WEBVTT - Week 4: It's Official, You're Growing A Human

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

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

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<v Speaker 1>podcast is recorded on.

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<v Speaker 2>I am pregnanty.

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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 Riefrey, a writer, actor, podcaster,

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

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<v Speaker 2>And I'm Yana Pittman. I am a former Olympian mother

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<v Speaker 2>of six and obstetric and GANI registrar, which basically means

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<v Speaker 2>I deliver 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. Week four. So we're starting

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<v Speaker 1>this podcast series at week four because that's usually when

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<v Speaker 1>you've found out that you are pregnant. There's not a

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<v Speaker 1>lot that happens between week one and three, and they

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

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

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<v Speaker 2>Well, your baby's about the size of a poppy seed

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<v Speaker 2>at this point, or just like a speck of dust

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<v Speaker 2>or glitter, Yeah, a little cheer seat or something very small.

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<v Speaker 2>It's basically a small clump of cells that's just embedded

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<v Speaker 2>into the lining of your uter's about two point five millimeters,

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<v Speaker 2>so it's tiny. What 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 2>Well, implantation has just occurred, so your sperm has met

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<v Speaker 2>your sperm, your partner sperm hopefully has met the egg,

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<v Speaker 2>and then it's made its way down the floapin and

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<v Speaker 2>you've embedded into the uterine wall. So it's just now

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<v Speaker 2>that you'll be starting to get a positive pregnancy test

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<v Speaker 2>because you're making that beta hCG hormone that's the hallmark

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<v Speaker 2>of pregnancy. The placenter itself is actually starting to grow.

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<v Speaker 2>Your baby comes from different cells from the placenter, so

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<v Speaker 2>they grow at the same time, but independently. And right

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<v Speaker 2>now your baby's actually only the size we actually call it, well,

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<v Speaker 2>it's not even quite an embryo yet, but it's two

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<v Speaker 2>layers at this point, and it'll slowly start differentiating into

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<v Speaker 2>all the organs and the heart and the lungs and

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<v Speaker 2>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, giving

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<v Speaker 1>it all of its life. When does that percent to

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<v Speaker 1>actually take over.

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<v Speaker 2>Well, it's funnily enough, it's actually not for several weeks,

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<v Speaker 2>around between nine and ten weeks. That at this point

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<v Speaker 2>the baby has what's called a yolk sack that's actually

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<v Speaker 2>feeding it. So when you go for an early ultrasound,

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<v Speaker 2>but guys, way too early, do not make an ultrasound

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<v Speaker 2>booking yet, because that is one of the biggest problems.

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<v Speaker 2>Women go now and they can't see anything and then

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<v Speaker 2>they freak out that they're already having a miscaracter. That's

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<v Speaker 2>just simply too early. But there is a yolk sack

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<v Speaker 2>which will be one of the first signs on ultrasound

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<v Speaker 2>that there's a baby inside your belly, and that is

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<v Speaker 2>what feeds the baby for the first couple of weeks

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<v Speaker 2>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 2>Unfortunately, they're pretty similar to the hormones of pregnancy. Obviously,

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<v Speaker 2>eugen and progester in our main two big wammies changed

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<v Speaker 2>quite considerably. Breast tenderness. I don't know if you've got

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<v Speaker 2>that at all, but that was my first sign. I

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<v Speaker 2>remember walking outside in the cold and my nipples killing

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<v Speaker 2>me and thinking what is going on? So all of

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<v Speaker 2>those signs that can often, as you say, indicate pregnancy

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<v Speaker 2>are unfortunately fluctuating hormones, which happen the same when your

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<v Speaker 2>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.

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<v Speaker 2>By yeah, so we go gestational age or pregnancy age.

