Pregnant Mandy Moore Says She Will Have Unmedicated Birth Due to Rare Blood Disorder

the This Is Us star, 38, opened up about not being able to receive an epidural during childbirth due to an autoimmune disorder called immune thrombocytopenic purpura (ITP). 

Moore and her husband Taylor Goldsmith are already parents to 17-month-old son Gus, whom she also delivered without medication due to the condition.

"My platelets are too low for an epidural," Moore shared. "It was awful. I wish medication was an option. But we'll just push forth like we did last time."

According to Mayo Clinic, the disorder can "lead to easy or excessive bruising and bleeding. The bleeding results from unusually low levels of platelets — the cells that help blood clot."

"I'd been looking forward to this for a decade and half," Moore said of being back on tour after 15 years. "But ultimately, nothing trumps your health, and the health of your baby."

"I know that I have to put my family and my health first and the best place for me to be right now is at home. Thank you for all of your support along the way," she concluded. 

The actress announced on Instagram earlier in June that she is pregnant, expecting her second baby boy with Goldsmith this fall.