WEBVTT - It's Official, You're Growing A Human — Introducing Hello, Bump

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

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

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<v Speaker 1>recorded on.

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<v Speaker 2>Hello Producer Courtney here coming into your ears with a

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<v Speaker 2>special treat because we have launched a brand new season

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<v Speaker 2>of our pregnancy podcast, Hello Bump. This season is a

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<v Speaker 2>week by week guide to pregnancy, holding your hand as

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<v Speaker 2>your baby grows from the size of a tiny poppy

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<v Speaker 2>seed all the way to the size of a pumpkin.

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<v Speaker 2>And in this new season, it's hosted by Olympian mother

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<v Speaker 2>of six and training obstetrician Yanna Pittman, as well as writer, podcaster,

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<v Speaker 2>and first time mum Grace rope Ray. So if you

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<v Speaker 2>or someone you know is pregnant were just interested in

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<v Speaker 2>learning about pregnancy, then this podcast is for you. We'll

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<v Speaker 2>leave a link in the show notes so you can

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<v Speaker 2>listen to every single episode of Hello Bump wherever you

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<v Speaker 2>get your podcasts, and for now enjoy. We hope you

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<v Speaker 2>love this episode of Hello Bump.

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<v Speaker 3>I am pregnant.

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<v Speaker 1>Welcome to Hello Bump. We're making pregnancy less overwhelming and

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<v Speaker 1>more manageable, hopefully. I'm Grace Rifrey, a writer, actor, podcaster,

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<v Speaker 1>and I am also pregnant for the very first time, and.

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<v Speaker 3>I'm Yana Pittman. I am a former Olympian mother of six,

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<v Speaker 3>an obstetric and gania registrar, which basically means I deliver

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<v Speaker 3>babies for a living, and.

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<v Speaker 1>With our experience combined, each episode will be holding your

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<v Speaker 1>hand week by week through the mysterious, perplexing, and sometimes

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<v Speaker 1>scary miracle that is pregnancy, all the way from a

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<v Speaker 1>poppy seed to a pumpkin.

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<v Speaker 2>Week four.

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<v Speaker 1>So we're starting this podcast series at week four because

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<v Speaker 1>that's usually when you've found out that you are pregnant.

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<v Speaker 1>There's not a lot that happens between week one and three,

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<v Speaker 1>and they will backdate it from your last period. So, Yana,

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<v Speaker 1>how big is the baby at this point?

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<v Speaker 3>Ah? Well, your baby's about the size of a poppy seed.

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<v Speaker 1>At this point, or just like a speck of dust

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<v Speaker 1>or glitter.

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<v Speaker 3>Yeah, a little cheer seat or something very small. It's

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<v Speaker 3>basically a small clump of cells that's just embedded into

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<v Speaker 3>the lining of your uterus by two point five millimeters.

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<v Speaker 3>It's tiny.

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<v Speaker 2>What's happening to me?

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<v Speaker 1>So tell me what's going on in our bodies this week?

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<v Speaker 3>Well, implantation has just occurred. So your sperm has met

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<v Speaker 3>your sperm, your partner sperm hopefully has met the egg,

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<v Speaker 3>and then it's made its way down the fulopin and

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<v Speaker 3>you've embedded into the uterine wall. So it's just now

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<v Speaker 3>that you'll be starting to get a positive pregnancy test

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<v Speaker 3>because you're making that beta hCG hormone that's the hallmark

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<v Speaker 3>of pregnancy. The placenta itself is actually starting to grow.

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<v Speaker 3>Your baby comes from different cells from the placenter, so

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<v Speaker 3>they grow at the same time, but independently. And right

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<v Speaker 3>now your baby's actually only the size we actually call it, well,

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<v Speaker 3>it's not even quite an embryo yet, but it's two

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<v Speaker 3>layers at this point, and it'll slowly start differentiating into

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<v Speaker 3>all the organs and the heart and the lungs and

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<v Speaker 3>things over the next few weeks.

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<v Speaker 1>When does that placenta actually start to take over? Because

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<v Speaker 1>at the moment, our body is just feeding everything and

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<v Speaker 1>giving it all of its life. When does that placenta

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<v Speaker 1>actually take over.

