WEBVTT - Week 38: Can Having Sex Actually Bring On Labour? 

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<v Speaker 1>You're listening to a Muma Mia podcast. Mama Maya acknowledges

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<v Speaker 1>the traditional owners of land and waters that this podcast

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<v Speaker 1>is recorded on. I am pregnanty.

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<v Speaker 2>Welcome to Hello Bump.

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<v Speaker 3>We're making pregnancy less overwhelming and more manageable, hopefully.

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<v Speaker 2>I am Grace Rubray.

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<v Speaker 3>I'm pregnant for the first time and you might be

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<v Speaker 3>feeling like, am I still pregnant?

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<v Speaker 1>I'm done. I've done it six times, so I'm a

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<v Speaker 1>mother of six. My name's Jana Pittman. I am a

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<v Speaker 1>former olympian and I'm now training to be an obstetrician

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<v Speaker 1>and gynecologist.

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<v Speaker 3>Each episode will be holding your hand week by week

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<v Speaker 3>through the mysterious, perplexing, and sometimes long miracle that is pregnancy,

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<v Speaker 3>all the way from a poppy seed to a pumpkin.

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<v Speaker 1>Week thirty eight, What.

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<v Speaker 3>Size is our baby? Definitely still a large watermelon.

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<v Speaker 1>Yeah exactly, and just getting bigger and bigger and fatter

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<v Speaker 1>and cuter. A lightweight kettlebell is what I've got.

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<v Speaker 2>I think that's that's what it feels like.

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<v Speaker 3>Yeah, that's a nice visual too, feeling connection.

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<v Speaker 1>Yeah exactly, and you can pick it up in the gymerdation. Yeah, right,

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<v Speaker 1>this is what's inside me, in my placenta and all

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<v Speaker 1>my fluid and yea, yeah. So we're about three point

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<v Speaker 1>one to three point three kilos on average, But again

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<v Speaker 1>we are thirty eight weeks, which means some babies approaching

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<v Speaker 1>four kilos now and some are still down around two.

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<v Speaker 1>So we're very, very varied at this point in pregnancy.

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<v Speaker 2>A couple of.

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<v Speaker 3>Girls at work told me that you'll have good muscles

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<v Speaker 3>in your legs at this point because you're essentially carrying

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<v Speaker 3>around a weighted vest exactly.

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<v Speaker 2>I love that.

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<v Speaker 1>But it's also when your back starts getting a lot

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<v Speaker 1>of discomfort, you can get the belly belts and things

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<v Speaker 1>like that that if you have any sacro which basically

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<v Speaker 1>means pain in your sacral area in your back and

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<v Speaker 1>in your pubic bone, that can actually kind of support

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<v Speaker 1>and almost rigain that muscle strength. So if that is

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<v Speaker 1>a problem, that's well, you can look online and just

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<v Speaker 1>get something for the last couple of weeks.

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<v Speaker 2>And what are they developing or are they pretty much good?

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<v Speaker 1>They're pretty good. They're starting to make that immerconium that

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<v Speaker 1>baby poo that we were talking about at this point.

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<v Speaker 1>If they were born, they might still have a bit

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<v Speaker 1>of vernix, that nice white creamy stuff that helps protect

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<v Speaker 1>the babies in from the amniotic fluid and the acidity

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<v Speaker 1>in the uterus. But they're very ready to be born.

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<v Speaker 1>So I think from a mummy perspective, it's now about

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<v Speaker 1>how can we get your baby out so we can

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<v Speaker 1>try starting all those techniques grace around. How can we

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<v Speaker 1>bring about labor? Now? There's lots of old live tales

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<v Speaker 1>like do not drink castor oil. Guys, Like that's this

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<v Speaker 1>old one that my grandma told me when I was

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<v Speaker 1>forty weeks pregnant in my third Pregnancy's like, go and

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<v Speaker 1>drink the yackie oil. It is cast well one other oil.

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<v Speaker 1>It makes you sick, gives you diarrhea, and does not work. Okay,

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<v Speaker 1>there's no evidence.

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<v Speaker 3>This was in my tool kit, but let's bring it

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<v Speaker 3>up now. I want to know if these ones are correct.

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<v Speaker 3>Curb walking dates, raspberry leaf tea, sex, I.

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<v Speaker 2>Was ready for that sex, sex a glass.

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<v Speaker 3>Actually, a friend on the weekend said she felt so

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<v Speaker 3>unsexy the whole time that her pregnancy was bookended by,

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<v Speaker 3>like she had sex and got pregnant and then had

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<v Speaker 3>sex at the end and nothing in between.

