WEBVTT - Week 22: Blocked Up And Out Of Breath?

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<v Speaker 1>You're listening to a MoMA Mia podcast.

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<v Speaker 2>Mama Maya acknowledges the traditional owners of land and waters

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<v Speaker 2>that this podcast is recorded on.

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<v Speaker 3>I am pregnant.

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<v Speaker 2>Welcome to Hello Bump. We're making pregnancy less overwhelming and

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<v Speaker 2>more manageable, hopefully. I am Grace Reuvery. I'm pregnant for

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<v Speaker 2>the first time, and I can't walk upstairs slopes or

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<v Speaker 2>speak long sentences without losing my marette without losing my breath.

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<v Speaker 1>Oh, I'm Yanna Pitman. I am a mother of six.

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<v Speaker 3>I had all those babies myself, and now I have

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<v Speaker 3>the privilege of working in a birth unit as a

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<v Speaker 3>training obstitution.

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<v Speaker 2>Each week, Bianna and I will help hold your hand

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<v Speaker 2>week by week through the mysterious, perplexing and sometimes breathless

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<v Speaker 2>miracle that is pregnancy.

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<v Speaker 1>So welcome to week twenty two.

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<v Speaker 2>How big is the baby at week twenty two?

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<v Speaker 1>Babies now about the size of an egg plant. Yeah,

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<v Speaker 1>that's quite big.

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<v Speaker 3>Or a sweet potato, a hair brush, or a defl

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<v Speaker 3>at afl.

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<v Speaker 2>Deflated one, not a full it's a four to one

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<v Speaker 2>full term.

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<v Speaker 3>No, thirty four weeks that I guess twenty eight centimeters.

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<v Speaker 3>Little bubby is now and weighs about four hundred and

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<v Speaker 3>thirty grams, So depending on which hospitals, as you get

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<v Speaker 3>closer to the five hundred grand mark, we're getting closer

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<v Speaker 3>to the time where baby will be viable.

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<v Speaker 1>So only a week away.

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<v Speaker 3>Now, this twenty two week is a really super important

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<v Speaker 3>week medically because if things were starting to happen, if

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<v Speaker 3>you knew you were having getting into pre term label,

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<v Speaker 3>we try very hard and have lots of discussions because

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<v Speaker 3>as of next week you meet the viability age for

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<v Speaker 3>all tertiary hospitals.

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<v Speaker 1>So big hospitals that have a really.

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<v Speaker 2>Good nick use with multiple pregnancies, think, if it's twins

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<v Speaker 2>or true plants, are you starting to look at what

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<v Speaker 2>week you would be looking to get the babies out

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<v Speaker 2>or is it just as long as you can keep

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<v Speaker 2>them in?

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<v Speaker 3>Yeah, great question. I think it depends on what type

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<v Speaker 3>of babies you're having. So there's multiple types of twins.

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<v Speaker 3>I had DCDA twins, so that basically means two percenters

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<v Speaker 3>two separate amniotic secks of the lower risk pregnancy. They

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<v Speaker 3>aim to sort of birth those little ones around thirty

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<v Speaker 3>seven to thirty nine weeks.

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<v Speaker 1>So if it's as long as another other risk factors

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<v Speaker 1>pit prop up.

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<v Speaker 3>Like preclamps Yeah, yeah, MCDA twins, which means there's one

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<v Speaker 3>placenter and two sacks sometimes earlier, and then you save

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<v Speaker 3>you when they have one placenter and they all share

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<v Speaker 3>the same amniotic sacs. So that's your highest risk identical

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<v Speaker 3>twins outside of conjoined twins, because obviously they're twins that

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<v Speaker 3>haven't split completely, so there's variations of different types of twins,

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<v Speaker 3>and they'll be the obstetric team will guide you quite

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<v Speaker 3>closely because things come into play like sometimes they don't

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<v Speaker 3>share the placental flow well enough, or they don't grow equally,

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<v Speaker 3>or sometimes one of them steals all the blood flow

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<v Speaker 3>from the other, which is called twin to twin transfusion.