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<v Speaker 2>So the age of the fetus is only like two

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<v Speaker 2>weeks by the time you actually find out you're pregnant,

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<v Speaker 2>But the pregnancy age, the whole lot of pregnancy starts

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<v Speaker 2>from the first day of your last period. So theoretically,

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<v Speaker 2>every month we're two weeks pregnant until our period comes

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<v Speaker 2>and 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 2>And for some daunting because obviously not all of us

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<v Speaker 2>want to be pregnant, and some of us get a

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<v Speaker 2>little scared and find out that we are so, and

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<v Speaker 2>that's when it is tricky to sort of think, well,

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<v Speaker 2>do I want to continue with the pregnancy? Is this

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<v Speaker 2>something I planned? What is it going to do to

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<v Speaker 2>my life? And I can tell you as a.

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<v Speaker 1>Mother of six, it does a lot.

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<v Speaker 2>So it's a hard conversation to have with yourself when

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<v Speaker 2>you first get those positive lines. And most of us,

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<v Speaker 2>like yourself, for I don't know whether you were you excited.

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<v Speaker 1>Or no, not at all, Like even though it was

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<v Speaker 1>like wanted and I was aware of what unprotected sex

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<v Speaker 1>could do. Yes, there was no contraception, I think for

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<v Speaker 1>anyone listening. I had had my account tested and it

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<v Speaker 1>was on the lower side in the high nines, which

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<v Speaker 1>I'm thirty five, so it was a maybe start thinking

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<v Speaker 1>about it. So I know a lot of people who

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<v Speaker 1>have struggled for years, so we did start and then

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<v Speaker 1>it just happened very quickly, so I wasn't prepared.

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<v Speaker 2>But I do think it's a really good point to discuss,

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<v Speaker 2>because you know, some people do have the desire and really,

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<v Speaker 2>you know, really want to get pregnant and then all

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<v Speaker 2>of a sudden it's happened. And I know a lot

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<v Speaker 2>of women, certainly some of my patients have discussed with

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<v Speaker 2>me then in those first few weeks with all the

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<v Speaker 2>hormonal changes, and started to feel pretty crappy that they think, well,

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<v Speaker 2>this is not really I signed up for and do

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<v Speaker 2>I even want to continue even though it was a

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<v Speaker 2>planned pregnancy, And I think we need to honor that

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<v Speaker 2>that's a normal part of this process. A huge life

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<v Speaker 2>change is on the up. So please don't feel if

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<v Speaker 2>you're listening to this, if that was you, that it

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<v Speaker 2>doesn't mean later you won't bond with your baby or

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<v Speaker 2>love the pregnancy, and you know, and it's also okay

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<v Speaker 2>if you actually do change your mind. Like I think,

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<v Speaker 2>that's a conversation that we're very lucky in Australia we

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<v Speaker 2>can have and we need to highlight that all women

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<v Speaker 2>feel very differently through this period of gestation. What's happening

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<v Speaker 2>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 2>Well, I think you highlighted them pretty well, thanks unfortunately

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<v Speaker 2>to you experiencing them all. Breast tenderness, floated, feeling around

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<v Speaker 2>your tummy, twingy pains, even some spotting. So sometimes we

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<v Speaker 2>get to what's called an implantation bleed, and that's actually

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<v Speaker 2>as that little weak more than parasites. Little parasite is

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<v Speaker 2>basically nesting into your individual lining of your uterus. So

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<v Speaker 2>eventually you know you'll make your little spiral arteries is

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<v Speaker 2>part of your makeup, anatomically will join the supply so

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<v Speaker 2>that you'll start eventually feeding your baby. But at this

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<v Speaker 2>point they're pretty robust. Many people get pregnant very easily,

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<v Speaker 2>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 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 is your period. But one of the first things

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<v Speaker 1>I noticed was an aversion to alcohol. Okay, see 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?

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<v Speaker 2>No, Look, I mean I think you guys were trying

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<v Speaker 2>so psychologically each month you are preparing it as possible.

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<v Speaker 2>So there is that psychological factor that we avert foods

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<v Speaker 2>we know will consider to be something we should avoid.