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<v Speaker 3>Well, it's funnily enough, it's actually not for several weeks,

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<v Speaker 3>around between nine and ten weeks that at this point,

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<v Speaker 3>the baby has what's called a yolk sack, that's actually

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<v Speaker 3>feeding it. So when you go for an early ultrasound,

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<v Speaker 3>but guys way too early, do not make an ultrasound

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<v Speaker 3>booking yet, because that is one of the biggest problems.

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<v Speaker 3>Women go now and they can't see anything, and then

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<v Speaker 3>they freak out that they're already having a miscarriage and

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<v Speaker 3>it's just simply too early. But there is a yolk

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<v Speaker 3>sac which will be one of the first signs on

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<v Speaker 3>ultrasound that there's a baby inside your belly, and that

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<v Speaker 3>is what feeds the baby for the first couple of

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<v Speaker 3>weeks of pregnancy.

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<v Speaker 1>What I found interesting about this stage is that everything,

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<v Speaker 1>all signs kind of led to it being my period. Yes,

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<v Speaker 1>I was very bloated and I had cramps, and so

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<v Speaker 1>I assumed that it was my period until it kind

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<v Speaker 1>of got to like maybe two more days that I

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<v Speaker 1>normally maybe my period would have come, and it didn't.

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<v Speaker 1>So I took a test. But why do all signs

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<v Speaker 1>lead to it being your period?

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<v Speaker 3>Unfortunately, they're pretty similar to the hormones of pregnancy. Obviously,

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<v Speaker 3>issugu and progester are our main two big wammies changed

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<v Speaker 3>quite considerably. Breast tenderness. I don't know if you got

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<v Speaker 3>that at all, But that was my first sign. I

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<v Speaker 3>remember walking outside in the cold of my nipples killing

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<v Speaker 3>me and thinking what is going on? So all of

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<v Speaker 3>those signs that can often, as you say, indicate pregnancy

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<v Speaker 3>are unfortunately fluctuating hormones, which happened the same when your

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<v Speaker 3>period is due.

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<v Speaker 1>So is that why they're backdate when you are technically

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<v Speaker 1>your pregnancy starts, because it's all sort of part of

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<v Speaker 1>the same journey, you know how Like when you find

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<v Speaker 1>out you're pregnant already four weeks, you're already four weeks by.

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<v Speaker 3>Yeah, so we go gestational age or pregnancy age, so

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<v Speaker 3>the age of the fetus is only like two weeks

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<v Speaker 3>by the time you actually find out you're pregnant, But

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<v Speaker 3>the pregnancy age, the whole lot of pregnancy starts from

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<v Speaker 3>the first day of your last period. So theoretically, every

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<v Speaker 3>month we're two weeks pregnant until our period comes and

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<v Speaker 3>then we're not.

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<v Speaker 1>It's I just find this fascinating about how much I

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<v Speaker 1>didn't know about my body until I got to this

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<v Speaker 1>stage and exciting, yeah, or like embarrassing.

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<v Speaker 3>And for some daunting because obviously not all of us

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<v Speaker 3>want to be pregnant and some of us get a

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<v Speaker 3>little scared and find out that we are so, and

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<v Speaker 3>that's when it is tricky to sort of think, well,

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<v Speaker 3>do I want to continue with the pregnancy? Is this

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<v Speaker 3>something I planned? What is it going to do to

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<v Speaker 3>my life? And I can tell you as a mother

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<v Speaker 3>of six, it does a lot. So it's a hard

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<v Speaker 3>conversation to have with yourself when you first get those

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<v Speaker 3>positive lines. And most of us, like yourself.

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<v Speaker 1>For I don't know whether you were you excited or no,

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<v Speaker 1>not at all, like even though it was like wanted

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<v Speaker 1>and I was aware of what unprotected sex could do. Yes,

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<v Speaker 1>there was no contraception, I think for anyone listening. I

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<v Speaker 1>had had my account tested and it was on the

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<v Speaker 1>lower side in the high nines, which I'm thirty five,

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<v Speaker 1>So it was a maybe start thinking about it. So

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<v Speaker 1>I know a lot of people who have struggled for years.