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<v Speaker 3>So there's lots of complicating things in pregnancy, So definitely

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<v Speaker 3>outside of the scope of this podcast, but it'll be

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<v Speaker 3>really twin pregnancies, even my low risk twin pregnancy will

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<v Speaker 3>be really strongly managed by an obstrition. So that's slightly

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<v Speaker 3>outside the scope of the midwi free grip practice. If

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<v Speaker 3>you end up with doubles, don't get me wrong, the

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<v Speaker 3>midwife is a huge important person and in our obstetric

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<v Speaker 3>department with twins, we have a dedicated MFM midwives to

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<v Speaker 3>make sure the woman doesn't miss out on that wonderful

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<v Speaker 3>midwi free care, which hopefully is in most institutions. But

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<v Speaker 3>they start having lots of frequent ultrasounds, lots of looking

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<v Speaker 3>at the baby's blood flows and and things like that,

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<v Speaker 3>because yes, they are far more they often require preterm birth,

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<v Speaker 3>far more than a single baby or what we call

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<v Speaker 3>a singleton pregnancy.

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<v Speaker 2>And as they are starting to get closer to being viable,

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<v Speaker 2>what have they developed in the past.

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<v Speaker 3>Week, So I think it's a cute one. Well, on

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<v Speaker 3>that note, their lungs is now starting to form those

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<v Speaker 3>little alvole life so those little sacks that will then

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<v Speaker 3>eventually allow oxygen exchange, which is why we're getting close

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<v Speaker 3>to the time where they may survive and may do Okay.

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<v Speaker 3>Brain's now developing the cerebral cortets, so complex thought and

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<v Speaker 3>actions that they will eventually do as starting in that

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<v Speaker 3>process now. And they've even got little retinas in the

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<v Speaker 3>baby's eyes, so yeah, it's amazing. They'll be complete by

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<v Speaker 3>twenty two weeks. And they can now detect light, so

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<v Speaker 3>their eyes remain their eyelids remain fused till about twenty

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<v Speaker 3>six twenty eight weeks. That aren't any color yet, but

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<v Speaker 3>at least they might be able to tell the difference

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<v Speaker 3>between night and day.

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<v Speaker 2>Well, does that affect their sleep at all? They don't

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<v Speaker 2>have any kind of sleep with.

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<v Speaker 3>Not yet the circadian rhythms and stuff come. But that's

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<v Speaker 3>I guess that's what we're going towards.

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<v Speaker 1>Not quite yet.

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<v Speaker 3>A couple more weeks and then they'll have circadian rhythms

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<v Speaker 3>and rem sleep and everything.

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<v Speaker 1>Just like you and I. But yeah, it's a few

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<v Speaker 1>weeks off.

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<v Speaker 3>But at least now their retinas are able to actually

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<v Speaker 3>detect the difference between light and dark inside the uterus.

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<v Speaker 2>What's happening to me? And what's happening to the women?

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<v Speaker 2>What's happening to that? And to me? Tell me what's

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<v Speaker 2>happening to me?

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<v Speaker 3>Constipation is probably at its peak at the moment. You

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<v Speaker 3>might be developing some hemorrhoids. Early hemorrhoids might be starting

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<v Speaker 3>really common in pregnancy. Again, most of them sort of

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<v Speaker 3>go away after birth. It's again increase pressure in the

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<v Speaker 3>rectum so that pregnancy is sitting right there, increased blood flow,

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<v Speaker 3>and with that motility slowing down, you get constipated, you

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<v Speaker 3>push harder, higher chance of hemorrhoids.

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<v Speaker 2>Is this one of the times where you should get

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<v Speaker 2>one of those little stools to put your.

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<v Speaker 1>Proper legs out. Yes, yes, yes, exactly, So go for

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<v Speaker 1>it again. Have you got what I hope? No?

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<v Speaker 2>My pelvic four physio said to get two toilet rolls.

