1 00:00:11,149 --> 00:00:13,909 Speaker 1: You're listening to a Muma Mia podcast. 2 00:00:14,829 --> 00:00:18,349 Speaker 2: Mama Maya acknowledges the traditional owners of land and waters 3 00:00:18,349 --> 00:00:20,029 Speaker 2: that this podcast is recorded on. 4 00:00:21,389 --> 00:00:24,749 Speaker 1: I am pregnanty. 5 00:00:26,909 --> 00:00:27,829 Speaker 3: Welcome to Hello Bump. 6 00:00:27,909 --> 00:00:30,869 Speaker 2: We're making pregnancy less overwhelming and hopefully more manageable. 7 00:00:31,029 --> 00:00:31,869 Speaker 3: I'm Grace Rubray. 8 00:00:31,869 --> 00:00:34,389 Speaker 2: I'm pregnant for the first time and my clothes definitely 9 00:00:34,429 --> 00:00:35,309 Speaker 2: don't fit me now. 10 00:00:36,269 --> 00:00:38,229 Speaker 1: I'm Aana Pittman. I'm a mother of six, and I'm 11 00:00:38,229 --> 00:00:40,789 Speaker 1: an obstetric and guyany a registrar, and I'm also a 12 00:00:40,829 --> 00:00:42,349 Speaker 1: former Olympian for Australia. 13 00:00:42,389 --> 00:00:44,269 Speaker 2: Each week, we will be holding your hand week by 14 00:00:44,269 --> 00:00:47,429 Speaker 2: week through the mysterious, perplexing and sometimes well forever changing 15 00:00:47,509 --> 00:00:50,829 Speaker 2: miracle that is pregnancy, all the way from a poppy seed. 16 00:00:50,589 --> 00:00:51,389 Speaker 3: To a pumpkin. 17 00:00:53,429 --> 00:00:54,509 Speaker 1: Week thirty two. 18 00:00:55,909 --> 00:00:58,669 Speaker 3: What random objects have you got for me this week? Jana? 19 00:00:59,109 --> 00:01:02,629 Speaker 1: A garden gnome. But that's a look at least it's humanoid. 20 00:01:02,789 --> 00:01:05,109 Speaker 2: Yeah to a degree. Yeah, that's like you can pick 21 00:01:05,149 --> 00:01:06,749 Speaker 2: that up, you could cradle that, you. 22 00:01:06,709 --> 00:01:08,709 Speaker 1: Could practice yes, being mummy with that for sure. 23 00:01:08,709 --> 00:01:11,189 Speaker 3: I got a little kohala joey okay, like a quality. 24 00:01:11,229 --> 00:01:12,589 Speaker 1: I had a movie popcorn as well. I'm not sure 25 00:01:12,629 --> 00:01:13,509 Speaker 1: who came up with that one. 26 00:01:14,589 --> 00:01:17,509 Speaker 3: I'm good with that. Scientifically, what are we. 27 00:01:17,829 --> 00:01:19,989 Speaker 1: Around one point seven to one point eight kilos if 28 00:01:19,989 --> 00:01:21,909 Speaker 1: Bubby's doing well, which is around forty two to forty 29 00:01:21,909 --> 00:01:23,869 Speaker 1: three centimeters in length. But again, huge. 30 00:01:23,669 --> 00:01:26,549 Speaker 3: Variation goes and what's happening to them. 31 00:01:26,629 --> 00:01:28,789 Speaker 1: So baby's weight has pretty much doubled in the last 32 00:01:28,789 --> 00:01:30,749 Speaker 1: couple of weeks, so they're going to be growing faster 33 00:01:30,829 --> 00:01:32,629 Speaker 1: in length and putting on more fat again a little 34 00:01:32,629 --> 00:01:34,109 Speaker 1: bit late last week. They're going to feel a lot 35 00:01:34,149 --> 00:01:36,469 Speaker 1: more squished inside, so you'll see a lot more folding 36 00:01:36,749 --> 00:01:39,989 Speaker 1: and purposeful movements. And what we mean by purposeful movements 37 00:01:40,029 --> 00:01:42,029 Speaker 1: is they're starting to direct those movements. Whereas before they 38 00:01:42,069 --> 00:01:45,189 Speaker 1: were almost reflexes and reactive. Now they're actually deciding to 39 00:01:45,189 --> 00:01:47,189 Speaker 1: move their arms and stretch and open their fingers and 40 00:01:47,189 --> 00:01:49,109 Speaker 1: stuck their thumb and things like that on purpose. 41 00:01:49,349 --> 00:01:52,469 Speaker 2: So, like, if you can feel sometimes there's like going 42 00:01:52,509 --> 00:01:55,749 Speaker 2: to erratic movement, is that one that's more they probably 43 00:01:55,749 --> 00:01:57,909 Speaker 2: haven't thought about that. But if it's a slow one, 44 00:01:57,909 --> 00:01:58,909 Speaker 2: it's more of a decision. 