1 00:00:11,149 --> 00:00:13,909 Speaker 1: You're listening to a MoMA Mia podcast. 2 00:00:14,829 --> 00:00:17,869 Speaker 2: Mom and Maya acknowledges the traditional owners of land and 3 00:00:17,949 --> 00:00:20,069 Speaker 2: waters that this podcast is recorded on. 4 00:00:21,349 --> 00:00:23,949 Speaker 1: I am pregnanty. 5 00:00:27,029 --> 00:00:29,909 Speaker 2: Welcome to Hello Bump. We're making pregnancy less overwhelming and 6 00:00:30,109 --> 00:00:32,309 Speaker 2: more manageable. I feel like it's more manageable already. I'm 7 00:00:32,309 --> 00:00:34,229 Speaker 2: Grace Roobrain, I'm pregnant for the first time. 8 00:00:34,029 --> 00:00:36,269 Speaker 1: And i'man A Pippin. I am a mother of six now. 9 00:00:36,349 --> 00:00:39,349 Speaker 1: I am a former olympian and an obstetric trainee. I've 10 00:00:39,349 --> 00:00:41,789 Speaker 1: had many many first Romessa's greens, so you know we 11 00:00:41,829 --> 00:00:43,149 Speaker 1: can pretty much go anywhere with that. 12 00:00:44,389 --> 00:00:46,269 Speaker 2: Each episode, Jana and I will be holding your hand 13 00:00:46,309 --> 00:00:49,549 Speaker 2: week by week through the mysterious, perplexing, and sometimes overwhelming 14 00:00:49,589 --> 00:00:51,549 Speaker 2: miracle that is pregnancy. 15 00:00:52,229 --> 00:00:56,269 Speaker 3: Week twelve. What objects are we A plum? 16 00:00:56,669 --> 00:00:58,469 Speaker 1: A plum baby's the size of a plumb or a 17 00:00:58,469 --> 00:00:59,269 Speaker 1: small egg. 18 00:01:00,749 --> 00:01:02,989 Speaker 3: A jelly doughnut hole, yes, exact? 19 00:01:03,029 --> 00:01:04,629 Speaker 1: Or passion fruit. I mean you go with lots of fruits. 20 00:01:04,669 --> 00:01:05,389 Speaker 1: There's a lot of fruits. 21 00:01:05,389 --> 00:01:08,869 Speaker 3: This it's very fruit based in the first trimestery. 22 00:01:08,589 --> 00:01:10,989 Speaker 1: Fruit based, and then animals in the last. Fromesser I've noticed, 23 00:01:10,989 --> 00:01:11,549 Speaker 1: we'll get there. 24 00:01:14,229 --> 00:01:16,029 Speaker 3: What have they developed in the last week. 25 00:01:16,189 --> 00:01:18,149 Speaker 1: So their little kidneys are starting to make you ryan, 26 00:01:18,189 --> 00:01:20,949 Speaker 1: which is actually amniotic fluid. Guys, your babies are swimming 27 00:01:20,949 --> 00:01:22,709 Speaker 1: around in their own WII and drinking it and then 28 00:01:22,749 --> 00:01:24,829 Speaker 1: peeing it out again. So it's around this time the 29 00:01:24,829 --> 00:01:26,869 Speaker 1: baby starts to swallow that amniotic fluid and then it 30 00:01:26,949 --> 00:01:28,709 Speaker 1: sort of moves through the body and then they pass 31 00:01:28,749 --> 00:01:32,549 Speaker 1: it out. You can now often see or hear that heartbeat. 32 00:01:32,549 --> 00:01:34,149 Speaker 1: When we talked about ages ago, you couldn't hear it. 33 00:01:34,149 --> 00:01:35,989 Speaker 1: You can now hear that heartbeat, and even on an 34 00:01:36,029 --> 00:01:37,829 Speaker 1: external doppler, So when you go and see your midwife, 35 00:01:37,869 --> 00:01:39,949 Speaker 1: they can often not away, so don't be worried if 36 00:01:39,989 --> 00:01:42,309 Speaker 1: they can't hear it. It also does depend a little 37 00:01:42,309 --> 00:01:43,989 Speaker 1: bit on our body, on our size of our tummy, 38 00:01:44,509 --> 00:01:46,109 Speaker 1: but they can often hear it externally, so you can 39 00:01:46,109 --> 00:01:47,629 Speaker 1: hear what the little ones baby sounds like. 40 00:01:47,749 --> 00:01:49,509 Speaker 3: I did hear it for the firty time I did. 41 00:01:49,749 --> 00:01:50,549 Speaker 1: Just beautiful as it. 42 00:01:50,669 --> 00:01:52,989 Speaker 2: Yeah, I can say that even though I felt so sick, 43 00:01:53,029 --> 00:01:55,229 Speaker 2: like I'm not a monster, I love hearing the heartbeat 44 00:01:55,429 --> 00:01:59,149 Speaker 2: like it is something that's really beautiful to beautiful. 