WEBVTT - Week 35: Breech Babies, ECVs And Understanding Emergencies

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

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<v Speaker 2>Mom and Mayor acknowledges the traditional owners of land and

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

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<v Speaker 3>I am pregnanty.

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<v Speaker 1>Welcome to Hello Bump.

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<v Speaker 2>We're making pregnancy less overwhelming and hopefully more manageable. I'm

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<v Speaker 2>Grace Rubray, I'm pregnant for the very first time and

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<v Speaker 2>my belly starting to look like an alien.

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<v Speaker 4>I'm young A Pittman, I'm a former Olympian mother of

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<v Speaker 4>six and obstetrics and guyany registrar.

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<v Speaker 2>Each week, Leana and I will be holding your hand

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<v Speaker 2>week by week through the mysterious, perplexing and very unfamiliar

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<v Speaker 2>miracle that is pregnancy, all the way from a poppy

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<v Speaker 2>seed to a pumpkin.

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<v Speaker 3>Week thirty five and how big a cantalope? Your baby? Apparently?

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<v Speaker 1>Is that a melon?

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<v Speaker 3>It's also a pumpkin? Is that better? Is a pumpkin?

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<v Speaker 4>Yeah? Better?

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<v Speaker 3>Honey, jew melon?

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<v Speaker 1>Yeah, we're definitely melons. Yeah, I've got a rabbit.

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<v Speaker 3>Yeah, that's it.

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<v Speaker 4>We can go with this sort of Aussie introduced, but

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<v Speaker 4>we see a lot of the inn Australia. There's a

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<v Speaker 4>lot of their mother a huge, huge variation in real size. Okay,

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<v Speaker 4>we're saying like we're talking a kilo difference between some

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<v Speaker 4>people's babies by this point, so the average is around

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<v Speaker 4>two point five to two point seven kilos.

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<v Speaker 1>Wow.

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<v Speaker 4>So like my babies, as you know, we're born last

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<v Speaker 4>week at two point eight kilos and they were only

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<v Speaker 4>thirty four weeks, so you can see they're on the

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<v Speaker 4>bigger side of a nomine or a twins. So there's

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<v Speaker 4>a huge, huge variation. Forty six centimeters long.

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<v Speaker 1>That's that's quite big because long, that's very long lod log.

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<v Speaker 1>And what have they developed?

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<v Speaker 4>Ongoing maturity. The kidneys are now getting more mature, so

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<v Speaker 4>they'll be swallowing more and making more amniotic fluid, which

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<v Speaker 4>I think is really lovely. And I mean people say

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<v Speaker 4>I say love and peag God. Yeah, that means my

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<v Speaker 4>baby's winging inside me or that's when you do the

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<v Speaker 4>whole you know, there's a doodle inside me and all

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<v Speaker 4>that kind of conversations. But yes, your baby's kidneys are

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<v Speaker 4>now starting to really work. Well, this is when we

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<v Speaker 4>start really looking at is your baby up or down?

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<v Speaker 4>Is there a bottom presenting or is the head presenting?

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<v Speaker 4>So you might find between thirty five and thirty six

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<v Speaker 4>weeks you get a bedside optra sound with your midwife

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<v Speaker 4>if you aren't having one of those formal ones booked in,

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<v Speaker 4>because we're tracking bubby's growth and so at this stage

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<v Speaker 4>we'll start really looking at that spinning baby's website to

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<v Speaker 4>make sure we try and convince Bobby that a head

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<v Speaker 4>first is the right way, and if not, you might

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<v Speaker 4>find in the next week or two you get booked

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<v Speaker 4>in for what's called an ECV if your baby is

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<v Speaker 4>bum first at this point, and ecvs where we actually

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<v Speaker 4>put our hands on your belly and we try and

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<v Speaker 4>manually from outside. So an external Catholic version is to

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<v Speaker 4>try and turn your baby to be head down.

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<v Speaker 1>Is that and it's completely safe to do that.

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<v Speaker 4>Look, we make sure there's the right baby, So the

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<v Speaker 4>baby has to be within a certain weight range. We

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<v Speaker 4>don't want teeny tiny babies, we don't want really big babies.