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<v Speaker 1>So we did start, and then it just happened very quickly,

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<v Speaker 1>so I wasn't prepared.

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<v Speaker 3>But I do think it's a really good point to discuss,

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<v Speaker 3>because you know, some people do have the desire and really,

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<v Speaker 3>you know, really want to get pregnant, and then all

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<v Speaker 3>of a sudden it's happened, and I know a lot

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<v Speaker 3>of women, certainly some of my patients have discussed with

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<v Speaker 3>me then in those first few weeks with all the

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<v Speaker 3>hormonal changes and started to feel pretty crappy that they think, well,

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<v Speaker 3>this is not really what I signed up for and

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<v Speaker 3>do I even want to continue even though it was

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<v Speaker 3>a planned pregnancy, And I think we need to honor

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<v Speaker 3>that that's a normal part of this process. A huge

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<v Speaker 3>life change is on the up. So please don't feel

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<v Speaker 3>if you're listening to this, if that was you, that

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<v Speaker 3>it doesn't mean later you won't bond with your baby

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<v Speaker 3>or love the pregnancy and you know, and it's also

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<v Speaker 3>okay if you actually do change your mind, Like I

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<v Speaker 3>think that's a conversation that we're very lucky in Australia

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<v Speaker 3>we can have, and we need to highlight that all

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<v Speaker 3>women feel very differently through this period of gestation.

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<v Speaker 2>What's happening to me?

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<v Speaker 1>Well, that leads us into what is actually happening and

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<v Speaker 1>what might be feel like. What are some common symptoms

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<v Speaker 1>that could happen around this time.

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<v Speaker 3>Well, I think you highlighted them pretty well, thanks unfortunately

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<v Speaker 3>to you experiencing them all. Breast tenderness, bloated, feeling around

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<v Speaker 3>your tummy, twingy pains, even some spotting. So sometimes we

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<v Speaker 3>get what's called an implantation bleed, and that's actually as

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<v Speaker 3>that little we care than parasites. A little parasite is

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<v Speaker 3>basically nesting into your indimritual lining of your uterus, so

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<v Speaker 3>eventually you know you'll make your little spiral arteries as

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<v Speaker 3>part of your makeup, anatomically will join the supply so

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<v Speaker 3>that you'll start eventually feeding your baby. But at this

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<v Speaker 3>point they're pretty robust. Many people get pregnant very easily,

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<v Speaker 3>particularly not wanting to earlier on in life.

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<v Speaker 1>It's funny I call it a parasite, but for different reasons,

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<v Speaker 1>which we'll get to.

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<v Speaker 3>Is this normal?

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<v Speaker 2>Is it normal?

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<v Speaker 1>A couple of things about is it normal at this time?

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<v Speaker 1>There's the symptoms that are the ones we spoke about,

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<v Speaker 1>the implantation pain or potentially bleeding. What you do think

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<v Speaker 1>it's your period. But one of the first things I

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<v Speaker 1>noticed was an aversion to alcohol. Okay it was I

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<v Speaker 1>hadn't taken a test yet, and now looking back, it

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<v Speaker 1>feels like that was a potential signing. Is that quite

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<v Speaker 1>early for avergins to come in now?

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<v Speaker 3>Look, I mean, I think you guys were trying so

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<v Speaker 3>psychologically each month you are preparing it's possible. So there

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<v Speaker 3>is that psychological factor that we avert foods we know

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<v Speaker 3>will consider to be something we should avoid. In pregnancy,

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<v Speaker 3>you're starting that whole monal change already, so your body's

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<v Speaker 3>doing remarkable things. And for some women I've even had that,

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<v Speaker 3>they've said they are starting to feel nauseous already at

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<v Speaker 3>that four to five week mark. It's not even though

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<v Speaker 3>the BEATA hat CG hormones are not really high, which

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<v Speaker 3>is obviously what triggers a lot of the nausea, it's

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<v Speaker 3>not impossible. So if you're already feeling yucky, the last

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<v Speaker 3>thing you want to go is, you know's neck a

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<v Speaker 3>bottle of wine. So I mean, hopefully it's a good thing.

