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True Birth

Dr. Yaakov Abdelhak & Kristin Mallon, RN, CNM

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Helping women have better births and better birth experiences. Our experts share their perspectives on pregnancy, childbirth and the postpartum period. These are raw, honest stories about the experience of labor from the professional's point of view. Listen and get inside your OB/GYN or midwife's head. Our goal is to share the truth about pregnancy and birth with the listener and to explain our thought process. We see our role as one in which we guide and inform, presenting facts so that the ...
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Dearest Doula with Nathalie Saenz

Nathalie Saenz chats with top birth workers and birth experts such as Demetria Clark & Maria Pokluda, with Inspiration from Ina May Gaskin, Penny Simkin, Pam England, and Sheila Kitzinger.

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On Dearest Doula we will learn about a host of birth related topics from top professionals in our field, and connect with doulas and other birth workers so they can share their wisdom with you. Our topic based shows are chock-full of knowledge bombs, tips and resources that you can arm yourself with and add to your doula arsenal of awesomeness. Our birth worker features are all near and dear to my heart, and I invite you to let their journey light your path. Listening to their struggles, the ...
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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…
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It is common for partners to have different opinions about pregnancy, birth, or parenting. These differences can create tension, especially when decisions need to be made. As doulas, we play a vital role in navigating these situations with professionalism and care. It is important that we equip ourselves with strategies to support both individuals …
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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 qu…
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Meal planning and preparation services can enhance the doula support options you provide to clients. However, doulas must consider regulations, logistics, and business implications before jumping in. Understanding the difference between meal planning and meal preparation is essential. Each service offers unique benefits for families. It is critical…
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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, p…
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A dedicated office space for a doula business can bring professionalism, visibility, and a central hub for meetings and classes. It can also come with significant costs and added responsibilities. Understanding the pros and cons is essential before making the investment. Calculating the potential return on investment provides a clear picture of whe…
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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 stor…
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Working with clients who hold status, whether they are medical providers, influencers, politicians, or public figures, can present unique opportunities and challenges for doulas. Supporting high-visibility clients while maintaining the same standards of care, boundaries, and intent you offer every other family may not come as easily as you think. W…
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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 …
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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 mai…
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What is selective bias, and how does it show up in our work as doulas? We all interpret and retain information in ways that align with our pre-existing beliefs, often unknowingly dismissing data that challenges our biases. From interpreting research to making decisions in birth spaces, selective bias can shape the care we provide and can influence …
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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…
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Doula work can be incredibly rewarding, but it won't be the right fit for everyone. In this episode, we talk openly about why someone shouldn't become a doula. Birth work requires a specific mindset, skills, and responsibilities. Being judgmental, struggling to hold space, or expecting birth work to be all about personal fulfillment can create harm…
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Every doula experiences it. The ups and downs of client inquiries and bookings are a normal part of running a doula business. Some months are full, while others feel uncomfortably quiet. There is often a natural ebb and flow of doula work, and it is important to stay grounded when things slow down. What can you do during slower seasons to remain pr…
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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 la…
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As doulas, when it comes to communication, what we say and how it’s heard are not always the same. Words shape how clients feel, respond, and make decisions. Asking questions that begin with "why" can unintentionally sound like judgment, even when your intent is neutral or supportive. Doulas often believe that it’s our job to make sure clients are …
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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. Fr…
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Telemetry monitoring during labor is becoming more common in hospital birth settings. Yet many doulas may not be familiar with how it works or how it differs from traditional continuous electronic fetal monitoring. In this episode, we explore telemetry monitoring, how it functions, and the potential benefits it offers for mobility and comfort for l…
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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,…
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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 ope…
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Low amniotic fluid, or oligohydramnios, is a topic doulas are likely to encounter in our work with clients, especially during the third trimester. Doulas and clients often question what low fluid levels mean, how they are diagnosed, and the clinical considerations involved. It is important for doulas to understand risks associated with low amniotic…
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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. Connec…
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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. Labo…
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We’re talking about business evolution: how growth, learning, and new services shape the future of your brand. Your doula business won’t look the same in a year or two as it did on day one. But that’s a good thing! Your marketing should reflect every step forward, from your first client to expanding your services. Updating your website, social medi…
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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 sonographe…
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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 umbilic…
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Many birth workers assume teaching childbirth education is just for labor doulas. Yet postpartum doulas can benefit just as much from teaching childbirth and newborn-related classes. Offering newborn care education can be a game-changer for postpartum doulas looking to grow their client base. Teaching a newborn care class allows you to connect with…
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https://www.tiktok.com/@natureback.docIn 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 insig…
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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. Ad…