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<v Speaker 4>Baby has to be well so not growth restricted, which

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<v Speaker 4>is obviously the size, but also with normal fluid around

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<v Speaker 4>baby and no things like gastroskeecies or any anatomical problems

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<v Speaker 4>with your baby. So they're quite strict on which ones

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<v Speaker 4>are suitable for that. And then the biggest thing comes

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<v Speaker 4>down can them tolerate it? So I've done I don't

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<v Speaker 4>laugh at me. I've done htcvs in my life, so

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<v Speaker 4>not a huge amount, but I'm very lucky. I train

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<v Speaker 4>with an incredible doctor who does them all the time

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<v Speaker 4>and is training me in that space.

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<v Speaker 1>When you say tolerate, is that because it's painful?

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<v Speaker 4>That's right, Yeah, and that's what I say. So out

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<v Speaker 4>of the ones that I've done, three or four women

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<v Speaker 4>had to stop just because it was so uncomfortable. And

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<v Speaker 4>this is the ones that I've done, more than eight

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<v Speaker 4>successful ones that didn't work, But the main reason for

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<v Speaker 4>stopping was that she just couldn't tolerate the discomfort on

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<v Speaker 4>the tummy.

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<v Speaker 2>And it's a discomfort part of that also the anxiety

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<v Speaker 2>of they feel like it's doing something to the child

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<v Speaker 2>or it's just like that uncomfortable that it's painful.

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<v Speaker 3>Look, I think if.

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<v Speaker 4>They're committed to be in the room, they're usually you know,

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<v Speaker 4>they've left a lot of that anxiety at the door.

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<v Speaker 4>So I think a lot of the women do really

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<v Speaker 4>try because obviously there's ops you to have a cesarian section.

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<v Speaker 4>You do not have to try and turn your baby.

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<v Speaker 4>There's also the option to actually have a vaginal breach birth,

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<v Speaker 4>so particularly at certain hospitals that facilitate that, and I'm

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<v Speaker 4>very lucky that I work at one that has lots

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<v Speaker 4>of breach babies born, so you don't have to be there.

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<v Speaker 4>So it's very committed women that want that vaginal birth

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<v Speaker 4>and are prepared to give it a go.

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<v Speaker 1>Right, So people still do have breach babies absolutely imaginally.

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<v Speaker 4>Yeah, well I've done not many, probably three or four,

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<v Speaker 4>but I've been present in the room for at least

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<v Speaker 4>another ten, which is amazing. So again, we have a

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<v Speaker 4>particular obstitution. I'm sure he won't mind me saying. His

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<v Speaker 4>name is doctor Andrew Bissets. He's about one of the

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<v Speaker 4>best obstetricians in Australia. But I've also met an amazing

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<v Speaker 4>obstution out at Westmead whose names are doctor Andrew Pesh

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<v Speaker 4>who used to do breach birth. He's starting to retire

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<v Speaker 4>unfortunately for care. But both of them have been the

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<v Speaker 4>almost the godfathers of bringing back breach birth because many

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<v Speaker 4>years ago we used to have lots of breach berths

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<v Speaker 4>and then there was an inquiry in the early two

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<v Speaker 4>thousands that really scared a lot of women, and so

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<v Speaker 4>a lot of the main reason is a lot of

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<v Speaker 4>obstutions detrained in that space, so they just didn't have

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<v Speaker 4>the skill set to do it, and that's resurging now.

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<v Speaker 4>So I think the bottom line is if you've committed

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<v Speaker 4>to it and it's safe. In other words, again, your

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<v Speaker 4>babies are normally grown size. It's not a huge baby,

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<v Speaker 4>it's not a tiny baby, it's not struggling. And you know,

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<v Speaker 4>particularly if you've had babies before and you know your

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<v Speaker 4>pelvis is able to birth vaginally, it's definitely worth having

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<v Speaker 4>a discussion with your obstitution around whether they would be

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<v Speaker 4>comfortable doing a breach.

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<v Speaker 2>Birth and you considered high risk. If you're a breach

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<v Speaker 2>birth I vaginally, it's.

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<v Speaker 3>Not considered high risk.

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<v Speaker 4>I mean, the statistics show that a cesarean rate is

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<v Speaker 4>a one in a thousand chance of severe morbidity to

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<v Speaker 4>the baby. A vaginal birth with a head down is

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<v Speaker 4>two in a thousand, between one and two, and a

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<v Speaker 4>breach vaginal birth is another percent, so between two and

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<v Speaker 4>three percent chance of a problem. I think the biggest

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<v Speaker 4>thing if and again I'm very junior guys, so this

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<v Speaker 4>is just my evidence from what I've listened to doctor

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<v Speaker 4>Bisits and other obstecutions in this space is if the

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<v Speaker 4>if the labor is progressing well and you're dilating beautifully

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<v Speaker 4>and the bum's coming down and it's a bottom presenting,

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<v Speaker 4>not feet, and everything's going smoothly, it's a good chance

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<v Speaker 4>it's going to go well. It's if things aren't going

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<v Speaker 4>well and you know you're not dilating well enough and

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<v Speaker 4>you're really pushing that envelope and you want something so badly,

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<v Speaker 4>and there's lots of writing on the wall and the

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<v Speaker 4>baby's not coping with the labor. In other words, a

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<v Speaker 4>breach will either go well or it won't go at all.

