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Speaker 1: You're listening to Amma Mia podcast.

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Speaker 2: Mom and Maya acknowledges the traditional owners of land and

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Speaker 2: waters that this podcast is recorded on.

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Speaker 3: I am pregnant.

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Speaker 1: Welcome to Hello Bump.

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Speaker 2: We're making pregnancy less overwhelming and more manageable.

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Speaker 1: I'm Grace Rubray.

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Speaker 2: I'm pregnant for the first time, and all of a sudden,

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Speaker 2: I love my feet being touched.

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Speaker 4: I'm out of Pittman.

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Speaker 3: I'm a former Olympian mother of six, an obstetric and

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Speaker 3: guyiny registrar.

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Speaker 1: These days and.

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Speaker 2: Each episode, Leanna and I will be holding your hand

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Speaker 2: week by week through the mysterious, perplexing and sometimes fatiguing miracle.

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Speaker 1: That is pregnancy.

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Speaker 4: Week fourteen.

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Speaker 1: What size is our baby?

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Speaker 4: Peach or nectarine?

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Speaker 2: We're still fruits and a large apricot.

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Speaker 4: Yeah, basically a stone fruit.

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Speaker 1: Yes, we're in the summer.

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Speaker 4: Exactly great.

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Speaker 1: And what have they developed?

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Speaker 3: The baby's face is now becoming more recognizable, so those

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Speaker 3: eyes and your nose and ears and things are in

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Speaker 3: the places you're sort of expecting to be. It is

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Speaker 3: take a little bit longer, and the baby's reflexes are

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Speaker 3: starting to work, so those movements again are becoming more rigid.

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Speaker 1: When does that.

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Speaker 4: What do they call it the scrunch?

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Speaker 1: Are they starting to do that?

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Speaker 3: Yeah, they're doing that. I mean they're still very rigid.

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Speaker 3: There's not a lot of flexibility in them, but a

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Speaker 3: little moved. I don't know when that full of the

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Speaker 3: full stretching scrunch happens, like when it starts happening. It

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Speaker 3: definitely happens from the third semester, but whether they're I

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Speaker 3: mean they look at it on ultrasound like I've done

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Speaker 3: ob with a lot of ultrasounds as well, and you

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Speaker 3: still see that, but there's not real arching. You don't

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Speaker 3: see the back arching as much yet.

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Speaker 4: What's happening to me.

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Speaker 1: And what's happening to our bodies?

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Speaker 3: Hopefully by the second trimester, you're definitely feeling more energetic

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Speaker 3: and a little bit more active, not everyone. I know,

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Speaker 3: your breast will definitely be starting to get bigger now,

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Speaker 3: and yes, that bump will be slowly getting bigger and

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Speaker 3: bigger and bigger. It happens quicker now, like you're starting

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Speaker 3: to look pregnant.

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Speaker 2: Is there too many cup sizes to go up when

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Speaker 2: you start to get bigger? Because myself and a few

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Speaker 2: other pregnant women in the office, they said they've gone

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Speaker 2: up like.

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Speaker 1: Two or three cup sizes.

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Speaker 2: Like there's definitely a noticeable difference from the changes in

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Speaker 2: to your breast in the first trimester.

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Speaker 4: You're getting getting.

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Speaker 3: More more fat flying down your the actual ducts of

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Speaker 3: the of the breast is starting to form in a

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Speaker 3: more effective way for ready for breast milk. But I

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Speaker 3: think one reassuring thing is if you haven't noticed it,

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Speaker 3: some women don't get any breast enlargement or any engorgement

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Speaker 3: at all. You can steal breastfeeds, so the size of

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Speaker 3: your breast is actually not going to correlate with whether

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Speaker 3: you're actually able to feed. Lots of very small breasted women.

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Speaker 3: I was one of those.

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Speaker 4: Before I had breasting plants that were able to feed.

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Speaker 2: You're not going to know how you can feed literally

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Speaker 2: until the baby comes out.

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Speaker 3: It's not a clue. It's like a test you can't

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Speaker 3: study for. It is a test you can't study for.

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Speaker 3: And I think it's something if it's something that's really

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Speaker 3: important to you, and it was really important to me.

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Speaker 3: And look, I struggled really badly with breastfeeding, but not yet.