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<v Speaker 2>That's a clever idea if you don't want to buy something,

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<v Speaker 2>so you don't have to buy something new.

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<v Speaker 3>I mean, you're gonna have a baby, it's always having

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<v Speaker 3>a little stool at the end of the baby's going

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<v Speaker 3>to use the toilet train. But I like that just

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<v Speaker 3>a little Yeah I'm doing is literally trying to take

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<v Speaker 3>the pressure off the ground and you know, lift your

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<v Speaker 3>legs up off the so put your feet on toilet.

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<v Speaker 1>Rolls, is what she said. Yeah, I like it. I

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<v Speaker 1>might go and meet your physio. She sounds like is

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<v Speaker 1>it she? Yeah? She excellent?

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<v Speaker 2>Is this normal? Is it normal? Is this normal? Is

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<v Speaker 2>the fact that I am getting out of breath? It's

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<v Speaker 2>just speaking or walking up slopes that I wouldn't even

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<v Speaker 2>call with you anything that requires I've gone back to

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<v Speaker 2>the gym and I've been able to do pilates, but

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<v Speaker 2>I haven't done cardio apart from walking, so I don't

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<v Speaker 2>know how it would go with like a hit class

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<v Speaker 2>at all, because I'm getting out of breath. Why do

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<v Speaker 2>we get out of breath at around twenty two weeks.

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<v Speaker 1>Look nine and nive percent of the time it's normal.

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<v Speaker 3>Okay, Again, your baby's getting hot, bigger, it's pushing up

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<v Speaker 3>and you've got less ability to allow that diaphragm to

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<v Speaker 3>move up and down and take those deep, big breaths.

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<v Speaker 3>You are using more oxygen around your body, so just

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<v Speaker 3>the requirement of the oxygen requirement has gone up. I

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<v Speaker 3>think the thing to consider though, is that breathlessness can

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<v Speaker 3>be one of those red flags just like we've had

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<v Speaker 3>we've talked about before around heart rate going up or

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<v Speaker 3>blood pressure change, you're feeling dizzy. Breathlessness could be could

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<v Speaker 3>be something to do again the risk of a pulmonariabalism

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<v Speaker 3>or a cardiac problem, because if your heart, if you're

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<v Speaker 3>feeling breathless, it means usually you're not quite getting enough

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<v Speaker 3>oxygen around the body. So if it subsequently has breathlessness

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<v Speaker 3>plus chest pain, breathlessness at rest, sitting down, it's time

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<v Speaker 3>to go and see it's doctor.

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<v Speaker 2>One of the things. I've spoken to my mom a

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<v Speaker 2>lot about what happened in her pregnancy, and she's thinking

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<v Speaker 2>back to back in the day and she had something

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<v Speaker 2>that I've not experienced yet. She bled pretty much throughout

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<v Speaker 2>the whole of her pregnancy actually, and then if it

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<v Speaker 2>did stop, it came back at around twenty ish weeks mark.

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<v Speaker 2>What is that a sign of?

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<v Speaker 3>Look, it's really tricky and sometimes we can't work out

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<v Speaker 3>what it is, but it is important to look at that.

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<v Speaker 3>So I think it's a really great discussion for this week.

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<v Speaker 3>Because you've had your morphology hopefully by twenty two weeks,

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<v Speaker 3>we really what I've done before now guys, and look

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<v Speaker 3>for where your placenta is. So sometimes we can get

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<v Speaker 3>what's called a low lying placenta or a placenta previa.

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<v Speaker 1>There's different raids of it.

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<v Speaker 3>So obviously one is just where it's a butting up

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<v Speaker 3>against the cervix and what that basically means. The placenta

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<v Speaker 3>needs to be feeding the baby, so we need it,

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<v Speaker 3>it's essential. But ideally it's up near the fundus, at

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<v Speaker 3>the top of your uterus or on the anterior or

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<v Speaker 3>the posterior walls, so it's somewhere away from where the

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<v Speaker 3>cervix is, and the cervix is obviously the.