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<v Speaker 2>What what's happening to me and what's happening to our bodies?

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<v Speaker 4>That has our body's goodness back to the real of

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<v Speaker 4>what we're here today? Do you know? I think at

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<v Speaker 4>this point it is just you're continuing to grow. We

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<v Speaker 4>say it every week, but we've got a harp on

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<v Speaker 4>looking at symptoms. No headaches, blurry vision, we're not having

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<v Speaker 4>any itchy feet, We're feeling well in ourselves. This is

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<v Speaker 4>around when the the time you'll have that last blood

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<v Speaker 4>test to make sure your iron levels are up. To

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<v Speaker 4>where they need to be, and if they're not, we

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<v Speaker 4>would be starting to consider that iron infusion. So there's

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<v Speaker 4>just a few, like tick box things that need to

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<v Speaker 4>be done at this point in pregnancy.

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<v Speaker 1>Is this normal?

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<v Speaker 3>Is it normal?

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<v Speaker 2>This normal is wanting to talk about bad outcomes. And

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<v Speaker 2>I haven't wanted to or wanted to engage in any

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<v Speaker 2>type of podcasts birth stories or anything like that because

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<v Speaker 2>everything's felt too overwhelming. But I think the further on

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<v Speaker 2>that I've gotten, you've got more data and it doesn't

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<v Speaker 2>seem as scary like you're in it.

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<v Speaker 1>So it's going to happen either way.

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<v Speaker 2>So I know that there's a few things that we

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<v Speaker 2>have spoken about off Mike, like hemorrhaging, shouldered dustocia, dastocia,

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<v Speaker 2>and one that's been in the news recently, which is.

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<v Speaker 3>The amnotic fluid embolism. Yes, are very rare.

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<v Speaker 2>But yeah, so all of these things that are very rare,

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<v Speaker 2>I guess I want to ask if teams are always.

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<v Speaker 1>On the look at for that stuff one, even if

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<v Speaker 1>you're low risk.

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<v Speaker 4>Yes, we are, and we get trained in simulation centers,

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<v Speaker 4>we get trained in real life birth centers when we're

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<v Speaker 4>quite junior doctors like for example, my whole first year

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<v Speaker 4>of training, I had a very senior obstitution with me

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<v Speaker 4>for all births in case that sort of thing happened.

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<v Speaker 4>And so even in a public hospital where you're being

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<v Speaker 4>trained with trainees like myself, we're all very aware when

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<v Speaker 4>to push that red button and bring the room in.

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<v Speaker 4>So I think you got to remember that even though

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<v Speaker 4>it'll feel like you're alone in that space. So that's

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<v Speaker 4>the thing to be aware of, is that when they

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<v Speaker 4>see an emergency, your room will be full of people.

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<v Speaker 4>And that might seem daunting, but it's actually great because

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<v Speaker 4>it means very senior people are coming in that'll be

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<v Speaker 4>able to support whatever is required to make sure you

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<v Speaker 4>and your baby are safe.

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<v Speaker 1>And is that regardless of whether you're going through a

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<v Speaker 1>midlife program or all ondred percent through public private obstitutions.

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<v Speaker 2>It's just everyone knows warning signs and there's a big

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<v Speaker 2>red button to locate in the street that.

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<v Speaker 1>You know it will be pressed.

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<v Speaker 3>Yes, And that's exactly right.

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<v Speaker 4>So which is why the whole birth in Australia is

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<v Speaker 4>I can't say birth is one hundred percent safe because

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<v Speaker 4>it's not. It is one of the more dangerous things.

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<v Speaker 4>It's why my whole career exists is because it isn't

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<v Speaker 4>as beautiful as we wish it would be, where it

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<v Speaker 4>just everyone going to breeds, a baby out, cops.

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<v Speaker 3>And the dove is born.

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<v Speaker 4>That doesn't happen like it's so rare that that happens.

