Roadside Delivery: When the Baby Can't Wait for the Hospital: Episode #126
Release Date: 04/17/2023
True Birth
When pregnancy takes an unexpected turn, it can feel disorienting and deeply personal. In this episode, we talk about the curve balls no one plans for: pregnancy loss, placenta previa, emergency cesarean birth, and how to move through them with clarity, compassion, and support. This is a conversation about honoring grief without losing hope, finding steadiness in uncertainty, and reclaiming a sense of agency even when plans change. If your pregnancy story didn’t follow the script you imagined, this episode is a reminder that you are not alone, that your experience matters, and that there is...
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Low-dose aspirin, often called baby aspirin, is one of the most commonly recommended medications in pregnancy today. But despite how frequently it’s prescribed, many patients still ask the same questions: Why do I need it? Is it safe? When should I start or stop? And who actually benefits? In this episode, we take a clear, evidence-based look at baby aspirin in pregnancy—cutting through myths, confusion, and mixed messaging. In this episode, we cover: What “baby aspirin” actually is (dose, formulation, and how it works) Why it’s recommended in pregnancy, especially for...
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In this episode, we tackle one of the most common questions in pregnancy of late: Is Tylenol safe? It’s the medication nearly every pregnant person reaches for at some point, yet the internet is full of conflicting headlines and confusing studies. We break down what the data actually shows, when Tylenol is appropriate, and how to use it safely. What We Cover • Why Tylenol (acetaminophen) is considered one of the first-lines in pregnancy We explain decades of clinical use, major guideline recommendations, and why it remains the preferred option for fever and pain relief. • What the...
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You wrote in, and we listened! In this special listener mail episode, we’re answering your questions,reading your stories, and diving into what’s been on your minds. From real-life experiences to the big “what ifs,” we’re here to talk, laugh, and think it through together. Got something you want to share or ask? Keep it coming — we love hearing from you. Email us or send a voice memo, and you might just hear it on the next episode. Don’t forget to like, comment, and subscribe—your questions could be featured in our next episode! For additional resources and information, be sure...
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This show is about the VBAC Playbook—your complete guide to Vaginal Birth After Cesarean. We bring together everything you need to know in one place: all of our experience, the risks and benefits, the latest evidence, and the practical steps to prepare. Whether you’re weighing your options, looking for reassurance, or wanting to feel fully informed before talking with your provider, this playbook equips you with clear, comprehensive, and empowering information to help you make the best decision for your birth. Don’t forget to like, comment, and subscribe—your questions could be...
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Pregnancy and childbirth are filled with important decisions, and sometimes the advice you receive from your OB/GYN or midwife can feel overwhelming—or incomplete. In this episode of True Birth, we take an honest look at when and why you might consider seeking a second opinion during pregnancy or for birth planning. A second opinion is not about questioning your provider’s expertise—it’s about ensuring you have the full picture before making decisions that impact your health and your baby’s well-being. We discuss situations where a second opinion can be especially valuable: when...
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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...
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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...
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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...
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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...
info_outlineExtramural 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:
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Stay calm: The most important thing to do in any childbirth situation is to stay as calm as possible. This can help you to focus on the task at hand and make clear decisions.
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Call for help: If possible, call for emergency medical services or a midwife to come to your location as soon as possible. Explain the situation clearly and provide your location so that they can find you quickly.
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Prepare for delivery: While waiting for help to arrive, prepare for delivery by finding a clean, dry place to lay down, gathering any necessary supplies, and keeping warm.
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Follow your body's lead: If you're in active labor, listen to your body and follow its lead. Try to breathe deeply and focus on relaxation techniques to help manage pain.
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Keep the baby warm: Once the baby is born, wrap him or her in a warm blanket or clothing to help maintain body temperature.
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Seek medical attention: Even if the delivery goes smoothly, it's important to seek medical attention as soon as possible to ensure that both you and the baby are healthy and free from any complications.
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.
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