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Speaker 3: But in the next couple of weeks, starting to look

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Speaker 3: at a the lactation consultant. Now it sounds well, hang

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Speaker 3: on a second, I'm not lactating, I'm pregnant. No, it's

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Speaker 3: to start lurking out what's important to you and what

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Speaker 3: you can do to help potentially get breastfeeding to work

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Speaker 3: or the opposite, if you decided it is absolutely not

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Speaker 3: for you, Like you know, I have implants. I decided

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Speaker 3: to feed with my implants. Some women who had breast

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Speaker 3: augmentation to decide it's definitely not for them. What you

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Speaker 3: can do to manage symptoms like mastatis and turning that

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Speaker 3: milk supply off.

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Speaker 1: Is this normal?

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Speaker 3: Is normal?

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Speaker 1: Is this normal for this week? Is one?

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Speaker 2: Why does messaging feet feeling credit for two? I am

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Speaker 2: still vomiting, which is sad. But one point that I

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Speaker 2: did want to bring up from when I got my

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Speaker 2: NAPT results was the scenographer looked at my results when

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Speaker 2: we said this is lower risk, this is low risk,

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Speaker 2: and said huh. And she turned to me and said,

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Speaker 2: are you vomiting? And I said yes, she has no wonder.

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Speaker 2: Your hCG is three times higher what we'd normally see.

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Speaker 1: When does that start? When does that in theory start

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Speaker 1: to drop? Or should it have happened.

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Speaker 3: Well, the bad HAASEG levels peak around sort of the

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Speaker 3: nine to eleven week mark and then should start dropping

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Speaker 3: back down again, so you can get like the hundreds

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Speaker 3: of thousands, so yours must have astronomically high. Well it

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Speaker 3: seems like that in all things, but we don't fully

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Speaker 3: understand hypremisis I think we sort of talked to that

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Speaker 3: a bit about before or vomiting and nausea in pregnancy,

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Speaker 3: but we do know that the meat HG contributes, So

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Speaker 3: there is definitely a don't know evidence to say that

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Speaker 3: higher levels of beta hahg are going to contribute to it,

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Speaker 3: which just makes sense, doesn't it. Like, if you think

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Speaker 3: about it, you weren't pregnant, you had no nausea, We

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Speaker 3: throw these hormones in the mix, and you're terribly sick.

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Speaker 3: So I think unfortunately for you it is. It's definitely

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Speaker 3: something we notice with women who have HG that their

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Speaker 3: heat BETAHG levels.

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Speaker 4: Are very high. So I'm sorry.

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Speaker 3: Hopefully it starts, but then again it doesn't. It doesn't

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Speaker 3: explain it completely, does it. Because some people have normal

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Speaker 3: levels of beta hahg for that gestation as they approach

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Speaker 3: twenty weeks and they're still terribly nauseous and sick, so

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Speaker 3: it's got to be a factor.

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Speaker 2: And then secondly, why why feet massage is so good

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Speaker 2: now all of a sudden we didn't like them before?

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Speaker 2: Though I was ambivalent, I was agnostic to anostic.

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Speaker 3: I have always been even after retirement from sport. I

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Speaker 3: am still a foot massage first. So feet carrying a

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Speaker 3: little bit extra weight carry comement. It's not just the

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Speaker 3: baby weight, which isn't much yet, but it's the blood

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Speaker 3: volume as well, so there's there's still.

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Speaker 4: Quite a lot going on.

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Speaker 3: And you know, you're still active and walking around in

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Speaker 3: the day, the muscles and the progester and everything relaxing, everything,

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Speaker 3: all the joints in your feet gets sore, and you

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Speaker 3: even go up a size in your in your feet.

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Speaker 3: Lots of women just grow bigger feet. Yes, and again

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Speaker 3: it's not actually that you've grown bigger. It's just that

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Speaker 3: all those bones and muscles have relaxed more, and so

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Speaker 3: it can appear like your arch drops and everything and

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Speaker 3: appear like you've got you know, your your shoes feel tight.

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Speaker 1: And is that your feet changing? Shame the pregnancy nose?

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Speaker 1: Is that real?

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Speaker 3: I don't know, and I have tried to look that

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Speaker 3: up because I've had at least three patients asked me

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Speaker 3: does my nose? And even sat on Instagram last week

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Speaker 3: there was a woman that put a photo of herself

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Speaker 3: with prepregnancy nose and her post baby nose. It looked

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Speaker 3: bigger in the pictures. But I guess there's lots of

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Speaker 3: growth factors running around, you know.