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<v Speaker 4>But midwives and Australia are trained so beautifully and they

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<v Speaker 4>are protectors in that birth space. But if they're scared

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<v Speaker 4>and they know there's something wrong, they ninety nine point

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<v Speaker 4>ninety nine nine percent of the time will pick it

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<v Speaker 4>and escalate it to an obstetric doctor. Where it becomes

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<v Speaker 4>a little more challenging is if you're at home. But

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<v Speaker 4>again they have those systems and checks in place. It's

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<v Speaker 4>always second midwife. If you're home birthing, there is the

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<v Speaker 4>ability to call an ambulance. They call it early if

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<v Speaker 4>there's a concern, and they escalate to the hospital. So

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<v Speaker 4>they're all very trained in that birth space and in

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<v Speaker 4>particular for emergencies. So and we practice again every week,

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<v Speaker 4>again and again and again, and then when the real

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<v Speaker 4>thing happens, it's an almost autonomous way to deal with it.

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<v Speaker 1>Do you have patients who get quite anxious about this stuff.

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<v Speaker 4>All unbelievably and grace. The hardest thing in my job

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<v Speaker 4>is women who don't want us to come in the birthroom.

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<v Speaker 4>Like I love this job, like it's my favorite thing

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<v Speaker 4>to be there with women. And the reason I went

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<v Speaker 4>and became a midwife initially and even before that, as

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<v Speaker 4>Adula was I remember my first birth thinking, this is

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<v Speaker 4>the most extraordinary thing I've ever done, This pregnancy of stuff,

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<v Speaker 4>the Olympics.

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<v Speaker 3>The Olympics is great, but.

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<v Speaker 4>I love pregnancy and birthing and women. So it has

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<v Speaker 4>been a twenty year passion of mine. I mean, who

0:08:57.709 --> 0:08:59.789
<v Speaker 4>would go and become an obstitucian with six kids, Like

0:08:59.829 --> 0:09:03.149
<v Speaker 4>it's just the most ludicrous thing ever. And majority of

0:09:03.189 --> 0:09:05.469
<v Speaker 4>us in that space are the same. We love being

0:09:05.509 --> 0:09:08.469
<v Speaker 4>present for women in birth. And so when we see

0:09:08.469 --> 0:09:10.589
<v Speaker 4>something abnormal happening, like the ct G, which is the

0:09:10.629 --> 0:09:13.389
<v Speaker 4>monitoring of the baby, is showing babies stressed, or mum's

0:09:13.429 --> 0:09:15.549
<v Speaker 4>not progressing, she's been four cenemies and she's four cenemies

0:09:15.589 --> 0:09:18.189
<v Speaker 4>and she's four centimeters, or there's you know, bloodstained like

0:09:18.269 --> 0:09:20.909
<v Speaker 4>call which is the amniotic fluid coming out, we get

0:09:20.949 --> 0:09:22.829
<v Speaker 4>really stressed and we want to come in and help you,

0:09:23.589 --> 0:09:26.029
<v Speaker 4>and I can tell you a bad high risk woman

0:09:26.149 --> 0:09:27.549
<v Speaker 4>is the like as in not idn't mean she's bad,

0:09:27.589 --> 0:09:28.909
<v Speaker 4>but as in, a high risk woman who's having a

0:09:28.949 --> 0:09:32.309
<v Speaker 4>really difficult labor is so much easier because she knows

0:09:32.309 --> 0:09:33.029
<v Speaker 4>we're going to come in.

0:09:33.109 --> 0:09:34.709
<v Speaker 3>And that really low risk woman.

0:09:34.469 --> 0:09:36.669
<v Speaker 4>Who hates doctors because she's afraid of us and it's

0:09:36.789 --> 0:09:38.669
<v Speaker 4>my hardest day on the birth unit is trying to

0:09:38.709 --> 0:09:40.709
<v Speaker 4>convince her to just let me come and have a chat.

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<v Speaker 4>And so I changed the whole narrative. A few months ago,

0:09:43.109 --> 0:09:45.189
<v Speaker 4>I heard this incredible midwife down in Melbourne wh's actually

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<v Speaker 4>doing her PhD in the birth trauma space, who said

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<v Speaker 4>we need to change it. We need women to demand

0:09:49.909 --> 0:09:51.709
<v Speaker 4>to meet the doctor. In other words, take the reins

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<v Speaker 4>back and say I don't want some foreign person walking

0:09:53.629 --> 0:09:56.109
<v Speaker 4>into my room when stuff hits the span. I want

0:09:56.109 --> 0:09:58.269
<v Speaker 4>to know who the midwives are. I want to know

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<v Speaker 4>who the head of the military team is, and I

0:09:59.869 --> 0:10:02.109
<v Speaker 4>want to know who the doctor on call is, so

0:10:02.149 --> 0:10:04.509
<v Speaker 4>that that way there's no foreign faces if and when

0:10:04.549 --> 0:10:05.829
<v Speaker 4>I require them to come and help me.