45 00:01:59,829 --> 00:02:01,749 Speaker 1: But on that note, there are a lot of dopplers 46 00:02:01,749 --> 00:02:03,469 Speaker 1: you can buy outside of the home, and we sort 47 00:02:03,469 --> 00:02:06,189 Speaker 1: of touched on this earlier. There's definitely a crazy women 48 00:02:06,229 --> 00:02:07,909 Speaker 1: would love to be able to listen to their baby 49 00:02:07,909 --> 00:02:09,669 Speaker 1: at home. Now, if you are going to buy one, 50 00:02:09,829 --> 00:02:12,109 Speaker 1: because like you and I love listening to a baby's heart, 51 00:02:12,229 --> 00:02:14,589 Speaker 1: that's fine, But there is never a time I want 52 00:02:14,629 --> 00:02:16,829 Speaker 1: you to use it if you're worried about the baby's heartbeat, 53 00:02:17,269 --> 00:02:20,429 Speaker 1: because the placenta sounds different to the fetus, and most 54 00:02:20,869 --> 00:02:24,109 Speaker 1: untrained ears won't be able to differentiate both. 55 00:02:24,389 --> 00:02:26,149 Speaker 3: Would so pick up your own heart. 56 00:02:26,989 --> 00:02:29,829 Speaker 1: Yes, So unless you're really really sure what you're listening to, 57 00:02:31,109 --> 00:02:33,109 Speaker 1: and for example, if it's decreased fetal movements, you need 58 00:02:33,109 --> 00:02:35,309 Speaker 1: to come and see us. Anyway, even a midwife would 59 00:02:35,309 --> 00:02:37,509 Speaker 1: not be happy just using a handheld doppler. They'd send 60 00:02:37,549 --> 00:02:39,589 Speaker 1: you in for sixty minutes. You know you need a 61 00:02:39,629 --> 00:02:41,309 Speaker 1: little bit longer to work out what the patterns of 62 00:02:41,309 --> 00:02:43,829 Speaker 1: the baby's heart are. So it's absolutely not something for 63 00:02:43,829 --> 00:02:46,389 Speaker 1: you to be using. I have seen horrible outcomes where 64 00:02:46,429 --> 00:02:48,229 Speaker 1: someone has thought it was okay, but it was the 65 00:02:48,869 --> 00:02:51,189 Speaker 1: it was not. So it's just a fun thing at 66 00:02:51,189 --> 00:02:52,949 Speaker 1: home to listen in a lovely way. It is not 67 00:02:52,989 --> 00:02:55,069 Speaker 1: something I want you to use to look after your pregnancy, 68 00:02:55,109 --> 00:02:55,749 Speaker 1: and let us do that. 69 00:02:55,909 --> 00:02:57,749 Speaker 2: One question I do have about all these tests is 70 00:02:58,029 --> 00:02:59,549 Speaker 2: you have to go in with a full bladder? 71 00:03:00,989 --> 00:03:01,429 Speaker 3: Yes? 72 00:03:01,549 --> 00:03:05,029 Speaker 2: Yes, Is that because it makes the baby more visible? 73 00:03:05,229 --> 00:03:07,309 Speaker 2: Or I've actually had no idea why we have to 74 00:03:07,429 --> 00:03:09,669 Speaker 2: drink a bunch of way because it's. 75 00:03:09,629 --> 00:03:11,469 Speaker 1: Very bothersame pregnancy, isn't it Because you get there and 76 00:03:11,509 --> 00:03:13,029 Speaker 1: you're busting, You're like, can a little a little bit out, 77 00:03:13,029 --> 00:03:14,549 Speaker 1: but I probably don't have enough blooder. 