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The power of listening is one of the most valuable skills a doula can have. Listening involves more than just hearing words—it’s about creating space where clients feel genuinely seen, heard, and understood. It is how deep, intentional trust is built, and it strengthens the doula-client relationship. When clients feel safe to unmask and share openl…
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A short story on a woman contemplating a VBAC after two Cesarean Deliveries. Vaginal birth after cesarean (VBAC) after two cesarean deliveries (VBAC-2) is considered a viable option for many women, though it carries certain risks. The success rate for VBAC-2 is approximately 71.1%, which is slightly lower than the success rate for VBAC after one ce…
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Prodromal labor refers to a pattern of contractions that can feel strong and regular, yet do not lead to significant cervical dilation and active labor. Often described as “false labor,” these contractions can be confusing for expectant parents because they mimic the intensity and frequency of real labor pains. Unlike true labor contractions, howev…
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Client reviews shape your doula business. But how do you request them, use them effectively, and respond to negative feedback professionally? Doula work is deeply personal. Families invite us into one of the most intimate times of their lives, trusting us to provide support. Because of this, building and maintaining an emotional connection is essen…
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Today, we get real about every aspect of labor and delivery. In this episode, we’re tackling a topic folks often avoid: having a bowel movement during childbirth. The truth is, it happens to everyone—it’s just part of being human—and it’s really not a big deal. We’ll talk about why it occurs, how the medical team handles it, and why you shouldn’t s…
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In this special detour from our usual birth and pregnancy-focused conversations, we take to the skies for a lighthearted look at the highs (and lows) of air travel. From the cramped seats to the endless security lines, we’re unpacking our funniest in-flight gripes and sharing laughs about all those little annoyances that drive us up the cabin walls…
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Providing postpartum support in a hospital setting comes with unique challenges and important considerations. Unlike postpartum care in the client's home, hospital-based postpartum care requires doulas to navigate medical staff interactions, hospital policies, and the ever-changing needs of new parents in those crucial first hours and days. There a…
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In this episode, you'll be taken through a detailed, step-by-step breakdown of a vaginal breech delivery. The discussion unfolds like a guided tour through the intricate process—from the initial assessment and preparation to the precise maneuvers required during the delivery itself. Experts explain how modern medical techniques are employed to ensu…
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Exercise during pregnancy is highly beneficial for both the mother and baby, promoting cardiovascular health, reducing the risk of gestational diabetes, improving mood, and aiding in better sleep. Moderate-intensity activities like walking, swimming, prenatal yoga, and strength training can help maintain fitness while reducing discomforts such as b…
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CRMs and automation tools are fantastic for streamlining your doula business—but full automation can’t replace connection. But the goal isn’t to automate everything but to find the balance between being efficient and being effective. Efficiency can save you time, but effectiveness is about creating impact—and your potential clients will remember ho…
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In this episode, we dive into listener mail! 🎙️📬 From thought-provoking questions to personal stories and insightful feedback, we explore what’s on your mind. Tune in as we answer your burning questions, share expert insights, and discuss the topics that matter most to our community. Whether it’s about health, longevity, pregnancy, or the latest in…
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During pregnancy, lab tests play a crucial role in monitoring both maternal and fetal health, ensuring early detection of potential complications. Routine blood tests in early pregnancy include a complete blood count (CBC) to check for anemia or infections, blood type and Rh factor screening to prevent incompatibility issues, and tests for infectio…
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Families welcoming a baby through IVF—whether carrying on their own or working with a surrogate—often face unique fears, anxieties, and uncertainties. As doulas, how can we best support them through this deeply personal and emotional journey? In this episode, we dive into the complexities of working with families who have experienced fertility chal…
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The location of the placenta plays a significant role in pregnancy and birth, but its impact can vary depending on specific circumstances. Placenta positioning is important for several reasons, particularly when it affects the path of delivery, but in many cases, it doesn’t interfere with the general progress of pregnancy or fetal movement. One of …
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NatureBack is the expression of Dr. Yaakov Abdelhak’s obstetrical philosophy after more than 3 decades in the field of high-risk perinatology Maternal-Fetal Medicine. It is a goal-oriented practical method that can mitigate or possibly even eliminate the need for a cesarean delivery. Now you can read Dr. Abdelhak's first hand experience in his new …
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There are many ways of supporting labor clients as a doula. Doulas provide continuous support during labor. But what happens when a doula steps away while their client is still in labor? There is a lot of nuance to the decision-making process behind leaving a birth temporarily and returning later. Sometimes, stepping away might be appropriate, allo…
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Understanding Amniotic Fluid: What's Normal and What's Not Amniotic fluid is the protective liquid contained within the amniotic sac that surrounds a baby during pregnancy. This vital fluid plays a critical role in fetal development, providing cushioning, regulating temperature, and enabling the baby to move and grow within the uterus. It also faci…
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In obstetrics and medicine, uncovering the right diagnosis or understanding a patient’s medical history often involves piecing together subtle clues, much like solving a puzzle. While patients are typically reliable historians, there are moments when they may not recall specific events, procedures, or reasons for past medical decisions, especially …
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Illness is an inevitable part of life, but how do you handle it as a birthworker? No doubt navigating sickness in the doula world comes with challenges. How do you balance your commitment to clients while prioritizing health and safety? Are you willing to work with clients who are sick, and if so, how can you implement universal precautions to prot…
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This episode outlines a step-by-step process of what happens when a woman undergoes an external cephalic version (ECV) in a hospital setting. Vaginal breech delivery has long been considered risky, leading most providers to recommend cesarean sections for breech-positioned babies. However, with the right expertise, careful candidate selection, and …
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Amniocentesis, once a hallmark of prenatal diagnostics, has become a relic of an earlier era in reproductive healthcare. The procedure, which involves extracting amniotic fluid with a needle to screen for genetic conditions, was groundbreaking in its time. But advances in non-invasive prenatal testing (NIPT) have rendered it largely unnecessary. NI…
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