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<v Speaker 1>You, Yeah, well, but it's very common.

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<v Speaker 3>These are the things that I have read of. Do

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<v Speaker 3>you know if any of these actually work?

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<v Speaker 1>Yeah, so it ras belief tea a little bit of evidence.

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<v Speaker 1>The strongest evidence actually is intercourse because the prostatecure land

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<v Speaker 1>and in seement is very similar to what we use if

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<v Speaker 1>we need to make your cervix soft to do an induction.

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<v Speaker 1>We also know that a stretch and sweep is effective.

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<v Speaker 1>So if you don't know what that is, and everyone's like,

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<v Speaker 1>what is a stretch and sweep, it is basically a

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<v Speaker 1>vaginal exam, very similar like you would have in labor,

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<v Speaker 1>and we basically feel for where your cervix is now.

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<v Speaker 1>It does two things. It tells us how close to

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<v Speaker 1>labor are you now. It's not a crystal ball. We

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<v Speaker 1>can't dictate exactly what it is. But if your servix

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<v Speaker 1>is soft and a little bit open already, that's a

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<v Speaker 1>great sign. And so doctors and midwives can do this.

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<v Speaker 1>Please don't do it yourself. I did do it to myself.

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<v Speaker 1>Not a great idea, okay, because I knew what I

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<v Speaker 1>was doing. Still wasn't a great idea. Get someone who

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<v Speaker 1>knows what they're doing to do it from a comfort perspective,

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<v Speaker 1>But what they try to do is actually try to

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<v Speaker 1>reach inside the cervix a little bit, stretches tiny bit

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<v Speaker 1>and actually literally release the membranes because obviously the amniotic

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<v Speaker 1>that has membranes around it from the uterus slightly. So

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<v Speaker 1>it's thought to sort of stimulate proteins to break down

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<v Speaker 1>and hopefully start labor to come on. So that is

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<v Speaker 1>definitely something that there's good research on to do it

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<v Speaker 1>one or two times from thirty eight weeks on from

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<v Speaker 1>this week, not before, not before thirty eight weeks, but

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<v Speaker 1>from thirty eight weeks onwards, you can do it one, two,

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<v Speaker 1>even three times a week, and there's good research that

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<v Speaker 1>it doesn't there's less chance of pronging and needing an

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<v Speaker 1>induction after forty one weeks?

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<v Speaker 2>Is this normal?

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<v Speaker 1>Normal?

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<v Speaker 2>Is this normal?

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<v Speaker 1>Is?

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<v Speaker 3>If you are having an elective cesarean and you already

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<v Speaker 3>know that that's what you're having, what can you be

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<v Speaker 3>doing at this point to prepare? And I guess does

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<v Speaker 3>it change things you've had caesareans as well?

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<v Speaker 1>Happen? Are you?

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<v Speaker 2>Who?

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<v Speaker 1>Yes?

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<v Speaker 3>But I guess what's the headspace when you're when you're

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<v Speaker 3>talking to your patients then around knowing the exact date.

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<v Speaker 1>They know the birth date well sometimes because babies have

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<v Speaker 1>a habit of coming before they had booked caesarean dates.

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<v Speaker 1>So in most cases for an elective cesarian section. Now

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<v Speaker 1>I remember that the Australian rates of cesarians are at

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<v Speaker 1>around forty forty two percent, depending if it's public or

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<v Speaker 1>private hospital. I think it's important to remember that between

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<v Speaker 1>twenty five and twenty eight percent of labors will actually

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<v Speaker 1>end up with a cesarean in first time mums, a

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<v Speaker 1>bit less in subsequent who's had previous vaginal births. So

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<v Speaker 1>that's quite a high rate. And I certainly talk to

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<v Speaker 1>a lot women who bok an elective cesarian section. It

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<v Speaker 1>might because their baby's a little bit bigger, it might

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<v Speaker 1>be because they've had a previous bad birth, or often

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<v Speaker 1>it is that anxiety around well, if I'm gonna have

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<v Speaker 1>if I've got a twenty five percent chance of caesarian anyway,

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<v Speaker 1>I'd prefer to planet no my date, organized my childcare,

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<v Speaker 1>organize my family, my support system I don't have. There's

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<v Speaker 1>lots of reasons why women make that decision. Now, if

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<v Speaker 1>you're only having one baby, it's a great decision guys,

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<v Speaker 1>because there's the risk of a cesarean section largely is