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Speaker 1: But it's blood volume.

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Speaker 4: Blood volume. I don't know that one.

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Speaker 3: I think will leave to the more qualified professionals.

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Speaker 1: But what can we do this week?

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Speaker 3: So this is the week that if you have any

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Speaker 3: high risk factors for diabetes, it's time to start planning

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Speaker 3: in your early OGTT.

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Speaker 4: So that is the tests.

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Speaker 3: Guys, you haven't had one before where you drink a

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Speaker 3: horrible eighty grams of glucose.

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Speaker 4: It's thick and yucky. I've done it several times. Really

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Speaker 4: not if I have.

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Speaker 3: To lose to not do anything in pregnancy that would

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Speaker 3: be it. I hate the glucose tolerance. Then they take

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Speaker 3: a blood test, so at the time when you've given it,

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Speaker 3: and then one hour and two hours afterwards to check,

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Speaker 3: so look at you're fasting, and then they look at

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Speaker 3: your one hour and two our otherwise, how has your

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Speaker 3: body processed the glucose, what is your insulin and things

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Speaker 3: like where is your body at when it comes to

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Speaker 3: the big dose of sugar, because when you're pregnant, you

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Speaker 3: become more prone to diabetes, so you've got more glucose

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Speaker 3: running around and you have less from memory, it's something

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Speaker 3: to do with your insulin that basically reduces the amount

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Speaker 3: that your body takes up to allow it to circulate

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Speaker 3: to your fetus, because you want to make sure that

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Speaker 3: there's enough circulating nutrition for your baby.

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Speaker 4: So that is important to check because.

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Speaker 3: This is where big babies can come, This is where

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Speaker 3: little babies can come. This is where undiagnosed diabetes that

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Speaker 3: you might have that's actually pregestational. In other words, you

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Speaker 3: might actually have underlying diabetes before pregnancy might raise its head.

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Speaker 3: And we actually know that uncontrolled diabetes could I'm sorry

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Speaker 3: to bring it up because it's quite a tax challenge.

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Speaker 3: You wanted to say, it could even lead to stillbirth.

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Speaker 3: So it's really important to know the flip side of that,

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Speaker 3: because you know you and I talked about we're always

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Speaker 3: going to be honest, is that some doctors don't believe

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Speaker 3: in it. So it's really hard because you might have

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Speaker 3: one obstitution who says, I think you should have an

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Speaker 3: early gestational test, and another one goes, that's bollocks. The

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Speaker 3: research says it doesn't it doesn't do anything, and we're

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Speaker 3: just medicating and putting these poor men on these horrible

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Speaker 3: diets for no reason.

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Speaker 2: So well, my question is there's a lot of commentary

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Speaker 2: online about it being the level that says you have

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Speaker 2: gestational diabetes not being consistent worldwide.

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Speaker 4: It's not consistible Hospital White Grace.

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Speaker 3: That's why wild it's hard, and I think you need

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Speaker 3: to just sort of work out what we call your

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Speaker 3: local operating practices those what does your hospital recommend? What

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Speaker 3: are the only things you can do? Eat well, go

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Speaker 3: for your walk, listen to the team that's around You

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Speaker 3: know that if you're trying to do all the right

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Speaker 3: things that it's going to be okay. You know, lots

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Speaker 3: of people get diabetes in pregnancy, and the good thing

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Speaker 3: about is if you do the positive if you do

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Speaker 3: get it, it's actually a good thing to know because

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Speaker 3: women who have gestational diabetes actually have a higher risk

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Speaker 3: of type two diabetes in life. So it's kind of

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Speaker 3: almost like a little hallow warning sign to say, hey,

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Speaker 3: you're a little bit at risk, but if you change

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Speaker 3: some of the lifestyle things you do now, you might

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Speaker 3: not be. And so I don't know the positive.

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Speaker 2: Is there a chance that if you do get gestational

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Speaker 2: diabetes that it won't go away once the baby is

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Speaker 2: born and then it does become that type two diabetes.

