with the electric cautery. Then bluntly separate the rest on the right and left with your fingers because what you're doing is you're pushing the blood vessels laterally instead of cutting them. [15:06] When you open the fascia, you have to do it in the same direction as you're doing the skin. Underneath the fascia is a muscle, and now you have to get through the muscle. Doctors learned that it is terrible to cut the abdominal muscles because it's better to pull them to the side. After all, there's a natural kind of separation between the two. [15:45] Pull the muscles to the side, stretching before you pull both sides. You have to separate that overlying fascial sheet from the muscles to the side. Then you enter the perineum that is holding all your abdominal content. Now you have exposure to the uterus. At this point, you are making sure that you have enough exposure. [17:12] Making a small incision on the skin is very important to have a good recovery. If you have a repeat C-section, you have to go more prominent because you need more exposure. If somebody has a repeat C-section, they might think about opening a larger incision. You have to make no incision on the uterus. Before you go inside the uterus, look at the bottom to make sure the uterus is not tilted to the right or left. It's essential to know that if it's tilted, you can end up cutting some blood vessels. The Bladder Flap [19:05] The bladder runs directly over the uterus, and the perineum joins the bladder to the uterus and becomes the uterus's skin. There is a stage in between where it exits the bladder and forms the uterine skin. You can see on the uterus a potential space. You lift that space, you make a minor incision, you lift it, and when you push the bladder up and away from the uterus, you have more exposure to the lower uterine segment. Opening the Uterus [20:36] When you open up the uterus, you have to be careful not to cut the baby. It would help if you had a "butterfly touch" whenever you are cutting through the uterus. You can use the suction, then use your finger, and you rub it. It will cause the cut to open up more rather than performing another incision. [24:03] The thick borders are critical because the uterine wall collected at the lateral edges is protective from extending the incision. So when you pull the baby's head out, if you have a sharp edge there, it's straightforward for the pressure or your hand and the baby's head to cause that sharp edge to elongate. When it elongates, it goes where it wants, ...
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    51 分
  • The Bad and the Ugly: RARE Life Complicating OB Conditions

    The Bad and the Ugly: RARE Life Complicating OB Conditions
    2025/05/05
    In this podcast we shedding light on rare and complex obstetric conditions that impact pregnancy and maternal health. Without the need for unnecessary alarm, which can happen in pregnancy, we dive into challenging medical cases, exploring the science, emotional weight, and real-world implications of conditions that are often under-discussed. Connect With Us:
    • YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources.
    • Instagram: Follow us for daily inspiration and updates at @maternalresources.
    • Facebook: Join our community at facebook.com/IntegrativeOB
    • Tiktok: NatureBack Doc on TikTok
    Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com.
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    49 分