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<v Speaker 3>You know, it is something we're trying to continue to

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<v Speaker 3>have the discussion around. Lots of people, by the way,

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<v Speaker 3>don't know they're pregnant yet though, and are drinking and

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<v Speaker 3>doing fun things in life, because you know, we need

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<v Speaker 3>to live. I think it's so it's also important there

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<v Speaker 3>to highlight that if you don't know you're pregnant yet,

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<v Speaker 3>that we don't beat yourself up for the things that

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<v Speaker 3>did happen prior to that. Yes, I think that's more

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<v Speaker 3>common than not, you know, because I think there are

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<v Speaker 3>a large number of pregnancies that are unplanned and people

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<v Speaker 3>don't find out sometimes, so there are nine or ten

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<v Speaker 3>weeks pregnant, so they've made lots of decisions during that

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<v Speaker 3>time that weren't you know, pregnancy related. You know. Ideally,

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<v Speaker 3>I think let's be medical here for a seconds. I

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<v Speaker 3>put my little doctors had on you have had prenatal

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<v Speaker 3>discussions with your with your GP. Ideally have had some serology,

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<v Speaker 3>which is blood tests looking at you know, in antiinatal markers,

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<v Speaker 3>infection markers, even things like your fole eight level. Your

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<v Speaker 3>blood group's really important in pregnancy to know whether your

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<v Speaker 3>H negative, which do you have a negative or a

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<v Speaker 3>positive blood group?

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<v Speaker 1>Is that where they test whether my blood is attacking

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<v Speaker 1>the baby. Yes, okay, And it's kind of a little.

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<v Speaker 3>Important because it's not at this four weeks pregnant. It

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<v Speaker 3>doesn't matter because we wouldn't do anything. So if you

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<v Speaker 3>came in it matters, if you come in bleeding, it

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<v Speaker 3>matters if you've had a car accident or something like that,

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<v Speaker 3>because it's basically where your baby makes a different blood

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<v Speaker 3>group to you, and your own body will make antibodies

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<v Speaker 3>against your baby's blood group. Now it doesn't matter in

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<v Speaker 3>this pregnancy at all. It's actually about subsequent pregnancy. So

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<v Speaker 3>you don't want your body to make those antibodies against

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<v Speaker 3>the positive blood group because you're negative. So what that

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<v Speaker 3>means though, is if you find out you are what

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<v Speaker 3>we call RH negative, if you have an inciting event

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<v Speaker 3>like a miscarriage or an accident where there could be

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<v Speaker 3>some fetal cells that crossover, we need to give you

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<v Speaker 3>an anti d So it's basically a medication that stops

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<v Speaker 3>that from happening, and we consider that after sort of

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<v Speaker 3>twelve weeks. So you just basically talk to your doctor

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<v Speaker 3>about it and now make a plan. But it's important

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<v Speaker 3>to know it so you can at least raise the question, Hey,

0:09:47.589 --> 0:09:49.789
<v Speaker 3>I'm RGE negative. Do I need to do anything different

0:09:49.829 --> 0:09:51.549
<v Speaker 3>from an rh positive mum?

0:09:51.669 --> 0:09:53.829
<v Speaker 1>Which leads me into the important things that we should

0:09:53.869 --> 0:09:56.469
<v Speaker 1>be doing at this stage. You mentioned fall a. A

0:09:56.469 --> 0:09:58.429
<v Speaker 1>lot of people say folic acid and you should be

0:09:58.469 --> 0:09:59.909
<v Speaker 1>on it if you're trying to conceive.

0:10:00.349 --> 0:10:02.309
<v Speaker 3>Ideally, what does that? But what are you.

0:10:02.229 --> 0:10:04.509
<v Speaker 1>Actually trying to do and is it bad if you

0:10:04.669 --> 0:10:06.109
<v Speaker 1>haven't been taking again.