45 00:01:59,149 --> 00:02:00,829 Speaker 1: I don't know, but maybe that also might be what 46 00:02:00,829 --> 00:02:02,709 Speaker 1: you ate. Whether they're feeling a bit of a sugar ash, 47 00:02:02,749 --> 00:02:07,149 Speaker 1: but babies definitely move more when they're getting more more food. 48 00:02:07,189 --> 00:02:08,709 Speaker 1: So it's really interesting if you go and have like 49 00:02:08,749 --> 00:02:10,469 Speaker 1: a nice b ice cream or something you might actually 50 00:02:10,469 --> 00:02:12,269 Speaker 1: find or a big drink you might actually find a 51 00:02:12,269 --> 00:02:13,909 Speaker 1: little bit later, your baby's having a full party in 52 00:02:13,909 --> 00:02:16,429 Speaker 1: your belly. Yeah, which I mean used to be one 53 00:02:16,429 --> 00:02:18,309 Speaker 1: of the Old wives tales when you're worried about baby's 54 00:02:18,309 --> 00:02:20,269 Speaker 1: movements to actually go and you know, have a diet 55 00:02:20,349 --> 00:02:22,869 Speaker 1: coke or something like that. Not ideal, like we want 56 00:02:22,869 --> 00:02:25,029 Speaker 1: to actually see what your baby's doing when they're at rest. 57 00:02:25,309 --> 00:02:28,909 Speaker 3: What's happening, what's happening to me, and what's happening to 58 00:02:29,069 --> 00:02:29,709 Speaker 3: our bodies. 59 00:02:30,149 --> 00:02:32,109 Speaker 1: Well, you might notice you are starting to leak a 60 00:02:32,109 --> 00:02:34,189 Speaker 1: bit more now, so from your breast that is, and 61 00:02:34,309 --> 00:02:37,349 Speaker 1: the vagina, so you are definitely having an increased discharge. 62 00:02:37,789 --> 00:02:39,749 Speaker 1: Some people even find they start losing their mucus plug 63 00:02:39,869 --> 00:02:42,149 Speaker 1: this early. It's okay, it comes back, Okay, it doesn't. 64 00:02:42,189 --> 00:02:44,109 Speaker 1: It can mean a sign that labor is approaching, but 65 00:02:44,149 --> 00:02:48,109 Speaker 1: it definitely doesn't mean that. So increase vaginal discharge is common, 66 00:02:48,389 --> 00:02:51,309 Speaker 1: it's not always abnormal. It's always worth getting checked if 67 00:02:51,349 --> 00:02:53,149 Speaker 1: it's odorous if you have a history of an STI 68 00:02:53,229 --> 00:02:55,989 Speaker 1: in the past, because we again don't want your birth 69 00:02:55,989 --> 00:02:58,589 Speaker 1: in with an STI which is klymodia or gonorrhea or 70 00:02:58,669 --> 00:03:01,029 Speaker 1: something like that if it can affect baby and babies 71 00:03:01,389 --> 00:03:03,429 Speaker 1: our growth. Example, we don't want baby getting climodia in 72 00:03:03,429 --> 00:03:04,829 Speaker 1: their eyes and things like that, which can have some 73 00:03:04,869 --> 00:03:06,869 Speaker 1: pretty serious effects for a baby. So if you have 74 00:03:06,949 --> 00:03:09,869 Speaker 1: some abnormal discharge itching things like that, it's definitely time 75 00:03:09,949 --> 00:03:12,069 Speaker 1: to come and have a swab and check what it is. 76 00:03:12,269 --> 00:03:14,069 Speaker 3: If you lose your mucus plug, does that mean your 77 00:03:14,069 --> 00:03:14,909 Speaker 3: cervix is open? 78 00:03:15,069 --> 00:03:16,949 Speaker 1: No, No, definitely not. Well, I mean, look, it sits 79 00:03:16,949 --> 00:03:19,269 Speaker 1: inside the cervix where that mucus is, and it's ultimately 80 00:03:19,269 --> 00:03:22,709 Speaker 1: it's just it's basically mucus material. There's creating a little 81 00:03:22,749 --> 00:03:26,029 Speaker 1: plug to stop bacteria going inside. So it's a protective 82 00:03:26,189 --> 00:03:28,509 Speaker 1: component of your cervix. But now I've seen lots of 83 00:03:28,589 --> 00:03:31,149 Speaker 1: mucus plugs come out and the cervix remains closed. But 84 00:03:31,349 --> 00:03:33,749 Speaker 1: it is an indication. So you know, I certainly know 85 00:03:33,789 --> 00:03:35,869 Speaker 1: with all of my babies that once my mucus plug 86 00:03:35,869 --> 