Re-Release: Epidurals in Labor & Delivery: Episode #78
True Birth
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...
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Fetal Head Size in Pregnancy: Episode #182
True Birth
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...
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Unicornuate Uterus: Episode #181
True Birth
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...
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Re-Release: C-Section Delivery Done Right: Dr. Abdelhak's Cesarean Birth Guide. Episode #50
True Birth
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...
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The Bad and the Ugly: RARE Life Complicating OB Conditions
True Birth
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 at. Instagram: Follow us for daily inspiration and updates at . Facebook: Join our community at Tiktok: Grab Our Book! Check out The NatureBack Method for...
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First Pregnancy vs Second: Episode #178
True Birth
First vs. Second Pregnancy: What to Expect According to Birth Experts Having attended over 10,000 births together, experienced Dr. Yaakov Abdlehak OB/GYN and certified nurse midwife Kristin Mallon consistently observe differences between first and second pregnancies — both in the body’s physical response and in the way care is personalized. 1. Labor tends to be faster in the second: In a first pregnancy ("primip"), the cervix, uterus, and pelvic floor are going through this process for the first time. Labor (especially early labor) is usually longer because the body is “learning” how...
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Maternal Resources: How I Built This #177
True Birth
In this special episode of TrueBirth, Dr. Yaakov Abdelhak, a board-certified OB/GYN and Maternal Fetal Medicine specialist, relays his inspiring story of how he founded Maternal Resources in 2002. From a solo practice to a thriving multi-location center of excellence with 4 physicians, 3 midwives, over 30 dedicated team members including sonographers, physician assistants, nurse practitioners, billers, and administrators—Dr. Abdelhak shares how he scaled a vision rooted in compassionate, comprehensive maternity care into one of the most trusted women’s health practices in the region....
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Manual Removal of the Placenta: Episode #176
True Birth
Manual removal of the placenta is a procedure sometimes required when the placenta does not deliver on its own after the baby is born. Typically, the placenta separates and is delivered within 30 minutes of birth, but in some cases, it remains attached to the uterine wall — a condition known as retained placenta. When gentle traction on the umbilical cord and uterine massage fail to deliver the placenta, the next step is manual removal. This involves the provider inserting a hand into the uterus to separate and extract the placenta, often requiring pain management or anesthesia depending on...
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Swelling in Pregnancy: Edema Episode #175
True Birth
In this episode, we dive into a common yet often confusing part of pregnancy: edema and swelling. From puffy ankles to swollen hands, many expectant parents experience some degree of swelling—but how do you know what’s normal and when it’s time to call your doctor? We break it all down for you with expert insights, practical tips, and clear guidance. What You’ll Learn: What is Edema? A quick look at why swelling happens during pregnancy, including the role of increased blood volume and pressure on veins. Normal vs. Concerning: How much swelling is typical, and what signs...
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How to Be the Patient Docs Actually Look Forward to Seeing: Episode #174
True Birth
Visiting the doctor can be a straightforward and positive experience with a few simple habits, some you may not even notice you are doing. One effective approach is to communicate clearly and concisely—share your concerns honestly without overwhelming detail. This respects the physician’s time and ensures they can address your needs efficiently. Additionally, arriving punctually demonstrates consideration for the schedule, fostering a calm and productive appointment for both you and the healthcare team. Preparation also plays a key role in maintaining a smooth interaction. Consider...
info_outlineWhen 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 Rates
Contrary 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 Babies
Inducing 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 Pregnancies
While 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 Families
For 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 Care
The 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 Mind
While 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:
Episode 10 - NatureBack Philopsphy
Episoide 130 - Why Induction takes 24 hours or less
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