True Birth

Finding out the gender of the baby in pregnancy. What do most familles decide to do? Find out from the persecptve of the exeprts on how familes approach gender revelation in pregnany.

Our practice website can be found at:

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Pregnancies affected by pregestational (also called preexisting) diabetes has significantly improved over the past several decades as\ insulin management improved and tighter glycemic control is achieved with glucose monitors.

Diabetes in pregnancy is classifed as followes:

●Type 1 diabetes (autoimmune beta cell destruction, usually leading to absolute insulin deficiency):

a. Without vascular complications

b. With vascular complications (eg, nephropathy, retinopathy, hypertension, atherosclerotic cardiovascular disease, etc)

●Type 2 diabetes (progressive loss of insulin secretion, often in the setting of insulin resistance):

a. Without vascular complications

b. With vascular complications (eg, nephropathy, retinopathy, hypertension, atherosclerotic cardiovascular disease, etc)

●Gestational diabetes (diabetes of during pregnancy and not clearly overt [eg, type 1 or type 2 diabetes])

●Other diabetes (eg, genetic origin, drug- or chemical-induced)

This episode focuses on type 1 and type 2 diabetes in pregnancy and the principles of management.

Our practice website can be found at:

Maternal Resources: https://www.maternalresources.org/

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Tips for getting pregnany naturally may seem simple enough for some, but navigating fertility and the fertile window can sometimes be confuisng. We have broken it down in an easy to understand way and included some fun tips about how to conceive.

Preconception visits are becoming increasingly more popular as patients educate themselves about how to set themselves up for a health pre-pregnancy period. In this episode, we review some of our very obvious tips for conceiving and not so obvious ones that you may find suprising about how to get pregnant naturally.

We would love to hear from you, make sure to leave a message or comment about topics you'd like us to cover next.

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.

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This episode will cover exaclty what to expect from your labor induction. From addmission to the hospital to delivery of the baby, we've covered everything and the order of events so you can undertand the labor induction process.

There are several reasons why your OB/GYN or midwife may suggest induction of labor and several pregnant patients prefer labor induction, electively. Labor induction has been shown to improve maternal and fetal outcomes for the right situations and conditions. Some condditions that may warrant induction of labor include: high blood pressure, pre-eclampsia, diabetes in pregnancy, low amniotic fluid, and decreased fetal movement after 40 weeks. Traditionally, it was not suggested that prengancy continue after the 42nd week and gestational age was used as a reason for induction of labor.

Our practice website can be found at:

Maternal Resources: https://www.maternalresources.org/

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What is the difference between midwives, OB/GYNs, and high risk MFM specilaits? What about douals. and labor coaches? Is a midwive like an OB/GYN? Isn't a midwife just a doula? What are the differences between each?

According the the American College of Midwives the definition of midwifery is:

"Midwifery as practiced by certified nurse-midwives (CNMs®) and certified midwives (CMs®) encompasses a full range of primary health care services for women from adolescence beyond menopause. These services include the independent provision of primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods; admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. These services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers."

The definition of an OB/GYN from the American College of Obstetricians and Gynecologist is:

"Ob-gyns are doctors who have special training and education in women's health care. They are dedicated to the medical and surgical care of women's health throughout the lifespan.

Ob-gyns who are members of ACOG are called Fellows or Junior Fellows. ACOG Fellows are ob-gyns who are board certified in obstetrics, gynecology, or both. They are identified by the initials FACOG after their name. ACOG Junior Fellows are ob-gyn residents or recent graduates of an approved residency program and not yet board certified.

Some ob-gyns have extra training in a focused area of women's health care. These areas include:

• Female pelvic medicine and reconstructive surgery (focused on pelvic floor disorders, including pelvic organ prolapse, incontinence, and pelvic pain)

• Gynecologic oncology (focused on cancers of the cervix, ovaries, uterus, vagina, and vulva)

• Maternal-fetal medicine (focused on high-risk pregnancies)

• Reproductive endocrinology and infertility (focused on the hormones of the reproductive system and helping women who have problems getting pregnant)"

The defintion of a doula or a labor coach from the Doulas of North America is:

"A [doula] is a trained professional who provides continuous physical, emotional and informationl support to a mother before, during and shortly after childbirth to help her ahieve the healtiest, most satifying expericne possible."