00:03:37,709 Speaker 1: came out, it was within a week or so that 87 00:03:37,749 --> 00:03:38,469 Speaker 1: I had my baby. 88 00:03:38,669 --> 00:03:41,589 Speaker 3: What's different to the mucus plug, to the amniotic fluid 89 00:03:41,629 --> 00:03:43,189 Speaker 3: coming out. 90 00:03:42,349 --> 00:03:45,549 Speaker 1: A creamy brown, sometimes a little bit bloods tinged. That's 91 00:03:45,589 --> 00:03:48,629 Speaker 1: normally your mucus plug. Your waters now again will have 92 00:03:48,629 --> 00:03:50,469 Speaker 1: a little caveat on that at the end. But your 93 00:03:50,469 --> 00:03:53,149 Speaker 1: waters tend to be clear and they have a very 94 00:03:53,189 --> 00:03:55,869 Speaker 1: distinct smell. Obviously I'm quite useful because I see smell 95 00:03:55,909 --> 00:03:58,349 Speaker 1: it every day. But it's very different from urine. It's 96 00:03:58,429 --> 00:04:01,229 Speaker 1: very different from discharge, and it's just like, oh, that's interesting. 97 00:04:01,269 --> 00:04:03,909 Speaker 1: It's quite pregnant. Caveat as I said before, is that 98 00:04:04,069 --> 00:04:06,869 Speaker 1: as not yet, guys, because babies don't very very rarely 99 00:04:06,869 --> 00:04:08,989 Speaker 1: make maconium, which is baby poo at this point. But 100 00:04:09,069 --> 00:04:11,189 Speaker 1: as you're getting closer to two, if your waters break 101 00:04:11,229 --> 00:04:13,709 Speaker 1: and they are heavily bloodstained or they have maconium which 102 00:04:13,749 --> 00:04:16,429 Speaker 1: is baby poo, that can be a different way that 103 00:04:16,589 --> 00:04:19,069 Speaker 1: the amniotic fluid can look and if you have blood now, 104 00:04:19,149 --> 00:04:20,509 Speaker 1: and I think it's probably a good point to actually 105 00:04:20,509 --> 00:04:22,309 Speaker 1: for us to quickly touch on it. Women will bleed 106 00:04:22,349 --> 00:04:25,389 Speaker 1: in pregnancy. We know that not all women hopefully you don't, 107 00:04:25,429 --> 00:04:28,589 Speaker 1: but there is definitely women who will experience in aph 108 00:04:28,709 --> 00:04:30,349 Speaker 1: it can often be things like, you know you have 109 00:04:30,389 --> 00:04:32,149 Speaker 1: a low lying percent, you're at higher risk of bleeding. 110 00:04:32,149 --> 00:04:34,309 Speaker 1: You might have problems with your cervix, a higher risk 111 00:04:34,349 --> 00:04:37,149 Speaker 1: of bleeding, dry vagina, higher risk of bleeding. But it's 112 00:04:37,149 --> 00:04:39,069 Speaker 1: definitely not something we want you to sit at home 113 00:04:39,109 --> 00:04:41,029 Speaker 1: with even a small amount of bleeding. You need to 114 00:04:41,029 --> 00:04:42,669 Speaker 1: give the birth team a call and just say, hey, 115 00:04:42,669 --> 00:04:44,469 Speaker 1: this has happened. If it is a very small volume, 116 00:04:44,509 --> 00:04:46,709 Speaker 1: they may be comfortable with you sitting at home. That's 117 00:04:46,749 --> 00:04:48,909 Speaker 1: also going to depend where you live, if you live 118 00:04:48,949 --> 00:04:51,549 Speaker 1: somewhere a long way from a major hospital. Ironically, they're 119 00:04:51,549 --> 00:04:53,469 Speaker 1: the ones we do want to see because it takes 120 00:04:53,509 --> 00:04:55,909 Speaker 1: time for us to escalate if there's a problem. But 121 00:04:55,989 --> 00:04:58,469 Speaker 1: any bleeding more than more than some spotting still is 122 00:04:58,469 --> 00:05:00,869 Speaker 1: to be seen, and most likely in person. 123 00:05:01,789 --> 00:05:02,469 Speaker 2: Is this normal? 124 00:05:02,829 --> 00:05:03,189 Speaker 1: Normal? 125 00:05:03,909 --> 00:05:05,469 Speaker 3: Is this normal? Is a very dumb question. 126 00:05:05,589 --> 00:05:10,469 Speaker 2: Okay, clothes are getting tight if you wear type clothing, 127 00:05:10,829 --> 00:05:14,349 Speaker 2: for example, tights, and they're high waisted tights, but they're 128 00:05:14,349 --> 00:05:16,029 Speaker 2: just going to be tighter on your belly. 