Episodes

  • From Nicotine to Ibogaine: How Substances Shape Pregnancy Outcomes: Episode #187

    From Nicotine to Ibogaine: How Substances Shape Pregnancy Outcomes: Episode #187
    Aug 25 2025

    In this episode of True Birth, we take on one of the most fraught subjects in pregnancy care: substance use. Their conversation goes beyond the obvious admonition that “drugs are bad in pregnancy” to explore the nuance — what counts as a teratogen, which substances alter fetal development directly, and which compromise pregnancy through vascular, placental, or behavioral pathways.

    The discussion begins with tobacco, a substance that does not cause specific birth defects but exerts powerful vascular effects that restrict blood flow to the placenta, increasing the risks of low birth weight, preterm birth, and ectopic pregnancy. From there, they move to alcohol, one of the few true teratogens, responsible for fetal alcohol syndrome and its enduring neurodevelopmental and behavioral consequences. The conversation then widens to heroin and opioids, which do not deform fetal anatomy but devastate pregnancy outcomes through miscarriage, placental abruption, and neonatal withdrawal syndromes.

    Cocaine emerges as a particularly dangerous agent, not for teratogenicity but for its capacity to cause catastrophic circulatory collapse in both mother and fetus — strokes, abruptions, and even loss of fetal limbs due to infarcted placental tissue. The hosts also explore the gray areas: hallucinogens like LSD, stimulants such as ecstasy, and prescription amphetamines. They note the complexity of studying these substances, given the socioeconomic, dietary, and mental health confounders that often accompany their use.

    What makes this episode compelling is not just the catalog of risks but the larger question of how to think about exposure. Mallon and Abdelhak acknowledge the historical shifts — from a time when physicians condoned “a few cigarettes a day” to today’s zero-tolerance policies — and they highlight emerging treatments for addiction, such as Ibogaine, which may offer new hope for patients but remain medically and legally unsettled.

    The episode’s takeaway is clear: in pregnancy, no recreational substance is benign. Some, like alcohol, directly alter embryologic development; others, like nicotine and cocaine, impair the very systems that sustain pregnancy. The evidence is complex, but the principle is simple — abstaining is the only truly safe choice.

    Don’t forget to like, comment, and subscribe—your questions could be featured in our next episode!

    For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement:

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

    Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .
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    39 mins
  • Two Days, Two Docs: Stories from the Delivery Room: Episode #186

    Two Days, Two Docs: Stories from the Delivery Room: Episode #186
    Aug 11 2025

    Two Days, Two Docs: Stories from the Delivery Room takes you inside an unfiltered, behind-the-scenes look at 48 hours in Labor & Delivery through the eyes of two physicians: Dr. Yaakov Abdelhak and Dr. Apig Mosses from Maternal Resources. From the adrenaline of middle-of-the-night emergencies to the quiet, awe-filled moments of new life, these stories capture the highs, lows, and everything in between. Whether you’re a fellow clinician, an expectant parent, or simply curious about what really happens beyond those hospital doors, you’ll hear the human side of medicine—raw, real, and unforgettable.

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

    Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .
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    36 mins
  • New ACOG Guidance - "Transformation" to U.S. Prenatal Care Delivery: Episode #185

    New ACOG Guidance - "Transformation" to U.S. Prenatal Care Delivery: Episode #185
    Jul 28 2025

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

    As clinicans who have been offering unparalleled care for decades, find out what Dr. Abdelhak and his team at Maternal Resources think of groundbreaking this new update.

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

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

    Introducing Dr. Apig Mosses
    Jul 21 2025

    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 mins
  • Sometimes You Don't Know: Birth Stories

    Sometimes You Don't Know: Birth Stories
    Jul 16 2025

    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 mins
  • Re-Release: Epidurals in Labor & Delivery: Episode #78

    Re-Release: Epidurals in Labor & Delivery: Episode #78
    Jun 9 2025

    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/

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    57 mins
  • Fetal Head Size in Pregnancy: Episode #182

    Fetal Head Size in Pregnancy: Episode #182
    May 27 2025
    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 mins
  • Unicornuate Uterus: Episode #181

    Unicornuate Uterus: Episode #181
    May 20 2025
    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 mins