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<v Speaker 1>Canal that Levenchy but baby will come out of.

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<v Speaker 3>But unfortunately, in some cases it can actually come really

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<v Speaker 3>close to the cervix. So if it's within twenty millimeters,

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<v Speaker 3>so if you know you're looking atr fingers, it's in

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<v Speaker 3>that sort of period of space, we know there's a

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<v Speaker 3>risk that if that during pregnancy, bleeding may occur, and

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<v Speaker 3>it can be quite significant bleeding, so we monitor you

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<v Speaker 3>more regularly. So if it's just a low lying placenta,

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<v Speaker 3>we then say, look, let's repeat an ultrasound. In the

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<v Speaker 3>third trimester. Most of the time, ninety percent of the

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<v Speaker 3>time that cervix has grown out of the way. It's amazing,

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<v Speaker 3>it's gone. Not even a concern if it's still sitting

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<v Speaker 3>quite close to the cervix, so it's a grade two

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<v Speaker 3>it's sitting like on or just crossing over the cervix.

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<v Speaker 3>Up to a grade four where it's completely covering from

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<v Speaker 3>the front anterior to the back of the cervix posterior,

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<v Speaker 3>that can be quite dangerous because it basically means there's

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<v Speaker 3>no way the baby can come out that placenta is

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<v Speaker 3>crossing right across the exit, and it also means they're

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<v Speaker 3>at much high chance of bleeding. So that's one of

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<v Speaker 3>the big things to know. Where is your placenta. If

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<v Speaker 3>it's low lying, you might be advised to not do

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<v Speaker 3>high impact running for example, or don't or for example,

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<v Speaker 3>reduce intercourse because we don't want to do anything that

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<v Speaker 3>could stimulate or put pressure onto where that placenta is.

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<v Speaker 3>There's also other types of placenta spectrums that you need

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<v Speaker 3>to be aware of. Not for today, but if you

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<v Speaker 3>are someone who has a problem with your placenter, it's

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<v Speaker 3>just really good to get your doctor to explain it

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<v Speaker 3>in thorough detail so that you are aware of what's

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<v Speaker 3>going on. Other things are called bleeding your civix.

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<v Speaker 1>It can bleed.

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<v Speaker 3>It can bleed from contact from intercourse, but I still

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<v Speaker 3>want you to have intercourse as long as your percenta

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<v Speaker 3>is not low lying and you're not having a concern

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<v Speaker 3>is sumportant part of pregnancy. You vagina can bleed because

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<v Speaker 3>it gets dry sometimes and it gets you know, moist

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<v Speaker 3>other times.

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<v Speaker 1>I know probably hate.

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<v Speaker 3>That word, but it's importunately part of the vagina and

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<v Speaker 3>sometimes again back to the placenta, it can lift up

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<v Speaker 3>a little bit on the side. It's more common in

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<v Speaker 3>third semester, but we can get a little bit of

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<v Speaker 3>bleeding from the edge of the placenter called a placenta abruption,

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<v Speaker 3>which is a tiny one and in most cases it

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<v Speaker 3>just sits back down again. It can be a real

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<v Speaker 3>pest bow grace. So some people get this annoying bleeding.

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<v Speaker 3>They don't have a placenta previa, so the placenta nice

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<v Speaker 3>and out of the way.

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<v Speaker 1>And every couple of weeks they do just bleed.

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<v Speaker 3>And these poor women can sometimes be in hospital from

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<v Speaker 3>like twenty five to twenty six weeks till term because

0:09:18.909 --> 0:09:20.669
<v Speaker 3>they bleed. They go home for two or three days,

0:09:20.709 --> 0:09:22.629
<v Speaker 3>they bleed again, they go home for two or three days,

0:09:22.629 --> 0:09:25.669
<v Speaker 3>they bleed again, and they are literally institutionalized for ten

0:09:25.709 --> 0:09:28.989
<v Speaker 3>weeks of pregnancy. The remarkable that they manage to hold