129 00:05:16,069 --> 00:05:18,029 Speaker 3: Now, can you cut off the blood? 130 00:05:18,069 --> 00:05:20,229 Speaker 1: So no, that's what I thought you were going to say, 131 00:05:20,229 --> 00:05:21,629 Speaker 1: But I'm like, I wasn't sure whether you were go 132 00:05:21,709 --> 00:05:25,749 Speaker 1: well or not. It's more about discomfort, okay around for you, 133 00:05:25,789 --> 00:05:28,389 Speaker 1: how you're feeling so baby. It's the same with you know, 134 00:05:28,589 --> 00:05:30,109 Speaker 1: with a seat belt, it's still very safe to wear 135 00:05:30,109 --> 00:05:32,109 Speaker 1: a seat belt in the car and in fact, even 136 00:05:32,109 --> 00:05:34,269 Speaker 1: if you have an accident. Now again, guys, another one, 137 00:05:34,309 --> 00:05:35,829 Speaker 1: if you have a car accident, if you fall on 138 00:05:35,869 --> 00:05:37,829 Speaker 1: your belly anything, again, it's always a time you have 139 00:05:37,869 --> 00:05:39,189 Speaker 1: to come for us to do what we call a 140 00:05:39,189 --> 00:05:41,069 Speaker 1: four hour CTG. So we just basically wanted to a 141 00:05:41,069 --> 00:05:42,589 Speaker 1: baby's heart rate for four hours, do a couple of 142 00:05:42,589 --> 00:05:45,309 Speaker 1: blood tests, and check you're okay and baby's okay. But 143 00:05:45,589 --> 00:05:47,909 Speaker 1: most of the time babies are very robust inside your 144 00:05:47,949 --> 00:05:50,349 Speaker 1: belly because you have a lot of amniotic fluid there 145 00:05:50,349 --> 00:05:52,669 Speaker 1: and it's a big cushion protecting your baby. So no, 146 00:05:52,789 --> 00:05:54,789 Speaker 1: you can. I don't know any woman that would want 147 00:05:54,829 --> 00:05:56,789 Speaker 1: to wear tight clothes at thirty two weeks, but if 148 00:05:56,829 --> 00:05:57,309 Speaker 1: you want. 149 00:05:57,149 --> 00:05:59,229 Speaker 2: To go for it, but then ayeh, they're getting their 150 00:05:59,269 --> 00:06:03,869 Speaker 2: blood from the placenta and everything, so just having stuff sitting. 151 00:06:03,549 --> 00:06:05,069 Speaker 1: On your belly is not comfortable. 152 00:06:05,149 --> 00:06:07,269 Speaker 3: It's not comfortable, but it's not hurting them, no, not 153 00:06:07,349 --> 00:06:07,989 Speaker 3: hurting them at all. 154 00:06:08,509 --> 00:06:10,989 Speaker 1: Now, the one caveat there is we can and I 155 00:06:11,029 --> 00:06:12,629 Speaker 1: know I always got. You go the lovely things and 156 00:06:12,669 --> 00:06:14,389 Speaker 1: I go, here's the scary things and make everyone afraid 157 00:06:14,389 --> 00:06:17,589 Speaker 1: of having babies. But things like trauma and someone jumping 158 00:06:17,629 --> 00:06:19,789 Speaker 1: on your belly can cause what's called a placential abruption, 159 00:06:19,829 --> 00:06:22,229 Speaker 1: so that's where the placenta actually breaks away from the wall. 160 00:06:22,749 --> 00:06:25,189 Speaker 1: The symptoms that really are evident of that is if 161 00:06:25,229 --> 00:06:26,749 Speaker 1: you're you have what we call a woody tummy. So 162 00:06:26,789 --> 00:06:28,389 Speaker 1: if you touch your stomach and it feels like it's 163 00:06:28,389 --> 00:06:30,789 Speaker 1: a tonic contraction, so it's tight and it's hard, and 164 00:06:30,789 --> 00:06:33,909 Speaker 1: it's painful one hundred percent under all circumstances, you go 165 00:06:33,949 --> 00:06:36,389 Speaker 1: to the hospital. It might also present with with again 166 00:06:36,469 --> 00:06:39,029 Speaker 1: with vaginal bleeding. So those kind of things are your 167 00:06:39,029 --> 00:06:40,709 Speaker 1: only wrisk. But tight clothes are not going to do that. 168 00:06:40,749 --> 00:06:42,349 Speaker 1: But yes, if someone jumps on you, if you bump 169 00:06:42,389 --> 00:06:44,349 Speaker 1: yourself hard, that's what we're actually worrying about. 170 00:06:44,509 --> 00:06:46,789 Speaker 3: Okay, what's something on the checklist. 171 00:06:46,949 --> 00:06:50,469 Speaker 1: We are starting to get close to peroneal massage. Okay, 172 00:06:51,389 --> 00:06:53,349 Speaker 1: Now it may or may not be what you decide 173 00:06:53,389 --> 00:06:54,789 Speaker 1: to do. And you know there's going to be some 174 00:06:54,829 --> 00:06:57,149 Speaker 1: single mums listening to this because, as you may or 175 00:06:57,149 --> 00:06:58,509 Speaker 1: may not know, I was a single mum for two 176 00:06:58,509 --> 00:07:00,309 Speaker 1: of my kids by choice, and so I had my 177 00:07:00,349 --> 00:07:02,909 Speaker 1: own fingers and it's a little harder to do so ideally, 178 00:07:02,909 --> 00:07:04,829 Speaker 1: if your partner is up, it's much better if you 179 00:07:04,829 --> 00:07:07,349 Speaker 1: can get someone that's not you to do this, largely 180 00:07:07,349 --> 00:07:10,469 Speaker 1: because it's very hard to reach around your belly. Want 181 00:07:10,629 --> 00:07:13,309 Speaker 1: you to consider stretching the peroneal area. So the paranal 182 00:07:13,309 --> 00:07:14,989 Speaker 1: area is the area between the lower part of your 183 00:07:15,069 --> 00:07:17,309 Speaker 1: vagina and your ainus, and that's the area that's most 184 00:07:17,389 --> 00:07:19,509 Speaker 1: likely going to tear a little bit, which is normal guys, 185 00:07:19,549 --> 00:07:22,709 Speaker 1: but is likely to tear in labor. So there's some 186 00:07:22,749 --> 00:07:25,029 Speaker 1: really good research to say that. I mean, there's epinos 187 00:07:25,029 --> 00:07:27,029 Speaker 1: and all this kind of stuff out there that people buy, 188 00:07:27,109 --> 00:07:29,949 Speaker 1: but honestly, the research is best for your own fingers 189 00:07:29,949 --> 00:07:32,749 Speaker 1: and all your partner's fingers to gently stretch from about 190 00:07:32,749 --> 00:07:34,429 Speaker 1: the thirty four week months, we're getting close, and now 191 00:07:34,509 --> 00:07:36,389 Speaker 1: the time to do the research, learn how to do it, 192 00:07:36,589 --> 00:07:38,669 Speaker 1: and then from about thirty four weeks on you start 193 00:07:38,869 --> 00:07:40,949 Speaker 1: which is basically two fingers with some olive oil or 194 00:07:40,989 --> 00:07:44,029 Speaker 1: some lubricant and you roll from nine o'clock to three o'clock. 195 00:07:44,189 --> 00:07:46,349 Speaker 1: Nine o'clock to three o'clock, just gentle pressure down in 196 00:07:46,349 --> 00:07:49,829 Speaker 1: that area to stretch up the parent externally, not externally, yep, 197 00:07:49,909 --> 00:07:52,629 Speaker 1: just on that skin border, on the outside of just 198 00:07:52,629 --> 00:07:54,709 Speaker 1: where your hymen is, and on the outside of the 199 00:07:54,749 --> 00:07:56,189 Speaker 1: hymen to where the edge of the skin is. 200 00:07:56,229 --> 00:07:57,789 Speaker 3: So it's like working a muscle. It's not the one 201 00:07:57,789 --> 00:07:58,589 Speaker 3: of like putting it. 202 00:07:58,989 --> 00:08:03,069 Speaker 1: No, No, it's definitely the outer skin that's going to 203 00:08:03,109 --> 00:08:05,829 Speaker 1: stretch up. And for mums who had babies before who 204 00:08:05,829 --> 00:08:08,309 Speaker 1: were listening, that's where that burning sensation comes from. 205 00:08:08,349 --> 00:08:11,509 Speaker 3: So ring fire, the ring a fire and to. 206 00:08:11,669 --> 00:08:15,189 Speaker 1: A burn and ring of the vire at a burn burn. 207 00:08:15,309 --> 00:08:17,629 Speaker 1: So we're trying to reduce that ring of fire. And 208 00:08:17,669 --> 00:08:20,349 Speaker 1: because there's weeks away, but it's the same thing in birth, 209 00:08:20,349 --> 00:08:21,869 Speaker 1: we actually don't want you to push so hard that 210 00:08:21,869 --> 00:08:23,829 Speaker 1: baby's head comes flying out. We want you to stretch 211 00:08:23,869 --> 00:08:26,389 Speaker 1: up that perineum nice and softly. And that's the same 212 00:08:26,429 --> 00:08:28,589 Speaker 1: that this paranoral message is doing, is trying to stretch 213 00:08:28,669 --> 00:08:30,149 Speaker 1: up and elasticize that area. 214 00:08:30,229 --> 00:08:32,109 Speaker 2: I will say from the birth course that I did, 215 00:08:32,229 --> 00:08:35,749 Speaker 2: I'm not as scared of a tear or a cut 216 00:08:35,789 --> 00:08:38,949 Speaker 2: anymore because I see it as a functional thing. 217 00:08:39,069 --> 00:08:43,309 Speaker 3: Correct. Could you explain why they sometimes cut on a diagonal? 218 00:08:43,629 --> 00:08:46,549 Speaker 1: Yeah, absolutely, so there are different places like America, for example, 219 00:08:46,549 --> 00:08:49,229 Speaker 1: a lot of places still cut directly down. We do 220 00:08:49,309 --> 00:08:51,429 Speaker 1: what's called a right mediolateral, so basically means on the 221 00:08:51,469 --> 00:08:53,789 Speaker 1: right hand side of her, we do an angled tear 222 00:08:53,869 --> 00:08:57,029 Speaker 1: to divert any tearing away from the back passage. Now, 223 00:08:57,269 --> 00:08:59,109 Speaker 1: there are also countries, and you might have not you know, 224 00:08:59,109 --> 00:09:01,029 Speaker 1: some people listening might have had babies in other countries 225 00:09:01,029 --> 00:09:03,549 Speaker 1: before coming here, where they do them routinely. I can 226 00:09:03,589 --> 00:09:05,549 Speaker 1: assure you there's no hospital in Australia that does a 227 00:09:05,629 --> 00:09:08,029 Speaker 1: routine episiotomies. The only reason we would do it is 228 00:09:08,069 --> 00:09:10,349 Speaker 1: if we're worried about you are going to tear third 229 00:09:10,429 --> 00:09:13,069 Speaker 1: or a fourth degree towards your bottom, or if baby's 230 00:09:13,149 --> 00:09:15,189 Speaker 1: really distressed and we know you don't need help with 231 00:09:15,229 --> 00:09:16,949 Speaker 1: a vacuum or anything else, but we're watching, and you're 232 00:09:16,989 --> 00:09:19,429 Speaker 1: watching little ones heads just not quite coming and we 233 00:09:19,509 --> 00:09:21,989 Speaker 1: have to basically force that area to open slightly more So, 234 00:09:21,989 --> 00:09:25,029 Speaker 1: as you say, it's a functional reason. Ninety percent of 235 00:09:25,069 --> 00:09:27,229 Speaker 1: the time, though, it is to protect your own bottom. 236 00:09:27,269 --> 00:09:30,029 Speaker 1: Muscles because third and fourth degree tears. Don't get me wrong, 237 00:09:30,069 --> 00:09:31,629 Speaker 1: there's lots of ladies that have had them, and they're 238 00:09:31,669 --> 00:09:34,509 Speaker 1: repaired beautifully in theaters, and most people are okay, but 239 00:09:34,549 --> 00:09:38,189 Speaker 1: they can be associated with significant concerns with urinary but 240 00:09:38,269 --> 00:09:41,389 Speaker 1: also bowling continents in the future and flats in continents. 241 00:09:41,669 --> 00:09:44,109 Speaker 3: Is it always consent when you're doing a one. 242 00:09:44,069 --> 00:09:46,429 Speaker 1: Hundred percent okay? So I have I've actually had a 243 00:09:46,429 --> 00:09:49,149 Speaker 1: woman and she and I talked about it extensively afterwards 244 00:09:49,149 --> 00:09:52,469 Speaker 1: who declined an episiotomy and then did have a third 245 00:09:52,509 --> 00:09:54,669 Speaker 1: degree tair. But again that was her choice. And there 246 00:09:54,709 --> 00:09:56,429 Speaker 1: is never a time that someone I mean, don't get 247 00:09:56,429 --> 00:09:58,269 Speaker 1: me wrong. If it does happen, it's reportable. So this 248 00:09:58,349 --> 00:10:00,789 Speaker 1: is a scenario if you say one hundred percent, I 249 00:10:00,829 --> 00:10:03,429 Speaker 1: do not want to do this, and I can't say that. 250 00:10:03,469 --> 00:10:04,869 Speaker 1: The doctor is not going to argue back and say 251 00:10:04,869 --> 00:10:07,309 Speaker 1: I strongly recommend this because I really don't want you 252 00:10:07,389 --> 00:10:09,869 Speaker 1: to tear into your bottom. And it's the hardest decision 253 00:10:09,869 --> 00:10:12,109 Speaker 1: you make because you're in the moment, you're literally in 254 00:10:12,149 --> 00:10:14,069 Speaker 1: the burn and ring of fire because your baby's head's 255 00:10:14,069 --> 00:10:16,069 Speaker 1: on view, but it's just not quite coming well. Enough. 