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<v Speaker 2>In pregnancy, you're starting that whole monal change already, so

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<v Speaker 2>your body's doing remarkable things. And for some women I've

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<v Speaker 2>even had that, they've said they are starting to feelnauseous

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<v Speaker 2>already at that four to five week markets. Not even

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<v Speaker 2>though the BEATA hat CG hormones are not really high,

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<v Speaker 2>which is obviously what triggers a lot of the nausea,

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<v Speaker 2>it's not impossible. So if you're already feeling yucky, the

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<v Speaker 2>last thing you want to go is, you know's neck

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<v Speaker 2>a bottle of wine. So I mean, hopefully it's a

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<v Speaker 2>good thing. You know, this is something that we're trying

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<v Speaker 2>to continue to have the discussion around lots of people,

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<v Speaker 2>by the way, don't know they're pregnant yet though, and

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<v Speaker 2>are drinking and doing fun things in life, because you know,

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<v Speaker 2>we need to live. I think it's so it's also

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<v Speaker 2>important there to highlight that if you don't know you're

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<v Speaker 2>pregnant yet, that we don't beat yourself up for the

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<v Speaker 2>things that did happen prior to that. Yes, I think

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<v Speaker 2>that's more common than not, you know, because I think

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<v Speaker 2>there are a large number of pregnancies that are unplanned

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<v Speaker 2>and people don't find out sometimes, so there are nine

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<v Speaker 2>or ten weeks pregnant, so they've made lots of decisions

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<v Speaker 2>during that time that weren't you know, pregnancy related. You know. Ideally,

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<v Speaker 2>I think let's be medical here for a seconds. I

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<v Speaker 2>put my little doctors had on you have had prenatal

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<v Speaker 2>discussions with your with your GP. Ideally have had some serology,

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<v Speaker 2>which is the blood tests looking at you know, in

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<v Speaker 2>antenatal markers, infection markers, even things like your fole eight level.

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<v Speaker 2>Your blood group's really important in pregnancy to know whether

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<v Speaker 2>your hate negative which do you have a negative or

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<v Speaker 2>a 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.

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<v Speaker 2>Kind of a little important because it's not at this

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<v Speaker 2>four weeks pregnant. It doesn't matter because we wouldn't do anything.

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<v Speaker 2>So if you came in, it matters, if you come

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<v Speaker 2>in bleeding, it matters if you've had a car accident

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<v Speaker 2>or something like that, because it's basically where your baby

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<v Speaker 2>makes a different blood group to you, and your own

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<v Speaker 2>body will make antibodies against your baby's blood group. Now

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<v Speaker 2>it doesn't matter in this pregnancy at all. It's actually

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<v Speaker 2>about subsequent pregnancy. So you don't want your body to

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<v Speaker 2>make those antibodies against the positive blood group because you're negative.

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<v Speaker 2>So what that means, though, is if you find out

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<v Speaker 2>you are what we call rh negative, if you have

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<v Speaker 2>an inciting event like a miscarriage or an accident where

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<v Speaker 2>there could be some fetal cells that crossover, we need

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<v Speaker 2>to give you an anti d So it's basically a

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<v Speaker 2>medication that stops that from happening, and we consider that

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<v Speaker 2>after sort of twelve weeks. So you just basically talk

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<v Speaker 2>to your doctor about it and make a plan. But

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<v Speaker 2>it's important to know it so you can at least

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<v Speaker 2>raise the question, Hey, I'm RGE negative, do I need

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<v Speaker 2>to do anything different from an RH positive mum, which.

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<v Speaker 1>Leads me into the important things that we should be

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<v Speaker 1>doing at this stage. You mentioned four A. A lot

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<v Speaker 1>of people say folic acid and you should be on

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<v Speaker 1>it if you're trying to conceive. Ideally, what does that?

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<v Speaker 1>What are you actually trying to do? And is it

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<v Speaker 1>bad if you haven't been taking.