0:10:06.149 --> 0:10:07.989
<v Speaker 3>A lot of us don't know we're pregnant, but ideally

0:10:07.989 --> 0:10:10.909
<v Speaker 3>you start taking a women's multivib for about three months

0:10:10.949 --> 0:10:13.829
<v Speaker 3>before pregnancy starts, or as soon as you find out

0:10:13.829 --> 0:10:15.869
<v Speaker 3>you are pregnant, because so follo is actually to do

0:10:15.949 --> 0:10:18.389
<v Speaker 3>with neural tube defects, So it's the way your baby's

0:10:18.509 --> 0:10:21.509
<v Speaker 3>brain and spinal cord form prevents things like spiner befitter

0:10:21.589 --> 0:10:23.709
<v Speaker 3>from occurring. So you know, many many years ago, so

0:10:23.749 --> 0:10:26.029
<v Speaker 3>our mums and grandma's had much higher rates of that

0:10:26.069 --> 0:10:28.029
<v Speaker 3>before they found out that follit can make a difference.

0:10:28.269 --> 0:10:30.469
<v Speaker 3>So for most of it, you know, between four hundred

0:10:30.469 --> 0:10:33.229
<v Speaker 3>and eight hundred milligrams is enough, but you need to

0:10:33.229 --> 0:10:35.229
<v Speaker 3>triple check if you're at higher risks. So people with

0:10:35.269 --> 0:10:38.229
<v Speaker 3>a high BMI, people who have are on antiepolectic medication,

0:10:38.589 --> 0:10:41.589
<v Speaker 3>people have had previous miscarriages or spina bifitter may need

0:10:41.589 --> 0:10:43.549
<v Speaker 3>a higher dose. So I think it's a conversation to have.

0:10:44.109 --> 0:10:45.349
<v Speaker 3>But the best thing you can do is just get

0:10:45.349 --> 0:10:47.109
<v Speaker 3>started as soon as you find out, so you'll plan.

0:10:47.269 --> 0:10:49.989
<v Speaker 3>It's never too late, never too absolutely no correct, never

0:10:50.029 --> 0:10:50.389
<v Speaker 3>too late.

0:10:50.789 --> 0:10:54.229
<v Speaker 1>And what are some like nice to do things, things

0:10:54.269 --> 0:10:56.949
<v Speaker 1>to think about, maybe not necessarily about our body, but

0:10:57.029 --> 0:10:59.109
<v Speaker 1>things to start having a think about in the future.

0:10:59.389 --> 0:10:59.589
<v Speaker 2>Yeah.

0:10:59.629 --> 0:11:02.509
<v Speaker 3>Great, A look, it's very early, but I would actually

0:11:02.549 --> 0:11:04.429
<v Speaker 3>say start thinking about what model of care you want

0:11:04.429 --> 0:11:08.029
<v Speaker 3>to do, because you have obstetric which is what I'm

0:11:08.029 --> 0:11:10.589
<v Speaker 3>training to be, so coming with the doctor's program. You

0:11:10.629 --> 0:11:12.709
<v Speaker 3>have what I love and I went with my last pregnancy,

0:11:12.749 --> 0:11:15.549
<v Speaker 3>which was actually my second last pregnancy MGP. So whether

0:11:15.549 --> 0:11:18.229
<v Speaker 3>you want to be MIDWI Free Group Practice low risk

0:11:18.269 --> 0:11:21.269
<v Speaker 3>pregnancies lovely holistic care, and I know my midwives out

0:11:21.269 --> 0:11:22.869
<v Speaker 3>there will love me for saying this day. I'm much

0:11:22.909 --> 0:11:25.709
<v Speaker 3>better at counseling around birth and making it normal, you know,

0:11:25.789 --> 0:11:28.949
<v Speaker 3>making normalizing what birth and pregnancy is. But you do

0:11:28.989 --> 0:11:31.989
<v Speaker 3>an unfortunately to be relatively low risk in that program,

0:11:32.189 --> 0:11:34.829
<v Speaker 3>and they fill up so fast. So they're the ones

0:11:34.869 --> 0:11:36.589
<v Speaker 3>that you get a positive pregnancy test and you're like

0:11:36.709 --> 0:11:38.829
<v Speaker 3>contact your local hospital and say I'd love to go

0:11:38.829 --> 0:11:42.389
<v Speaker 3>on the MIDWI Free Group Practice program and getting early.