0:09:28.989 --> 0:09:31.349
<v Speaker 3>it together. So I think it's just really important to

0:09:31.469 --> 0:09:33.189
<v Speaker 3>if you do bleed, to try and work out what

0:09:33.229 --> 0:09:35.349
<v Speaker 3>it is. But keep in mind that your doctors are

0:09:35.349 --> 0:09:37.149
<v Speaker 3>probably sometimes standing at the end of your bed going

0:09:37.189 --> 0:09:40.389
<v Speaker 3>I'm really sorry, I have no idea, and often you'll

0:09:40.389 --> 0:09:42.149
<v Speaker 3>get asked, oh can you do an ultrasound to look

0:09:42.149 --> 0:09:43.629
<v Speaker 3>at my placenta, Is it lifting?

0:09:43.709 --> 0:09:45.549
<v Speaker 1>Is it abrupting? Most of the time we can't even

0:09:45.589 --> 0:09:47.069
<v Speaker 1>see it, so it's kind of to proven.

0:09:47.069 --> 0:09:50.389
<v Speaker 3>Otherwise, I'd say more often than not, I can't give

0:09:50.389 --> 0:09:52.669
<v Speaker 3>you a reason, but know that it's common.

0:09:53.029 --> 0:09:55.149
<v Speaker 1>But it's always always a time to go and get help.

0:09:55.909 --> 0:09:59.549
<v Speaker 2>When you talk about the placenta moving. If we for

0:09:59.589 --> 0:10:02.069
<v Speaker 2>a lot of women, the last time they see their

0:10:02.069 --> 0:10:04.349
<v Speaker 2>baby on an ultrasound is that twenty weeks. Can if

0:10:04.349 --> 0:10:07.189
<v Speaker 2>you're low risk, how can you know if the placenta

0:10:07.429 --> 0:10:09.269
<v Speaker 2>has moved? Are there other signs?

0:10:10.149 --> 0:10:11.869
<v Speaker 3>If your percenter is low, that won't be your last

0:10:11.949 --> 0:10:15.509
<v Speaker 3>ultra sound, So it would be strongly against. I mean,

0:10:15.509 --> 0:10:17.109
<v Speaker 3>there's a lot of things we're quite lax with with

0:10:17.229 --> 0:10:20.029
<v Speaker 3>you know, you take our recommendation or you don't that.

0:10:20.189 --> 0:10:22.349
<v Speaker 3>I can't imagine any midwife or doctor or door or

0:10:22.469 --> 0:10:25.029
<v Speaker 3>anyone if you had a low lying percenter a morphology

0:10:25.069 --> 0:10:27.949
<v Speaker 3>that wouldn't say let's repeat it at least between twenty

0:10:27.949 --> 0:10:29.749
<v Speaker 3>eight and thirty four weeks, because we need to know

0:10:29.829 --> 0:10:32.029
<v Speaker 3>ideally the closer to thirty two to thirty four that

0:10:32.069 --> 0:10:35.149
<v Speaker 3>it's moved. It is you have a significant chance of

0:10:35.669 --> 0:10:38.269
<v Speaker 3>a severe postpartum hemorrhage if you don't.

0:10:38.589 --> 0:10:40.029
<v Speaker 2>Is there a chance that if you do have an

0:10:40.469 --> 0:10:43.349
<v Speaker 2>anterior percenter like minds at the front, yep, would it

0:10:43.629 --> 0:10:47.589
<v Speaker 2>move lower or higher? Or if it's an anterior and yeah,

0:10:49.949 --> 0:10:52.949
<v Speaker 2>will it's the other way? No, so because it's not.

0:10:52.989 --> 0:10:54.709
<v Speaker 3>Actually it sounds like the vost is getting a little

0:10:54.709 --> 0:10:55.669
<v Speaker 3>feet and wriggling its way up.

0:10:55.869 --> 0:10:56.189
<v Speaker 1>It doesn't.