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<v Speaker 1>And what's on the toolkit this week?

0:10:10.309 --> 0:10:13.029
<v Speaker 4>So we'll take it back to something nice, hard conversation.

0:10:13.669 --> 0:10:16.109
<v Speaker 4>Create your birth song list. We started this early, and

0:10:16.269 --> 0:10:18.509
<v Speaker 4>you remember a very very vacuum like week, say at eleven,

0:10:18.589 --> 0:10:19.509
<v Speaker 4>we started adding songs.

0:10:20.029 --> 0:10:21.069
<v Speaker 1>You should have quite a few.

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<v Speaker 3>I've got to be on that list.

0:10:22.949 --> 0:10:25.629
<v Speaker 4>But we're getting closer, Like I don't want your labor

0:10:25.629 --> 0:10:27.589
<v Speaker 4>to start for two weeks, I when you're thirty five weeks,

0:10:27.589 --> 0:10:30.029
<v Speaker 4>but it could happen. There's definitely a higher propensity of

0:10:30.069 --> 0:10:32.189
<v Speaker 4>women to go into labor at around this time, and

0:10:32.269 --> 0:10:34.829
<v Speaker 4>babies you're really well, you know, thirty five weeks. Certainly

0:10:34.829 --> 0:10:36.429
<v Speaker 4>at my hospital. It's a bit different if you're in

0:10:36.709 --> 0:10:39.429
<v Speaker 4>rural hospitals. If they weigh over two point four kilos,

0:10:39.469 --> 0:10:41.669
<v Speaker 4>often that stay with mummy. So we're really approaching a

0:10:41.749 --> 0:10:45.389
<v Speaker 4>very wonderful time where if baby does well post birth,

0:10:45.429 --> 0:10:47.349
<v Speaker 4>they can often go home, just like if they were

0:10:47.389 --> 0:10:48.909
<v Speaker 4>a full term baby. Now, some of course need a

0:10:48.909 --> 0:10:50.629
<v Speaker 4>little bit of help with feeding and they drop their

0:10:50.669 --> 0:10:52.869
<v Speaker 4>sugars and they get a bit jaundice and things. But

0:10:53.029 --> 0:10:54.789
<v Speaker 4>the bottom line of that is have your car seat,

0:10:55.189 --> 0:10:58.029
<v Speaker 4>have your birth plans, and have your song list because

0:10:58.109 --> 0:10:59.589
<v Speaker 4>it could happen tonight.

0:10:59.869 --> 0:11:03.109
<v Speaker 2>This is my toolkit. Funnily enough, is a car seat.

0:11:04.229 --> 0:11:05.949
<v Speaker 2>I had it. I don't know if this is the

0:11:06.029 --> 0:11:08.709
<v Speaker 2>nesting hormone that's now suddenly been about the baby instead

0:11:08.749 --> 0:11:10.629
<v Speaker 2>of me. Is that I went, we just need a

0:11:10.629 --> 0:11:12.509
<v Speaker 2>car seat, and we need it this weekend, like literally

0:11:12.509 --> 0:11:13.429
<v Speaker 2>the weekend that's just gone.

0:11:13.469 --> 0:11:16.229
<v Speaker 1>I was like, we just need to yeah, because that's.

0:11:15.669 --> 0:11:17.829
<v Speaker 3>The only thing you can't do with that. It's everything else.

0:11:18.189 --> 0:11:20.749
<v Speaker 1>Yeah, they'll let you leave, yep, unless you have it, Like.

0:11:20.789 --> 0:11:22.869
<v Speaker 3>They don't let you leave, do not let you leave

0:11:22.909 --> 0:11:24.069
<v Speaker 3>until you have a car seat in the car.