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<v Speaker 1>around the subsequent pregnancies. The first one, what we call

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<v Speaker 1>a virgin abdomen, is very easy, even that very junior

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<v Speaker 1>registrars are allowed to do the first time cesarean sections

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<v Speaker 1>because there's nothing there that's a concern. It's whip baby

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<v Speaker 1>comes out so back together and it's quite a simple,

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<v Speaker 1>simple surgery. But scarring and things can cause problems for

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<v Speaker 1>future pregnancies, as can the scar on the uterus for

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<v Speaker 1>labor can break apart. So the risk is actually, if

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<v Speaker 1>you want five or six kids, an elective cesarian is

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<v Speaker 1>probably not the best choice. But as you know, we

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<v Speaker 1>do lots of vaginal births after cesarean sections in Australia,

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<v Speaker 1>particularly my hospital. We've got lots and lots of ladies

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<v Speaker 1>having bebacks because we know it is safe with monitoring

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<v Speaker 1>and the right sort of decisions and spontaneous labor for

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<v Speaker 1>the subsequent one.

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<v Speaker 3>If people are feeling nervous about their sea section, the

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<v Speaker 3>only thing that I know about it is that it

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<v Speaker 3>is quite quick from when you're rolled in.

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<v Speaker 2>This is true about fifteen minutes. Can you talk us

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<v Speaker 2>through you.

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<v Speaker 1>Mean the baby comes out.

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<v Speaker 3>In here, the baby comes out, but then there's being

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<v Speaker 3>sewn up.

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<v Speaker 2>Can you in maybe like a Graz's anatomy version where.

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<v Speaker 1>It's not too much, not too hotel.

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<v Speaker 3>Of what is actually going to happen to I guess

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<v Speaker 3>dispel the if people haven't been in an operating room

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<v Speaker 3>like I have, and it is terrifying.

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<v Speaker 2>What are we going to see and what's going to point.

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<v Speaker 1>Lots of people. Okay, so it's a busy space, it's

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<v Speaker 1>very bright lights. You can still have your music, you

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<v Speaker 1>can still have your support partner like. It can be

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<v Speaker 1>a very beautiful situation. I've done two maternally assisted cesarians too,

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<v Speaker 1>which were just gorgeous, where the mum took the baby

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<v Speaker 1>straight off me like as it helped me birth the

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<v Speaker 1>baby onto her, which was wonderful.

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<v Speaker 2>I think she could lean forward.

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<v Speaker 1>Yeah, so basically as soon as yeah, not for everyone,

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<v Speaker 1>but really beautiful for me. It was one of the

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<v Speaker 1>most beautiful births I've been in because the mum wasn't

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<v Speaker 1>appropriate for a vaginal birth and she was very keen

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<v Speaker 1>to be part of the delivery process, and so as

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<v Speaker 1>soon as the little one head came through, I basically

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<v Speaker 1>reached forward and then she was able to sort of

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<v Speaker 1>assist the birth on to her, and that means baby

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<v Speaker 1>went director mum to breast and all that kind of stuff.

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<v Speaker 1>So there's lots of different ways and means of how

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<v Speaker 1>they go ahead, but you basically come in at six

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<v Speaker 1>o'clock in the morning, no food. They have a dual

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<v Speaker 1>chat with you. I usually or whoever's coming and doing

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<v Speaker 1>the surgery comes and says hello. Then they will you

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<v Speaker 1>downstairs or walk you downstairs? You lie down. They pop

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<v Speaker 1>an epidural in your back most of the time and

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<v Speaker 1>providing that covers you well enough, you're awake for the

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<v Speaker 1>whole thing. You're right. We basically test your tummy. We

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<v Speaker 1>pop an eye DC so test that you can't feel anything.

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<v Speaker 1>So it's nice and that's good. Yes, that's good.

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<v Speaker 2>You want that, great?

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<v Speaker 1>You want that. They pop a little catherin in your bladder.

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<v Speaker 1>So that's the only thing that a lot of women

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<v Speaker 1>don't know, but that comes out the next dates because

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<v Speaker 1>you won't be able to walk around in the afternoon.