0:11:42.469 --> 0:11:45.229
<v Speaker 3>So that's why it's important now, even this early in gestation,

0:11:45.309 --> 0:11:46.549
<v Speaker 3>to have a think about what you want to do.

0:11:48.069 --> 0:11:50.709
<v Speaker 1>Okay, we're gonna need a lot of help along this pregnancy.

0:11:50.749 --> 0:11:53.189
<v Speaker 1>It's only week four, so what can we put in

0:11:53.229 --> 0:11:54.269
<v Speaker 1>our toolkit for this week?

0:11:54.509 --> 0:11:56.309
<v Speaker 3>Did you pick an app? Because I think having an app,

0:11:56.349 --> 0:11:58.589
<v Speaker 3>particularly for first time mums, can be really helpful to

0:11:58.629 --> 0:12:01.149
<v Speaker 3>sort of track babies development and some of the things

0:12:01.189 --> 0:12:02.109
<v Speaker 3>you might be experiencing.

0:12:02.149 --> 0:12:04.549
<v Speaker 1>Have you, Oh, yes, I have the flow out. Yes

0:12:04.589 --> 0:12:06.469
<v Speaker 1>I like it, but I was using it to track

0:12:06.549 --> 0:12:08.749
<v Speaker 1>my period, so I had it already. And then once

0:12:08.749 --> 0:12:10.829
<v Speaker 1>you log that you're pregnant, it's which is into this

0:12:10.909 --> 0:12:11.869
<v Speaker 1>whole new mode.

0:12:11.749 --> 0:12:11.829
<v Speaker 3>Ye.

0:12:12.109 --> 0:12:13.629
<v Speaker 1>What I like about this is it gives you, like

0:12:13.669 --> 0:12:16.109
<v Speaker 1>the stats, Yes, what week you are, here's the size

0:12:16.149 --> 0:12:18.349
<v Speaker 1>of your baby, Here's what's happening to them, and then

0:12:18.389 --> 0:12:20.469
<v Speaker 1>here's what's happening to your body. So you're kind of

0:12:20.509 --> 0:12:22.549
<v Speaker 1>covering these sort of major things which I like.

0:12:22.709 --> 0:12:23.909
<v Speaker 3>Yeah, And I mean you can also use it in

0:12:23.909 --> 0:12:26.309
<v Speaker 3>pregnancy too, and as you're trying to get pregnant. What

0:12:26.349 --> 0:12:29.149
<v Speaker 3>I liked about flow Pregnancy Plus is another really good one.

0:12:29.229 --> 0:12:30.669
<v Speaker 3>I have both. I have to say I liked both

0:12:30.709 --> 0:12:32.749
<v Speaker 3>of the checks between them to see if there was differences.

0:12:33.109 --> 0:12:34.669
<v Speaker 3>And Baby Centers another good one as well.

0:12:36.109 --> 0:12:38.269
<v Speaker 1>We hope you enjoyed this episode of Hello Bump. We

0:12:38.389 --> 0:12:41.429
<v Speaker 1>have so many episodes of this series filled with tips

0:12:41.429 --> 0:12:44.269
<v Speaker 1>and stories from women and experts who've been through it

0:12:44.309 --> 0:12:44.869
<v Speaker 1>all before.

0:12:45.109 --> 0:12:46.949
<v Speaker 3>You can go back and listen to everything else Hello

0:12:46.949 --> 0:12:48.549
<v Speaker 3>bumb related in this podcast.

0:12:48.229 --> 0:12:50.269
<v Speaker 1>Feed, and while you're there, we'd love if you could

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0:12:52.109 --> 0:12:54.509
<v Speaker 1>a review or even shared this episode with a friend.

0:12:54.709 --> 0:12:57.869
<v Speaker 3>This episode was produced by Courtney Ammenhauser with audio production

0:12:57.909 --> 0:12:59.629
<v Speaker 3>by Tom Lyon We'll catch you next time.

0:12:59.709 --> 0:13:01.989
<v Speaker 1>This episode of Hello Bump was made in partnership with

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