78 00:03:14,229 --> 00:03:15,949 Speaker 3: Control a little it is all going to go out. 79 00:03:16,189 --> 00:03:18,109 Speaker 1: We actually use the bladder as a window, so it 80 00:03:18,109 --> 00:03:22,389 Speaker 1: actually it's the way the ultrasound works is it sends, 81 00:03:22,389 --> 00:03:24,349 Speaker 1: you know, the ultra sound beams through and we use 82 00:03:24,349 --> 00:03:27,829 Speaker 1: the bladder to actually to highlight the different black and 83 00:03:28,029 --> 00:03:31,549 Speaker 1: dark colored structures of the baby and the fetus behind it. 84 00:03:31,549 --> 00:03:33,549 Speaker 1: So if there's an empty bladder, two things you can't 85 00:03:33,629 --> 00:03:35,749 Speaker 1: use that as a window. And the second thing is 86 00:03:35,749 --> 00:03:38,269 Speaker 1: that lifts the uterus out slightly. So you can imagine 87 00:03:38,269 --> 00:03:40,429 Speaker 1: the bladder sits in front of the pregnancy and as 88 00:03:40,429 --> 00:03:42,349 Speaker 1: with a full bladder, it just lifts the pregnancy up 89 00:03:42,349 --> 00:03:43,669 Speaker 1: a little bit more so you can actually scan it 90 00:03:43,669 --> 00:03:44,189 Speaker 1: more easily. 91 00:03:44,349 --> 00:03:46,269 Speaker 2: This is probably a dumb question. But none of it 92 00:03:46,309 --> 00:03:48,989 Speaker 2: goes into their sack. 93 00:03:48,909 --> 00:03:49,989 Speaker 1: To the urine. 94 00:03:50,029 --> 00:03:53,029 Speaker 3: No, no, no, the water. It doesn't go into their amniotic 95 00:03:53,069 --> 00:03:54,229 Speaker 3: fluid or anything like that. 96 00:03:54,309 --> 00:03:56,709 Speaker 1: I mean, there's the theory is not now Later in pregnancy, 97 00:03:56,749 --> 00:03:57,909 Speaker 1: you know that if your baby, if you have low 98 00:03:57,949 --> 00:04:00,069 Speaker 1: amniotic fluid, the midwife might say go and drink more 99 00:04:00,069 --> 00:04:02,789 Speaker 1: and hopefully the fluid levels will increase on the next pregnancy. Ultimately, 100 00:04:03,109 --> 00:04:05,349 Speaker 1: whatever you feed through the baby, if your dehydrated, your 101 00:04:05,349 --> 00:04:08,309 Speaker 1: baby may often move less and therefore have less fluid, 102 00:04:08,589 --> 00:04:11,549 Speaker 1: less intake in, take output. But no, right before an 103 00:04:11,629 --> 00:04:13,189 Speaker 1: ultra sound that a cute thing is not going to 104 00:04:13,269 --> 00:04:15,989 Speaker 1: make any Okay, okay, yeah. 105 00:04:15,349 --> 00:04:19,789 Speaker 3: What's happening to me? And what else is happening to 106 00:04:19,829 --> 00:04:20,349 Speaker 3: our bodies? 107 00:04:20,429 --> 00:04:23,709 Speaker 1: At week twelve, again from last week, it's getting worse 108 00:04:23,709 --> 00:04:26,949 Speaker 1: with that laxicity. You're feeling more and more floppy, I 109 00:04:26,949 --> 00:04:29,749 Speaker 1: think is the way you can feel it. Some people 110 00:04:29,789 --> 00:04:32,629 Speaker 1: now do find they have almost a bit of an 111 00:04:32,629 --> 00:04:35,429 Speaker 1: obstruction when it comes to their bladder, so difficultly difficult 112 00:04:35,429 --> 00:04:38,109 Speaker 1: passing urine because that baby is literally sitting right where 113 00:04:38,109 --> 00:04:40,109 Speaker 1: that bladder is soon it'll come up and get out 114 00:04:40,149 --> 00:04:42,669 Speaker 1: of the pelvis. But you're right on that cusp where 115 00:04:43,389 --> 00:04:44,029 Speaker 1: it doesn't. 116 00:04:43,749 --> 00:04:48,149 Speaker 2: Feel like the stream is as free well yeah, free flowing, 117 00:04:48,309 --> 00:04:50,669 Speaker 2: or it's just not as even though you feel busting. 