An MFM (Maternal Fetal Medicine) specilaist is:

"Maternal-Fetal Medicine (MFM) physicians are high-risk pregnancy experts, specializing in the un-routine. For moms-to-be with chronic health problems, we work with other specialists in an office or hospital setting to keep mom healthy as her body changes and her baby grows. We also care for moms who face unexpected problems that develop during pregnancy, such as early labor, bleeding, or high blood pressure. We're the go-to for moms who arrive in the hospital while they are pregnant for any reason, whether after an accident or at the onset of a kidney infection. In other cases, it's the baby who faces the un-routine. If we find birth defects or growth problems, we can start treatment before birth, providing monitoring, blood transfusions and surgery to support babies with the best possible care until they are ready to arrive in the world.

A maternal-fetal medicine sub-specialist is an obstetrician/gynecologist who has completed 4 years of Ob/Gyn training followed by 2-3 years of additional education and clinical experience to develop specialized skills to help both the mom and baby before and during an un-routine pregnancy. Our training includes both medical treatment and complex procedures for moms and babies. We are high-risk pregnancy experts.

Our extra training enables us to conduct and interpret research on new approaches for pregnancy problems. Through educational courses, development of clinical protocols, and research, we share our knowledge of optimal care for complicated pregnancies with others. Our overarching goal is to improve outcomes for moms and babies.

Maternal-Fetal Medicine physicians partner with multiple caregivers to consult, co-manage or care directly for complicated situations, both before, during and after pregnancy. We know it takes a team --starting with the mother and her family--to navigate the un-routine and achieve the best possible outcome.

MFM specialists treat two patients at the same time. We partner with the mom-to-be, her family, and her medical team to navigate the un-routine and achieve the best possible outcome. We see families who have experienced un-routine pregnancies in the past, mothers with chronic health conditions, and women who develop unexpected problems during their pregnancy. Learn More"

We hope you enjoyed our podcast about how each of these important aspects of childbirth and birthing medicine are uniquley beneficial in the field of reporduction. As alwasys we'd love to get your feedback. Please email us at [email protected] or visit our podcast website to leave a comment or feedback regarding this or any episode.

One final comment, Kristin mentions incluidng the Muni Train information fo anyone who wants to check out what part of the San Francisoc train system looks like. You can find it here

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.

Our Social Channels are as follows

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Postpartum hemorrhage (PPH) is heavy or excessive bleeding after giving birth. There are several reasons why PPH may occur following delivery. In this episode, postpartum hemorrhage as a result of uteirne atony is reviewed.

Uterine atony is when the placenta deliveres but the uterus does not cramp down and stop its own bleeding following birth. After birth, there is a natural mechanism where the uterus itself acts as it's own mechanical block of excessive bleedding. When the uterus does not cramp down, uterine atony ensures and excessive bleeding can be the result.

We'll review identificatoin, treatment, and. prevnetion.

Our practice website can be found at:

Maternal Resources: https://www.maternalresources.org/

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RhD-negative patients who deliver an RhD-positive newborn or who are otherwise exposed to RhD-positive red blood cells are at risk of developing antibodies which can leadd to alloimmunization. This primarily affects a subsequent pregnancy if the patient is exposed to RhD positive blood during the pregnancy or labor.

If the next pregnacy has a RhD-positive fetuses, that pregnancy is at risk for developing hemolytic disease of the fetus and newborn (HDFN), which can be associated with serious fetal anemia and fetal hydrops.

This episode reviews the importance of the Rh factor in pregnancy.

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

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Today is a big anniversary! We have been at podcasting for 1 year and have reached out 100th episode. In this week's podcast we review our most downloaded episodes and our own personal favorites.

Our practice website can be found at:

Maternal Resources: https://www.maternalresources.org/

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Placenta encapsulation is the procedure of taking a placenta and making it into pill form for consumption usually following birth. Placenta encapsulation has gained popularity in the past decade as a remedy to aid and assist with postpartum depresssion, lactation, and overall health and well-being following childbirth.

Encapsulation is not the only form of placenta ingestion utlized, but has become the most common. In this episode, we review the practices that are associated, the rational and the safety.

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

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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 IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB

Birth plans have increased in popularity in the last several decades and many templates exist online from popular pregnancy and birthing websites, vlogs and blogs. What really needs to be included in a birth plan?

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 IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB