True Birth

Intrahepatic cholestasis of pregnancy (ICP or IHCP) is characterized by itching and an elevation in blood bile acids, that usually develops in the late second and/or third trimester and can be a high risk issue in pregnancy.

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The best time to predict the due date of a pregnancy is at the beginning. Early ultrasound is now routinely performed and exceptionally helpful since it increases the accuracy of predicting a due date over menstrual dating alone. The accuracy of a due date helps to prevent an error when labeling a pregnancy overdue or postterm.

In this episode, we discuss what happens when a pregnancy goes overdue, what the best course of action is and when to intervene.

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Uterine tilt is a term that you won't find in the text books but comes from working day to day in labor and delivery. It refers to the tilt a uterus can have that can obstruct labor. This episode defines uterine tilt and explains what to do about it.

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Recurrent pregnancy loss (RPL) is typically defined as more than one pregnancy loss at any point in the pregnancy, but most often is associated with first trimester loss. It can be extremely emotionally upsetting experience, and many women report that it is similar to women who experience a stillbirth or neonatal death. This episode reviews the evaluation, why and what of RPL.

The story of a courageous family and their journey to have 4 healthy children despite multiple complications: preterm labor, bleeding, cord prolapse, and uterine rupture.

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Dr. Abdelhak expounds on what makes a patient high risk in pregnancy.

As always, we'd love to hear from you! Please get in touch with us on our website at TrueBirthPodcast.com or reach out on any of our social channels.

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In this episode, our hosts review how the screening for Down syndrome and other chromosome abnormalities has changed over the last few decades. They go in depth about the latest technology such as SNP*-based technology tests which deliver the most accurate non-invasive prenatal testing available. This is often referred to as (Non-invasive perinatal testing) NIPT or (Non-invasive perinatal screening) NIPS.

As always, we'd love to hear from you! Please get in touch with us on our website at TrueBirthPodcast.com or reach out on any of our social channels.

Integrative OBSTETRICS Social Facebook https://www.facebook.com/IntegrativeOB Instagram @integrativeobgyn

Maternal Resources Social Facebook: https://www.facebook.com/maternalresourceshackensack |nstagram: @maternalresources

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Decreased fetal movement (DFM) is when a woman is perceiving less movement than usual in her pregnancy in the second half of the second trimester or the third trimester. Movement is a sign of fetal well being and a decrease in movement can be associated with sleep cycles but it can also be a first sign of fetal distress. IN this episode, we help a woman distinguish between when a decrease in movement is normal and when it is concerning.

As always, we'd love to hear from you! Please get in touch with us on our website at TrueBirthPodcast.com or reach out on any of our social channels.

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When the umbilical cord slips out of the cervix before the head or the breech, this is a true obstetrical emergency. The cord is the baby's life supply and when it is out of the uterus it is vulnerable to compression, spasm, occlusion which can compromise the baby's blood and oxygen supply. In the episode, we discuss topic what happens in cord prolapse, how the baby is usually completely fine in acute care settings and why cesarean birth isn't the only solution to cord prolapse. ,

As always, we'd love to hear from you! Please get in touch with us on our website at TrueBirthPodcast.com or reach out on any of our social channels.

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For many centuries physicians have been trying to understand why some women give birth with relative expediency while other women can have long drawn out labors. In an effort to understand this discrepancy, two physicians (Caldwell & Malloy) studied cadavers and classified the shape of a woman's pelvics.

According to Caldwell & Malloy, there are 4 types of female pelvises all with a distinct shape: Gynecoid, Android, Anthropoid, and Platypelloid (see photo below). It was argued, that the shape of the pelvis was a factor in why a labor could be drawn out. Since this classification came out in 1933, there has been little challenge that these 4 pelvises are not a great representation of the differ shapes of bony structures for women.

In this episode, Dr. Abdelhak elaborates on what parts of the pelvis are important to pay attention to and why they matter.

We've included some photos as this will help with the visualization of what is discussed in this podcast.

As always, we'd love to hear from you! Please get in touch with us on our website at TrueBirthPodcast.com or reach out on any of our social channels.

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