118 00:04:50,749 --> 00:04:52,229 Speaker 3: It's like trickles out exactly. 119 00:04:52,709 --> 00:04:55,789 Speaker 1: You've pretty much nailed it perfectly. But that's the baby, unfortunately, 120 00:04:55,829 --> 00:04:58,909 Speaker 1: pushing against that bladder and just causing restriction of the urethra. 121 00:04:59,069 --> 00:05:00,949 Speaker 2: And that's because of the position that It's not that 122 00:05:00,949 --> 00:05:02,789 Speaker 2: they're it's so big, it's just the position of where 123 00:05:02,789 --> 00:05:03,709 Speaker 2: your uterus. 124 00:05:03,469 --> 00:05:06,189 Speaker 1: Is because the baby's quite small still, but it's literally 125 00:05:06,189 --> 00:05:07,909 Speaker 1: if you think about your pubic bone, which is a bone, 126 00:05:07,909 --> 00:05:09,709 Speaker 1: so there's nowhere for the bladder to go up and 127 00:05:09,709 --> 00:05:12,549 Speaker 1: a ways the bladder will fill upwards towards your belly button, 128 00:05:12,869 --> 00:05:15,109 Speaker 1: but that's where your useress is literally sitting and cramping 129 00:05:15,109 --> 00:05:16,789 Speaker 1: in that space, so it can actually you can actually 130 00:05:16,789 --> 00:05:18,429 Speaker 1: there is a condition where you can actually get full 131 00:05:18,469 --> 00:05:21,789 Speaker 1: bladder obstruction. So it's another red flag. We're going to 132 00:05:21,789 --> 00:05:24,069 Speaker 1: start calling the red flags as we get through this podcast, 133 00:05:24,549 --> 00:05:26,309 Speaker 1: where things that are really bad you need to see 134 00:05:26,309 --> 00:05:27,709 Speaker 1: a doctor straight away. So the first red flag in 135 00:05:27,709 --> 00:05:29,389 Speaker 1: the past was that ectopic pregnancy we were talking about 136 00:05:29,429 --> 00:05:31,629 Speaker 1: before bleeding, And this is another one. If you find 137 00:05:31,709 --> 00:05:33,829 Speaker 1: you can't pass you urine in pregnancy, it's time to 138 00:05:33,869 --> 00:05:36,589 Speaker 1: go straight to either the birth unit or your or 139 00:05:36,629 --> 00:05:38,909 Speaker 1: your ED. And now before twenty weeks, guys, that is ED, 140 00:05:39,069 --> 00:05:40,629 Speaker 1: So you go to ED up until twenty weeks or 141 00:05:40,669 --> 00:05:43,189 Speaker 1: e GP. After twenty weeks you call the berthing unit 142 00:05:43,189 --> 00:05:44,389 Speaker 1: you're planning to deliver it. 143 00:05:44,869 --> 00:05:46,829 Speaker 2: A lot of the time people might think that symptoms 144 00:05:46,869 --> 00:05:49,069 Speaker 2: of not being able to pass urine is feeling like 145 00:05:49,109 --> 00:05:49,669 Speaker 2: a uti. 146 00:05:49,989 --> 00:05:52,469 Speaker 3: How do we know the difference several hours? 147 00:05:52,549 --> 00:05:55,069 Speaker 1: So if you have an obstruction, you'll need you'll you'll 148 00:05:55,069 --> 00:05:58,389 Speaker 1: find you can't pass more than dribbles for hours and hours. 