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<v Speaker 2>Again, A lot of us don't know we're pregnant, but

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<v Speaker 2>ideally you start taking you know, a women's multi item

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<v Speaker 2>about three months before pregnancy starts, or as soon as

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<v Speaker 2>you find out you are pregnant, because so follo is

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<v Speaker 2>actually to do with neural tube defects. So it's the

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<v Speaker 2>way your baby's brain and spinal cord form prevents things

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<v Speaker 2>like spiner befitter from occurring. So you know, many many

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<v Speaker 2>years ago, so our mums and grandma's had much higher

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<v Speaker 2>rates of that before they found out that follit can

0:09:40.509 --> 0:09:42.469
<v Speaker 2>make a difference. So for most of it, you know,

0:09:42.829 --> 0:09:45.629
<v Speaker 2>between four hundred and eight hundred milligrams is enough, but

0:09:45.749 --> 0:09:47.709
<v Speaker 2>you need to triple check if you're at higher risk.

0:09:47.789 --> 0:09:50.029
<v Speaker 2>So people with a high BMI, people who have are

0:09:50.069 --> 0:09:53.629
<v Speaker 2>on antiepolectic medication, people have had previous miscarriages or spiner

0:09:53.629 --> 0:09:55.709
<v Speaker 2>befitter may need a higher dose. So I think it's

0:09:55.709 --> 0:09:58.029
<v Speaker 2>a conversation to have. But the best thing you can

0:09:58.029 --> 0:09:59.549
<v Speaker 2>do is just get started as soon as you find out,

0:09:59.629 --> 0:10:00.229
<v Speaker 2>so you'll plan.

0:10:00.389 --> 0:10:03.229
<v Speaker 1>It's never too late, never too absolutely no correct.

0:10:02.909 --> 0:10:03.509
<v Speaker 2>Never too late.

0:10:03.909 --> 0:10:07.349
<v Speaker 1>And what are some like nice to do things, things

0:10:07.349 --> 0:10:10.029
<v Speaker 1>to think about, maybe not necessarily about our body, but

0:10:10.149 --> 0:10:12.229
<v Speaker 1>things to start having a think about in the future.

0:10:12.509 --> 0:10:15.149
<v Speaker 2>Yeah, great, Ay, Look it's very early, but I would

0:10:15.309 --> 0:10:17.349
<v Speaker 2>actually say start thinking about what model of care you

0:10:17.349 --> 0:10:20.989
<v Speaker 2>want to do, because you have obstetric which is what

0:10:20.989 --> 0:10:23.349
<v Speaker 2>I'm training to be, so coming with the doctor's program.

0:10:23.589 --> 0:10:25.069
<v Speaker 2>You have what I love and I went with my

0:10:25.149 --> 0:10:28.189
<v Speaker 2>last pregnancy, which was actually my second last pregnancy MGP.

0:10:28.349 --> 0:10:30.389
<v Speaker 2>So whether you want to be MIDWI free group practice,

0:10:30.869 --> 0:10:33.829
<v Speaker 2>low risk pregnancies lovely holistic care, and I know my

0:10:33.829 --> 0:10:35.589
<v Speaker 2>midwives out there will love me for saying this day.

0:10:35.589 --> 0:10:38.509
<v Speaker 2>I'm much better at counseling around birth and making it normal,

0:10:38.669 --> 0:10:41.829
<v Speaker 2>you know, making normalizing what birth and pregnancy is. But

0:10:41.869 --> 0:10:44.469
<v Speaker 2>you do an unfortunately to be relatively low risk in

0:10:44.509 --> 0:10:47.669
<v Speaker 2>that program, and they fill up so fast, so they're

0:10:47.669 --> 0:10:49.429
<v Speaker 2>the ones that you get a positive pregnancy test and

0:10:49.429 --> 0:10:51.709
<v Speaker 2>you're like, contact your local hospital and say I'd love

0:10:51.749 --> 0:10:54.589
<v Speaker 2>to go on the MIDWI free group practice program and

0:10:54.949 --> 0:10:57.549
<v Speaker 2>getting early. So that's why it's important now, even this

0:10:57.589 --> 0:10:59.269
<v Speaker 2>early in gestation, to have a think about what you

0:10:59.309 --> 0:10:59.669
<v Speaker 2>want to do.