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Speaker 3: Absolutely, But from my experience, and I am really lucky

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Speaker 3: that I actually work at a hospital that has obstetric physicians,

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Speaker 3: so we kind of look after the pregnancy in the

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Speaker 3: birth side of the preflamsy, but they also do the

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Speaker 3: physician side of it, so if you're a worried or

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Speaker 3: concern that your levels are astronomically high, you can actually

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Speaker 3: see them privately. So they're called obstetric physician, and they

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Speaker 3: specialize purely in the medicine of pregnancy, so they look

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Speaker 3: at diabetes, they look at high blood pressure, thyroid disease,

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Speaker 3: and if phosphilipid syndromes or all the things that may

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Speaker 3: potentially cause problems in your pregnancy. They're also the ones

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Speaker 3: that we probably should have said this earlier in our podcast,

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Speaker 3: if you're on medications, they're the ones that can help

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Speaker 3: you reconciliate those. In other words, if there's some say,

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Speaker 3: for example, you have seizures or epilepsy, some of those

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Speaker 3: medications are not necessarily good to have in pregnancy. So

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Speaker 3: it depends what you're on, and they can help you

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Speaker 3: rationalize which ones you should stay on. One thing we

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Speaker 3: should say straight away antidepressants really common in pregnancy, really

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Speaker 3: important you stay on them. Sometimes they might change the

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Speaker 3: one you're on, but this is definitely not the time

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Speaker 3: to go playing with your antidepressant medications. But those I

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Speaker 3: call them the gurus of pregnancy. These physicians I work

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Speaker 3: with three or four of them who are literally the

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Speaker 3: brightest people on the planet. Like they are phenomenal doctors

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Speaker 3: that specialize in this space. And they're the ones that

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Speaker 3: can sort of discuss, you know, diabetes and whether you

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Speaker 3: are at a higher risk of having it post baby.

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Speaker 3: You are certainly at a higher risk of it in

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Speaker 3: your sex subsequent pregnancies.

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Speaker 2: In my talk It this week, I have a product

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Speaker 2: for massaging feet and it is the Brillow Beauty Magnesium Spray.

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Speaker 2: There's this is some created by two women, Lee Campbell

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Speaker 2: and Teaking the Tolley, and it's a pregnancy specific products

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Speaker 2: of a balm and oil for your put on your belly,

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Speaker 2: to put on your tummy, to help with potential stretch marks.

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Speaker 2: So they have this magnesium spray and my partners is

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Speaker 2: it to massage my feet?

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Speaker 1: That's my talkkit.

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Speaker 3: I mean, I've just got to get like cramps that

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Speaker 3: things in pregnancy too. I've got Robert Hamilton as a friend,

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Speaker 3: as a friend colleague of mine. Is an obstitution. It

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Speaker 3: makes a belly barm as well. There's lots of good

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Speaker 3: ones out there, But I quite like the idea of

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Speaker 3: the magnesium because you know, that is definitely something I.

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Speaker 4: Had was terrible, terrible leg cramps.

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Speaker 1: Yes in the night, that's always.

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Speaker 2: Yes, you just stretch out and then suddenly your carf

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Speaker 2: just goes fresh.

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Speaker 3: Yeah.

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Speaker 4: I know it's not pleasant.

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Speaker 1: No, it's not pleasant.

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Speaker 3: So and it is usually they don't fully know what

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Speaker 3: it is, but it's often nutritional deficiency. So just keeping

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Speaker 3: your water dehydrations your main cause of it, okay, and

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Speaker 3: especially people like yourself who are still biting ignauseous impregnancy

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Speaker 3: is very.

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Speaker 4: Hard to keep up that. You know, two to three

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Speaker 4: letters of fluid today.

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Speaker 1: To do barockers and hydrolytes help.

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Speaker 4: I think so definitely.

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Speaker 3: If you're finding a struggle to get the electrolytes in,

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Speaker 3: it's certainly not gonna hurt you're pee out what you

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Speaker 3: don't use.

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Speaker 2: We hope you enjoyed this episode of Hello Bump. We

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Speaker 2: have so many episodes of this series filled with tips

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Speaker 2: and stories from women and experts who've been through it

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Speaker 2: all before.

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Speaker 3: You can go back and listen to everything else Hello

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Speaker 3: Bump related in this podcast.

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Speaker 2: Feed, and while you're there, we'd love if you could

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Speaker 2: give us a five star rating and maybe leave us

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Speaker 2: a review, or even share this episode with a friend.

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Speaker 3: This episode was produced by Courtney Ammenhauser with audio production

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Speaker 3: by Tom Lyon.

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Speaker 4: We'll catch you next time. Bye.

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Speaker 2: This episode of Hello Bump was made in partnership with

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Speaker 2: Huggis