149 00:05:58,389 --> 00:06:01,149 Speaker 1: Whereas I mean, urine retract infections in pregnancy can present 150 00:06:01,189 --> 00:06:03,029 Speaker 1: in so many different ways. And just like the thrush 151 00:06:03,069 --> 00:06:06,749 Speaker 1: we talked about before, really common and asymptomatic urine retract 152 00:06:06,789 --> 00:06:08,949 Speaker 1: infections are really common too. Why because we drop arou 153 00:06:08,949 --> 00:06:12,149 Speaker 1: immune system because we're pregnant. So I know, another fun thing, 154 00:06:12,629 --> 00:06:14,349 Speaker 1: but basically you know we have we don't want to 155 00:06:14,389 --> 00:06:16,829 Speaker 1: have any problems from a rejection perspective with the baby. 156 00:06:16,869 --> 00:06:18,749 Speaker 1: And you're also taking on a lot, your nutrition's going 157 00:06:18,789 --> 00:06:21,309 Speaker 1: somewhere else, you're not sleeping as much, you're uncomfortable. There's 158 00:06:21,349 --> 00:06:24,789 Speaker 1: lots of reasons our immune systems reduce, and so therefore 159 00:06:24,829 --> 00:06:27,469 Speaker 1: symptoms of urine. We probably all know of them, burning, stinging, 160 00:06:27,909 --> 00:06:31,069 Speaker 1: funny odor. Back pain is a big one, and we 161 00:06:31,069 --> 00:06:31,749 Speaker 1: can often mask. 162 00:06:31,869 --> 00:06:33,069 Speaker 3: Oh i've got a pregnancy coming. 163 00:06:33,109 --> 00:06:34,909 Speaker 1: I've got a bit of back pain, but definitely worth 164 00:06:34,909 --> 00:06:38,229 Speaker 1: getting it checked, color change in the urine, any concern 165 00:06:38,349 --> 00:06:39,869 Speaker 1: is really easy to pee in a little cup that 166 00:06:39,909 --> 00:06:41,309 Speaker 1: you can get from your GP and they can send 167 00:06:41,309 --> 00:06:49,589 Speaker 1: it off. Is this normal? Is normal? 168 00:06:49,869 --> 00:06:51,549 Speaker 3: I have a few questions for is this normal? 169 00:06:51,589 --> 00:06:54,309 Speaker 2: Because I've just gone through these the first trimester screening 170 00:06:54,349 --> 00:06:57,509 Speaker 2: and the NIPT. I want to know if the nipt 171 00:06:58,189 --> 00:07:00,309 Speaker 2: I got the sex revealed. 172 00:06:59,989 --> 00:07:03,789 Speaker 3: To me because she's a girl, So I want to. 173 00:07:05,349 --> 00:07:08,589 Speaker 2: That's what I wanted, and my partner said that that's 174 00:07:08,629 --> 00:07:11,069 Speaker 2: what he wanted as well. I don't know that if 175 00:07:11,069 --> 00:07:13,349 Speaker 2: that was real, but anyway, we're both both happy. The 176 00:07:13,429 --> 00:07:15,389 Speaker 2: names are easier, I think, so I want to know 177 00:07:15,429 --> 00:07:17,869 Speaker 2: how accurate that test is at this stage. And then 178 00:07:17,869 --> 00:07:20,229 Speaker 2: I also want to know about I sort of said 179 00:07:20,349 --> 00:07:23,829 Speaker 2: to the sonographer when I was in there, or is 180 00:07:23,869 --> 00:07:27,389 Speaker 2: everything looking fine or is everything healthy? And they sort 181 00:07:27,389 --> 00:07:30,509 Speaker 2: of said their wording around it was as much as 182 00:07:30,549 --> 00:07:32,949 Speaker 2: we can tell, yes, and they wouldn't sort of give 183 00:07:32,989 --> 00:07:35,429 Speaker 2: any kind of clarity answers because they said. 184 00:07:35,309 --> 00:07:37,109 Speaker 3: It's still too small exactly. 