0:11:01.189 --> 0:11:03.149
<v Speaker 1>Okay, we're going to need a lot of help along

0:11:03.189 --> 0:11:05.949
<v Speaker 1>this pregnancy. It's only week four, so what can we

0:11:05.989 --> 0:11:08.069
<v Speaker 1>put in our talkkit for this week? Did you pick

0:11:08.069 --> 0:11:08.429
<v Speaker 1>an app?

0:11:08.469 --> 0:11:10.109
<v Speaker 2>Because I think having an app, particularly for a first

0:11:10.229 --> 0:11:12.709
<v Speaker 2>time mums, can be really helpful to sort of track

0:11:12.789 --> 0:11:15.229
<v Speaker 2>babies development in some of the things you might be experiencing.

0:11:15.269 --> 0:11:17.669
<v Speaker 1>Have you, Oh, yes, I have the flow out. Yes

0:11:17.709 --> 0:11:19.589
<v Speaker 1>I like it, but I was using it to track

0:11:19.669 --> 0:11:21.229
<v Speaker 1>my period, so I sort of had it already and

0:11:21.269 --> 0:11:23.829
<v Speaker 1>then once you log that you're pregnant, it switches into

0:11:23.869 --> 0:11:24.789
<v Speaker 1>this whole new mode.

0:11:24.869 --> 0:11:25.069
<v Speaker 2>Yeah.

0:11:25.229 --> 0:11:26.749
<v Speaker 1>What I like about this is it gives you, like

0:11:26.789 --> 0:11:29.229
<v Speaker 1>the stats, Yes, what week you are, here's the size

0:11:29.229 --> 0:11:31.469
<v Speaker 1>of your baby, Here's what's happening to them, and then

0:11:31.469 --> 0:11:33.589
<v Speaker 1>here's what's happening to your body. So you're kind of

0:11:33.589 --> 0:11:35.669
<v Speaker 1>covering these sort of major things which I like.

0:11:35.829 --> 0:11:36.989
<v Speaker 2>Yeah, And I mean you can also use it in

0:11:37.029 --> 0:11:39.149
<v Speaker 2>pregnancy too, and as you're trying to get pregnant. I

0:11:39.189 --> 0:11:41.709
<v Speaker 2>think what I liked about Flow Pregnancy Plus is another

0:11:41.709 --> 0:11:42.269
<v Speaker 2>really good one.

0:11:42.309 --> 0:11:42.869
<v Speaker 1>I have both.

0:11:42.909 --> 0:11:44.349
<v Speaker 2>I have to say I liked both and I checked

0:11:44.349 --> 0:11:46.629
<v Speaker 2>between them to see if there was differences. And Baby

0:11:46.629 --> 0:11:47.789
<v Speaker 2>Centers is another good one as well.

0:11:49.229 --> 0:11:51.389
<v Speaker 1>We hope you enjoyed this episode of Hello bumb. We

0:11:51.509 --> 0:11:54.509
<v Speaker 1>have so many episodes of this series filled with tips

0:11:54.549 --> 0:11:57.389
<v Speaker 1>and stories from women and experts who've been through it

0:11:57.429 --> 0:11:57.989
<v Speaker 1>all before.

0:11:58.229 --> 0:12:00.069
<v Speaker 2>You can go back and listen to everything else Hello

0:12:00.069 --> 0:12:01.749
<v Speaker 2>bub related in this podcast.

0:12:01.349 --> 0:12:03.389
<v Speaker 1>Feed, and while you're there, we'd love if you could

0:12:03.389 --> 0:12:05.189
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0:12:05.229 --> 0:12:07.629
<v Speaker 1>a review, or even shared this episode with a friend.

0:12:07.829 --> 0:12:10.949
<v Speaker 2>This episode was produced by Courtney Ammenhauser with audio production

0:12:11.029 --> 0:12:11.709
<v Speaker 2>by Tom Lyon.

0:12:11.789 --> 0:12:14.029
<v Speaker 1>We'll catch you next time. This episode of Hello Bump

0:12:14.069 --> 0:12:22.789
<v Speaker 1>was made in partnership with Huggies. Bye Bye