256 00:10:16,749 --> 00:10:18,669 Speaker 1: But I really want to reassure you that if we're 257 00:10:18,709 --> 00:10:20,989 Speaker 1: recommending that, it's because we are hundred percent believe it's 258 00:10:20,989 --> 00:10:23,349 Speaker 1: the right thing. So you know how you're going to 259 00:10:23,389 --> 00:10:25,669 Speaker 1: get in birth right. And if there's midwives listening, they're 260 00:10:25,669 --> 00:10:27,589 Speaker 1: going to be s again nodding here, and we tell 261 00:10:27,629 --> 00:10:30,669 Speaker 1: women don't yell out, internalize that noise. We want you 262 00:10:30,709 --> 00:10:33,509 Speaker 1: to push and not go ah. We want you to actually. 263 00:10:33,189 --> 00:10:34,989 Speaker 3: Go like that. 264 00:10:35,309 --> 00:10:37,589 Speaker 1: But when we're cutting, the appears. It's the one time 265 00:10:37,629 --> 00:10:39,629 Speaker 1: as partners or anyone in the room where we sell 266 00:10:40,149 --> 00:10:41,829 Speaker 1: let the lady scream so you don't hear it. So 267 00:10:41,829 --> 00:10:43,669 Speaker 1: you say, on the next contraction, I want you to 268 00:10:43,709 --> 00:10:46,149 Speaker 1: scream your head off and we cut and so no 269 00:10:46,189 --> 00:10:48,429 Speaker 1: one hears it, no one knows it's happened, and she 270 00:10:48,549 --> 00:10:50,869 Speaker 1: copes with it beautifully. So it's the one time for 271 00:10:50,909 --> 00:10:53,869 Speaker 1: any birth people listening Orcush's listening that I think works beautifully. 272 00:10:53,869 --> 00:10:56,789 Speaker 1: And it's really funny because it's really elderly midwife told 273 00:10:56,789 --> 00:10:58,829 Speaker 1: me this trick twenty, you know, not that long ago, 274 00:10:58,869 --> 00:11:00,869 Speaker 1: five or six years ago, and it's worked to treat 275 00:11:00,949 --> 00:11:03,149 Speaker 1: and so no one ever because if you don't you 276 00:11:03,189 --> 00:11:04,989 Speaker 1: hear the dad pass out in the corner. So it's 277 00:11:05,109 --> 00:11:06,989 Speaker 1: just it's such a good little trick. So if you're 278 00:11:06,989 --> 00:11:09,549 Speaker 1: a birth support partner for someone and they are requiring one, 279 00:11:10,149 --> 00:11:11,829 Speaker 1: get her to make noise or you make noise. 280 00:11:12,429 --> 00:11:14,869 Speaker 2: My friends lying to me when they tell me that 281 00:11:15,189 --> 00:11:17,229 Speaker 2: there's so much going on they didn't even feel it. 282 00:11:17,269 --> 00:11:19,269 Speaker 1: Most people don't. And by the way, guys, we don't 283 00:11:19,269 --> 00:11:21,709 Speaker 1: do it without anesthetic, just just putting it out there, Okay, 284 00:11:22,229 --> 00:11:25,029 Speaker 1: So we actually either do a pudendal block or we 285 00:11:25,069 --> 00:11:28,789 Speaker 1: do just like we put anesthesia into that paraneal tissue before, 286 00:11:29,189 --> 00:11:32,589 Speaker 1: long before we do that. So you probably actually won't 287 00:11:32,629 --> 00:11:35,509 Speaker 1: feel it because you shouldn't feel it because I've given 288 00:11:35,549 --> 00:11:36,469 Speaker 1: you anesthetic before. 289 00:11:36,749 --> 00:11:37,149 Speaker 3: Okay. 290 00:11:37,269 --> 00:11:39,229 Speaker 1: And the other big thing remember is that a psiotomies 291 00:11:39,229 --> 00:11:41,469 Speaker 1: are really easy to sew back together. We can get 292 00:11:41,549 --> 00:11:44,429 Speaker 1: very complicated, even second degree tears, which again are very normal. 