0:10:56.189 --> 0:10:58.469
<v Speaker 3>It grows as the muscle and the segment. So you

0:10:58.469 --> 0:11:00.909
<v Speaker 3>actually have what's called your lower segment of your uterus

0:11:01.189 --> 0:11:04.069
<v Speaker 3>in early pregnancy. It's not developed, so there is actually

0:11:04.989 --> 0:11:07.909
<v Speaker 3>an amazing phenomenon where the actual lower segment stretches and

0:11:07.909 --> 0:11:09.669
<v Speaker 3>stretches and stretches are up, and in doing so it

0:11:09.749 --> 0:11:11.589
<v Speaker 3>takes the percenter with it. So the pleasant is not

0:11:11.669 --> 0:11:13.869
<v Speaker 3>physically moving, it's just growing up and away from the

0:11:13.909 --> 0:11:16.509
<v Speaker 3>servix and then it's fine. So if at morphology you

0:11:16.549 --> 0:11:19.189
<v Speaker 3>don't have a low lying placenter, the chances if you're getting.

0:11:18.989 --> 0:11:19.989
<v Speaker 1>One incredibly low.

0:11:20.229 --> 0:11:20.549
<v Speaker 2>Right.

0:11:20.949 --> 0:11:23.269
<v Speaker 3>The other key thing to think about is your cervical length.

0:11:23.469 --> 0:11:27.269
<v Speaker 3>So we talked very early in this series around internal examination.

0:11:27.349 --> 0:11:29.869
<v Speaker 3>So having a trans vaginal which is the probe inside

0:11:29.869 --> 0:11:32.309
<v Speaker 3>the uterus. This is the time we can have a

0:11:32.309 --> 0:11:34.429
<v Speaker 3>look at your cervix and see if it's nice and long.

0:11:34.869 --> 0:11:36.869
<v Speaker 3>If your cervix is super short, in other words, it's

0:11:36.909 --> 0:11:40.629
<v Speaker 3>like only a centimeter long, we would consider at this

0:11:40.669 --> 0:11:42.029
<v Speaker 3>point doing something about it.

0:11:42.309 --> 0:11:42.909
<v Speaker 1>Now not always.

0:11:42.909 --> 0:11:44.309
<v Speaker 3>Some people might say no, thank you, or it might

0:11:44.309 --> 0:11:46.309
<v Speaker 3>be borderline like two centimeters or two point eight, and

0:11:46.309 --> 0:11:49.149
<v Speaker 3>it's just being what we call cervical surveillance, which means

0:11:49.189 --> 0:11:51.309
<v Speaker 3>you have more frequent ultra sounds to check that. But

0:11:51.389 --> 0:11:53.109
<v Speaker 3>ultimately it's what's holding your baby in.

0:11:53.349 --> 0:11:54.349
<v Speaker 1>Once your service.

0:11:54.069 --> 0:11:57.269
<v Speaker 3>Starts to dilate, it's very, very hard to stop labor

0:11:57.269 --> 0:11:59.629
<v Speaker 3>from coming again. I've seen miracles. I thought, there's amazing

0:11:59.629 --> 0:12:01.389
<v Speaker 3>woman with an open service at twenty five weeks. You

0:12:01.429 --> 0:12:03.269
<v Speaker 3>made it to twenty No, it made it to thirty

0:12:03.269 --> 0:12:05.909
<v Speaker 3>four weeks. But it's less common because you know something

0:12:05.949 --> 0:12:08.389
<v Speaker 3>that's the structure is not stable anymore. So if we

0:12:08.429 --> 0:12:11.989
<v Speaker 3>can catch an open cervix or short cervix, I should

0:12:11.989 --> 0:12:14.109
<v Speaker 3>say at twenty weeks, we can usually do something like

0:12:14.149 --> 0:12:17.229
<v Speaker 3>progesterone supplements or even a sicklage. But again that's information

0:12:17.309 --> 0:12:19.429
<v Speaker 3>for your obsoscition to go through with you. But it's

0:12:19.429 --> 0:12:21.829
<v Speaker 3>important when you're saying yay or nay, Do I or

0:12:21.829 --> 0:12:24.829
<v Speaker 3>do I not? Want to have that internal exam It

0:12:24.869 --> 0:12:26.669
<v Speaker 3>would be a reason I'd consider it.