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<v Speaker 1>Dumb question is that through the in through the urethras

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<v Speaker 1>so basically it just below the glitterists where where you're

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<v Speaker 1>we from. You pop a little catheter in there, and

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<v Speaker 1>then the surgery starts and you're right for a first time, Caesar,

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<v Speaker 1>if you've not had previous scarring or no other surgery

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<v Speaker 1>on your own abdomen in the past. I mean, we've

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<v Speaker 1>had babies come out in three or four minutes, but

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<v Speaker 1>it's usually about ten and bubbies out and then from

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<v Speaker 1>there you don't really remember the rest because you're so beautiful,

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<v Speaker 1>you know, mixed up with your beautiful little human. But

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<v Speaker 1>it takes about, depending on skill set, between you know,

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<v Speaker 1>twenty and fifty minutes to close up from there.

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<v Speaker 2>What do you do if people get anxious?

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<v Speaker 3>Like I sort of said last episode that I worry

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<v Speaker 3>that I would get panicky, There's.

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<v Speaker 1>Lots of things. So we're a team. So in the

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<v Speaker 1>birth unit, they'll be me and an assistant, So the

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<v Speaker 1>primary surgeon and an assistant. There'll be an anesthetic doctor

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<v Speaker 1>and his assistant. There'll be a scrub nurse and nurse

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<v Speaker 1>holding and giving me the instruments and things, and there'll

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<v Speaker 1>be also another nurse in the room just to help out.

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<v Speaker 1>So there is seven or eight people in there, and

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<v Speaker 1>I think it's something that people don't expect, So it

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<v Speaker 1>is to be aware of you're all very modestly covered up.

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<v Speaker 1>There is a mix of male and female in the room. Often,

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<v Speaker 1>quite often the birth theme is women these days, because

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<v Speaker 1>it's a lot of eighty percent of training obstritions in

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<v Speaker 1>our female And the anesthetic doctor will give you something

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<v Speaker 1>for those nerves if required, they'll give you something for

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<v Speaker 1>that nause And that's one thing I do think that

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<v Speaker 1>people don't know about. It is regularly you get nauseous in

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<v Speaker 1>a in a caesarean section. Firstly because the anesthetic medication

0:09:15.709 --> 0:09:17.749
<v Speaker 1>can make you feel a bit sick, and secondly because

0:09:17.989 --> 0:09:19.909
<v Speaker 1>sorry guys, but we are rummaging around in your tummy

0:09:19.909 --> 0:09:21.749
<v Speaker 1>a little bit, so it's a really lovely opportunity to

0:09:21.789 --> 0:09:24.349
<v Speaker 1>check your ovaries and and and obviously the uterus is

0:09:24.349 --> 0:09:27.749
<v Speaker 1>being moved around when we're bringing baby out. So please

0:09:27.949 --> 0:09:30.789
<v Speaker 1>be aware that commonly someone feels a bit anxious and

0:09:30.829 --> 0:09:32.909
<v Speaker 1>a bit nervous and often gets.

0:09:32.749 --> 0:09:36.389
<v Speaker 3>Nauseous, nauseous to the point of vomiting. Regularly, you vomit

0:09:36.629 --> 0:09:38.309
<v Speaker 3>when half of you is numb.

0:09:39.629 --> 0:09:41.909
<v Speaker 1>And it just moves and then we pause. Your whole

0:09:41.909 --> 0:09:43.589
<v Speaker 1>body vomits up because you're only you're not You're not

0:09:43.669 --> 0:09:45.149
<v Speaker 1>numb from the like, you're only you don't want to

0:09:45.189 --> 0:09:47.189
<v Speaker 1>if you grace, if we numbed you to the top

0:09:47.229 --> 0:09:49.389
<v Speaker 1>of your neck, you wouldn't breathe, darling, So it has to.

0:09:49.309 --> 0:09:52.789
<v Speaker 3>Be don't understand medicine. You are you are, you are medicine.

0:09:52.869 --> 0:09:54.109
<v Speaker 3>I am curiosity.

0:09:54.709 --> 0:09:57.829
<v Speaker 1>You're the fund in our relationship. But no so from

0:09:57.869 --> 0:10:00.749
<v Speaker 1>the you can but you can still high rotate to

0:10:00.909 --> 0:10:03.109
<v Speaker 1>like vomit into it a bag. Okay, you can move

0:10:03.109 --> 0:10:04.909
<v Speaker 1>your whole upper body, your whole arms and hands are

0:10:04.909 --> 0:10:07.189
<v Speaker 1>free of your boobs up work.

0:10:07.549 --> 0:10:10.629
<v Speaker 2>The videos of the photos of like, you've got your arms.