293 00:11:44,589 --> 00:11:47,429 Speaker 1: Most women will have a tear in labor that are 294 00:11:47,789 --> 00:11:50,669 Speaker 1: really difficult to see. The anatomy. The episiotomy is so 295 00:11:50,789 --> 00:11:52,789 Speaker 1: easy and so beautiful to repair that if it was 296 00:11:52,869 --> 00:11:55,149 Speaker 1: me in hindsight, I'd prefer an a pisiotomy than a 297 00:11:55,149 --> 00:11:55,869 Speaker 1: an early third. 298 00:12:00,229 --> 00:12:03,109 Speaker 3: My tool kit is non medical in it. In every way. 299 00:12:03,149 --> 00:12:05,909 Speaker 3: It's a Facebook group. Okay, my friend recommended it to me. 300 00:12:06,349 --> 00:12:09,189 Speaker 2: It's women, and you're grouped together by when your due 301 00:12:09,229 --> 00:12:10,029 Speaker 2: date is per sis. 302 00:12:10,349 --> 00:12:11,909 Speaker 3: It's like a grapevine or something like that. 303 00:12:12,509 --> 00:12:14,149 Speaker 2: And it's just so it's a bunch of people in 304 00:12:14,189 --> 00:12:15,749 Speaker 2: the same time frame. 305 00:12:15,949 --> 00:12:17,149 Speaker 1: Es you're around the same time. 306 00:12:17,149 --> 00:12:20,029 Speaker 2: Asking dumb questions that's great, and people being like this 307 00:12:20,069 --> 00:12:22,109 Speaker 2: happened to me, This didn't happen to me. No one 308 00:12:22,149 --> 00:12:25,989 Speaker 2: is giving medical advice whatsoever. It's all sharing things from 309 00:12:26,029 --> 00:12:28,269 Speaker 2: when they went on maternity leave to when to apply 310 00:12:28,429 --> 00:12:31,869 Speaker 2: for your parental leave great, to when should I pack 311 00:12:31,909 --> 00:12:32,349 Speaker 2: my bag? 312 00:12:32,469 --> 00:12:34,349 Speaker 3: What's a good thing to put in my bag? And 313 00:12:34,389 --> 00:12:35,469 Speaker 3: it's actually been quite. 314 00:12:35,629 --> 00:12:37,109 Speaker 1: Good, And I think that's a really good point because 315 00:12:37,109 --> 00:12:39,389 Speaker 1: there are lots of different groups now there's mums of multiples, 316 00:12:39,429 --> 00:12:41,749 Speaker 1: there's single mums by choice, There's lots of good support 317 00:12:41,749 --> 00:12:44,549 Speaker 1: groups out there, and it's just shopping around, having a 318 00:12:44,589 --> 00:12:47,589 Speaker 1: look until you find your community. Because when your baby's born, 319 00:12:47,629 --> 00:12:49,189 Speaker 1: in those first four or five weeks, you are home 320 00:12:49,229 --> 00:12:52,029 Speaker 1: alone a lot, and having that social media is when 321 00:12:52,069 --> 00:12:53,309 Speaker 1: it can be a really positive You know a lot 322 00:12:53,309 --> 00:12:54,709 Speaker 1: of people. It gets a bad rap a lot of 323 00:12:54,749 --> 00:12:56,869 Speaker 1: the time, yes, but having a community around you makes 324 00:12:56,909 --> 00:12:59,549 Speaker 1: a huge difference. Yeah. 325 00:13:00,029 --> 00:13:02,189 Speaker 2: We hope you enjoyed this episode of Hello bum. We 326 00:13:02,309 --> 00:13:05,349 Speaker 2: have so many episodes of this series filled with tips 327 00:13:05,349 --> 00:13:08,189 Speaker 2: and stories from women and experts who've been through it 328 00:13:08,229 --> 00:13:08,829 Speaker 2: all before. 329 00:13:09,109 --> 00:13:10,909 Speaker 1: You can go back and listen to everything else Hello 330 00:13:10,949 --> 00:13:12,589 Speaker 1: Bump related in this podcast fee. 331 00:13:12,629 --> 00:13:14,389 Speaker 2: And while you're there, we'd love if you could give 332 00:13:14,469 --> 00:13:16,109 Speaker 2: us a five star rating and maybe leave us a 333 00:13:16,149 --> 00:13:18,509 Speaker 2: review or even share this episode with a friend. 334 00:13:18,669 --> 00:13:21,829 Speaker 1: This episode was produced by Courtney Ammenhauser with audio production 335 00:13:21,909 --> 00:13:23,589 Speaker 1: by Tom Lyon. We'll catch you next time. 336 00:13:23,669 --> 00:13:26,549 Speaker 2: This episode of Hello Bump was made in partnership with Huggies. 337 00:13:26,709 --> 00:13:28,389 Speaker 3: Bye Bye y