0:12:27.149 --> 0:12:29.189
<v Speaker 2>We've given a lot of advice this episode already, but

0:12:29.269 --> 0:12:31.149
<v Speaker 2>is there anything else that we haven't thought about for

0:12:31.669 --> 0:12:33.269
<v Speaker 2>a checklist this week? For twenty two.

0:12:33.149 --> 0:12:36.469
<v Speaker 3>Weeks monitoring babies movements. Now, let's go into that properly

0:12:36.509 --> 0:12:38.149
<v Speaker 3>next episode, because I think now is the time there's

0:12:38.149 --> 0:12:41.149
<v Speaker 3>patterns will develop, but I think super important to start

0:12:41.589 --> 0:12:42.709
<v Speaker 3>looking and monitoring those.

0:12:50.309 --> 0:12:52.469
<v Speaker 2>My talk itIt for this week is just to stop

0:12:52.469 --> 0:12:55.669
<v Speaker 2>being a hero and if someone love it. If someone

0:12:55.749 --> 0:12:59.069
<v Speaker 2>offers a lift or says, do you want me to

0:12:59.469 --> 0:13:03.109
<v Speaker 2>lift that, Itham, the answer is yes.

0:13:03.109 --> 0:13:05.749
<v Speaker 3>Yeah, perfect take it, including if they want to cook

0:13:05.789 --> 0:13:06.669
<v Speaker 3>your meals and things.

0:13:06.669 --> 0:13:08.909
<v Speaker 2>Yes, oh yes, ay, yes.

0:13:08.989 --> 0:13:10.789
<v Speaker 3>And it also gives them permission to ask you in

0:13:10.829 --> 0:13:13.189
<v Speaker 3>the future. And I think we're so busy not taking

0:13:13.229 --> 0:13:15.349
<v Speaker 3>help because we're want to be heroes, as you perfectly

0:13:15.349 --> 0:13:17.589
<v Speaker 3>said it, but it allows in doing so, them to

0:13:17.629 --> 0:13:19.029
<v Speaker 3>reach back and ask for that when they go through

0:13:19.029 --> 0:13:21.069
<v Speaker 3>prectice in themselves, which makes it a women's club, which

0:13:21.069 --> 0:13:22.069
<v Speaker 3>is exactly what we need.

0:13:22.269 --> 0:13:27.949
<v Speaker 2>Yeah, we hope you enjoyed this episode of Hello Bump.

0:13:28.029 --> 0:13:30.869
<v Speaker 2>We have so many episodes of this series filled with

0:13:30.909 --> 0:13:33.989
<v Speaker 2>tips and stories from women and experts who've been through

0:13:34.029 --> 0:13:34.749
<v Speaker 2>it all before.

0:13:35.189 --> 0:13:37.069
<v Speaker 3>You can go back and listen to everything else Hello

0:13:37.069 --> 0:13:38.989
<v Speaker 3>Bump related in this podcast feed, and.

0:13:38.989 --> 0:13:40.749
<v Speaker 2>While you're there, we'd love if you could give us

0:13:40.749 --> 0:13:42.669
<v Speaker 2>a five star rating and maybe leave us a review,

0:13:42.789 --> 0:13:44.749
<v Speaker 2>or even share this episode with a friend.

0:13:45.149 --> 0:13:48.349
<v Speaker 3>This episode was produced by Courtney Ammenhauser with audio production

0:13:48.389 --> 0:13:49.109
<v Speaker 3>by Tom Lyon.

0:13:49.149 --> 0:13:50.949
<v Speaker 1>We'll catch you next time. Bye.

0:13:51.229 --> 0:13:53.549
<v Speaker 2>This episode of Hello Bump was made in partnership with

0:13:53.669 --> 0:13:54.109
<v Speaker 2>Huggies