0:10:10.429 --> 0:10:12.709
<v Speaker 1>Are board, you don't have to No, you've got your

0:10:12.789 --> 0:10:14.029
<v Speaker 1>arms are on the boards at all. That's only if

0:10:14.029 --> 0:10:16.829
<v Speaker 1>you're asleep. Okay, yeah, now, and I want to be

0:10:17.309 --> 0:10:19.149
<v Speaker 1>just one last thing in this space is that some

0:10:19.189 --> 0:10:21.109
<v Speaker 1>women do decide to have a general anesthetic to go

0:10:21.149 --> 0:10:23.309
<v Speaker 1>to sleep again. That comes around anxiety. So if you

0:10:23.349 --> 0:10:25.709
<v Speaker 1>are truly nervous about that space, that is actually an option.

0:10:25.789 --> 0:10:27.269
<v Speaker 1>You don't have to be awake for the birth of

0:10:27.269 --> 0:10:29.429
<v Speaker 1>your baby. Most people choose to be, but you don't

0:10:29.509 --> 0:10:29.749
<v Speaker 1>have to.

0:10:30.069 --> 0:10:34.469
<v Speaker 3>If there is a partner who is feeling nervous, could

0:10:34.549 --> 0:10:36.949
<v Speaker 3>you please share how many birth partners you've seen who

0:10:36.949 --> 0:10:38.509
<v Speaker 3>have either vomited or passed out?

0:10:38.669 --> 0:10:41.669
<v Speaker 1>Oh gosh, I'd say ten percent. Okay, it's quite high,

0:10:41.709 --> 0:10:43.389
<v Speaker 1>and it's just being aware of which ones are going

0:10:43.509 --> 0:10:46.029
<v Speaker 1>to do that, and some of the spotted we can

0:10:46.069 --> 0:10:47.829
<v Speaker 1>spot it, yes, straight away. It's great, and most of

0:10:47.829 --> 0:10:50.109
<v Speaker 1>them know. To be honest, most of them know, I mean,

0:10:50.149 --> 0:10:52.429
<v Speaker 1>but to be honest, in the vast majority of them,

0:10:52.429 --> 0:10:54.109
<v Speaker 1>even the ones that expect they're going to are so

0:10:54.189 --> 0:10:56.149
<v Speaker 1>overwhelmed by the love and the tears that come when

0:10:56.149 --> 0:10:58.669
<v Speaker 1>their baby arrives, and how incredibly impressed with their with

0:10:58.709 --> 0:11:01.229
<v Speaker 1>their partner they are, that they forget that they're going

0:11:01.269 --> 0:11:02.869
<v Speaker 1>to be nauseous, so they forget that it's going to

0:11:02.869 --> 0:11:04.909
<v Speaker 1>be difficult, and they're just so wrapped up in.

0:11:04.829 --> 0:11:06.789
<v Speaker 2>The situation, all that anticipation, all that.

0:11:06.749 --> 0:11:08.989
<v Speaker 1>Anticipation, and that's why I think you've got to remember

0:11:08.989 --> 0:11:10.389
<v Speaker 1>there's going to be the positives out of it as

0:11:10.389 --> 0:11:11.149
<v Speaker 1>well as not all daire.

0:11:13.629 --> 0:11:15.629
<v Speaker 2>We hope you enjoyed this episode of Hello Bump.

0:11:15.709 --> 0:11:18.549
<v Speaker 3>We have so many episodes of this series filled with

0:11:18.589 --> 0:11:21.669
<v Speaker 3>tips and stories from women and experts who've been through

0:11:21.709 --> 0:11:22.029
<v Speaker 3>it all.

0:11:22.069 --> 0:11:22.429
<v Speaker 2>Before.

0:11:22.749 --> 0:11:24.589
<v Speaker 1>You can go back and listen to everything else Hello

0:11:24.629 --> 0:11:26.309
<v Speaker 1>Bump related in this podcast feed.

0:11:26.309 --> 0:11:28.109
<v Speaker 3>And while you're there, we'd love if you could give

0:11:28.149 --> 0:11:29.789
<v Speaker 3>us a five star rating and maybe leave us a

0:11:29.829 --> 0:11:32.189
<v Speaker 3>review or even shared this episode with a friend.

0:11:32.389 --> 0:11:35.509
<v Speaker 1>This episode was produced by Courtney Ammenhauser with audio production

0:11:35.589 --> 0:11:37.269
<v Speaker 1>by Tom Lyon We'll catch you next time.

0:11:37.349 --> 0:11:39.669
<v Speaker 3>This episode of Hello Bump was made in partnership with

0:11:39.749 --> 0:11:43.629
<v Speaker 3>Huggies Bye Bye