True Birth Dr. Yaakov Abdelhak & Kristin Mallon, RN, CNM

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 Outlook Optimism 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 Connection Our 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 Challenges Medical 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 Community Optimism 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 Obstetrics To 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 Pregnancy Lisa 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 Success Sarah 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 Miracle John 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 Obstetrics While 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

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 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.
LS Ratios 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 Checkings 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 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

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:
Placenta Previa: Women with placenta previa, a condition where the placenta partially or completely covers the cervix, are at a higher risk of developing vasa previa. Multiple Gestation: Twins, triplets, or other multiple pregnancies can increase the chances of vasa previa due to the complex arrangement of blood vessels. Assisted Reproductive Technologies: Pregnancies resulting from assisted reproductive technologies, such as in vitro fertilization (IVF), can also elevate the risk. Previous Uterine Surgery: Women with a history of uterine surgery, including procedures like cesarean sections, may be more susceptible. Abnormal Placental Placement: Placentas located low in the uterus or close to the cervix can lead to vasa previa. 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:
Ultrasound: Prenatal ultrasounds are the primary tool for detecting vasa previa. High-resolution ultrasounds can visualize the placental blood vessels and their proximity to the cervix. Color Doppler Imaging: This technique helps identify blood flow patterns within the vessels, aiding in the differentiation between fetal vessels and maternal vessels. Digital Vaginal Examination: In certain cases, a digital vaginal examination might reveal bleeding originating from the fetal vessels, which could raise suspicion of vasa previa. Preventive Measures and Management
While vasa previa cannot be completely prevented, early detection and careful management significantly improve outcomes. The following steps are crucial:
Prenatal Care: Regular prenatal visits and ultrasounds are essential to monitor the baby's growth and detect any potential complications. Scheduled Cesarean Section: Most cases of vasa previa necessitate a planned cesarean section to avoid the rupture of fetal blood vessels during labor, which can lead to rapid fetal blood loss and endanger the baby's life. Hospital Birth: Delivering in a hospital with appropriate medical facilities is vital, as immediate medical attention might be required if complications arise.  
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.
 
 
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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.
Cravings Indicate Baby's Gender: 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!
The Baby Bump's Shape: 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.
Heartburn Equals a Hairy Baby: 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.
The Moon's Influence on Labor: 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.
 
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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.

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 investme

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 t