0:11:24.189 --> 0:11:27.749
<v Speaker 2>So I went to baby Bunting and picked a car

0:11:27.789 --> 0:11:29.709
<v Speaker 2>seat and they were like, oh, you just have to

0:11:29.749 --> 0:11:31.629
<v Speaker 2>wait two weeks for it to come in and then

0:11:31.629 --> 0:11:33.949
<v Speaker 2>you've got to come back for installation. And I just went,

0:11:34.229 --> 0:11:36.989
<v Speaker 2>thank goodness that it's thirty three weeks. I went, we

0:11:36.989 --> 0:11:39.469
<v Speaker 2>need to do it now, because what if we waited

0:11:39.549 --> 0:11:40.669
<v Speaker 2>until I was on maternity.

0:11:41.069 --> 0:11:44.069
<v Speaker 4>I'll let you in a little story, most most hospitals

0:11:44.109 --> 0:11:47.109
<v Speaker 4>have one in their car park yet, so like, just

0:11:47.109 --> 0:11:48.989
<v Speaker 4>just in case, because you amount a bearers the dome,

0:11:49.109 --> 0:11:50.349
<v Speaker 4>do it And they're like, oh, I haven't had it

0:11:50.389 --> 0:11:51.829
<v Speaker 4>done at City in the garage. I've had it for

0:11:51.869 --> 0:11:54.309
<v Speaker 4>a few weeks, but it's not installed, and the last

0:11:54.349 --> 0:11:55.709
<v Speaker 4>thing we want you to do is drive around with

0:11:55.709 --> 0:11:58.069
<v Speaker 4>an unsafe car seat. So find out if you if

0:11:58.069 --> 0:12:00.109
<v Speaker 4>you end up going into labor early, give the job

0:12:00.149 --> 0:12:03.349
<v Speaker 4>to your partner or your mother in law to source

0:12:03.389 --> 0:12:06.429
<v Speaker 4>where the hospital does their car installation, because it's very

0:12:06.429 --> 0:12:08.109
<v Speaker 4>common that most hospitals have one on site.

0:12:08.149 --> 0:12:09.909
<v Speaker 1>Do you remember your first drive home.

0:12:11.349 --> 0:12:13.749
<v Speaker 3>Kilometers an hour? It was I still vividly the other

0:12:13.749 --> 0:12:14.069
<v Speaker 3>because he.

0:12:14.069 --> 0:12:16.269
<v Speaker 4>Was so tiny and he looked so small in that seat,

0:12:16.269 --> 0:12:17.669
<v Speaker 4>and I literally drove like a matter.

0:12:17.549 --> 0:12:19.389
<v Speaker 1>Or did one of you sit in the back seat?

0:12:19.669 --> 0:12:21.349
<v Speaker 3>No, I don't know why, but I was driving.

0:12:21.629 --> 0:12:23.229
<v Speaker 4>I don't know if he'd gone home to set something up,

0:12:23.269 --> 0:12:25.189
<v Speaker 4>because this is like twenty years ago and my oldest

0:12:25.229 --> 0:12:28.669
<v Speaker 4>is eighteen now and doing nursing himself. So but I

0:12:28.749 --> 0:12:30.469
<v Speaker 4>remember someone was in the car. It must have been

0:12:30.549 --> 0:12:32.349
<v Speaker 4>him saying why are you going so slow? And I'm like,

0:12:32.389 --> 0:12:33.909
<v Speaker 4>because my baby's in the back.

0:12:34.629 --> 0:12:37.429
<v Speaker 1>I've got to be there to protect. Yeah, okay, that's normal.

0:12:39.309 --> 0:12:41.469
<v Speaker 2>We hope you enjoyed this episode of Hello Bump. We

0:12:41.589 --> 0:12:44.589
<v Speaker 2>have so many episodes of this series filled with tips

0:12:44.629 --> 0:12:47.469
<v Speaker 2>and stories from women and experts who've been through it

0:12:47.509 --> 0:12:48.389
<v Speaker 2>all before.

0:12:48.349 --> 0:12:50.189
<v Speaker 4>You can go back and listen to everything else Hello

0:12:50.189 --> 0:12:51.789
<v Speaker 4>Bump related in this podcast.

0:12:51.469 --> 0:12:53.509
<v Speaker 2>Feed, and while you're there, we'd love if you could

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0:12:57.949 --> 0:13:01.109
<v Speaker 4>This episode was produced by Courtney Ammenhauser with audio production

0:13:01.189 --> 0:13:02.869
<v Speaker 4>by Tom Lyon We'll catch you next time.

0:13:02.949 --> 0:13:05.229
<v Speaker 2>This episode of Hello Bump was made in partnership with

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<v Speaker 2>Huggies Bye Bye