185 00:07:37,669 --> 00:07:39,909 Speaker 2: I guess what are they specifically looking for in these 186 00:07:39,949 --> 00:07:44,749 Speaker 2: tests to go it's viable or whatever, and what could 187 00:07:44,829 --> 00:07:48,829 Speaker 2: potentially still develop that could make it a non viable 188 00:07:48,829 --> 00:07:51,349 Speaker 2: pregnancy or have problems later on. 189 00:07:51,909 --> 00:07:54,509 Speaker 1: It's a hard discussion around abnimalodies and pregnancy chromosome or 190 00:07:55,069 --> 00:07:58,509 Speaker 1: genetic abnimalodies or structural abnormalody. So as we sort of 191 00:07:58,509 --> 00:08:01,269 Speaker 1: discussed before the NIPT is the blood test, we still 192 00:08:01,269 --> 00:08:03,349 Speaker 1: strongly recommend to have an ultrasound as well because the 193 00:08:03,389 --> 00:08:06,909 Speaker 1: NIPT does miss things like triplody, pregnancies and things that 194 00:08:06,949 --> 00:08:09,829 Speaker 1: aren't tested. So it's ninety nine percent sensitive for Down syndrome, 195 00:08:10,109 --> 00:08:13,189 Speaker 1: pertousyn drome, and Edward, which are three more common disorders 196 00:08:13,189 --> 00:08:16,029 Speaker 1: that it can pick up, whereas the combined first tromester screen, 197 00:08:16,029 --> 00:08:17,629 Speaker 1: which is the government fund and run, is around sort 198 00:08:17,629 --> 00:08:19,669 Speaker 1: of the eighty five to ninety percent, so it's still 199 00:08:19,789 --> 00:08:22,589 Speaker 1: very good. It has about a four to five percent 200 00:08:23,229 --> 00:08:26,229 Speaker 1: false positive rate. But again both of them do, so 201 00:08:26,349 --> 00:08:28,149 Speaker 1: I think it's really hard, and I get a lot 202 00:08:28,189 --> 00:08:30,349 Speaker 1: of women actually asking should I have both, Like you know, 203 00:08:30,389 --> 00:08:31,909 Speaker 1: I can afford it, Should I have the government one 204 00:08:31,949 --> 00:08:34,749 Speaker 1: and the NIPT? And some I know, I have a 205 00:08:34,789 --> 00:08:36,269 Speaker 1: lot of an amazing bosses that I work for who 206 00:08:36,309 --> 00:08:38,389 Speaker 1: obviously training me to be an obstecution and some of 207 00:08:38,389 --> 00:08:39,509 Speaker 1: them are on the fence with it. So some of 208 00:08:39,549 --> 00:08:41,629 Speaker 1: them say yes, get both. Why not? Others say no, 209 00:08:41,709 --> 00:08:44,149 Speaker 1: that's just overuse of you know, government funds and medicare. 210 00:08:44,589 --> 00:08:46,589 Speaker 1: But having had, as I said close friend in the past, 211 00:08:46,629 --> 00:08:48,709 Speaker 1: you went through that and ended up having a terribly 212 00:08:48,789 --> 00:08:51,269 Speaker 1: unwell baby that didn't survive at fourteen weeks with a 213 00:08:51,309 --> 00:08:54,109 Speaker 1: normal nipped you can see why women do it. So 214 00:08:54,229 --> 00:08:57,109 Speaker 1: perhaps the agreement really is that you do NIPT if 215 00:08:57,109 --> 00:08:58,989 Speaker 1: you can afford it, but also have your structural study. 216 00:08:59,349 --> 00:09:00,949 Speaker 1: And there's lots of other things that come out of 217 00:09:00,989 --> 00:09:03,269 Speaker 1: that screening as well, with the blood tests around the 218 00:09:03,349 --> 00:09:07,069 Speaker 1: hypertension and the potential for gross restrictions. So the bottom 219 00:09:07,109 --> 00:09:09,069 Speaker 1: line is, though you may find something you don't want 220 00:09:09,069 --> 00:09:10,749 Speaker 1: to know, and then you have to decide what to 221 00:09:10,749 --> 00:09:13,709 Speaker 1: do about it. It's a really tough conversation to have 222 00:09:13,789 --> 00:09:18,029 Speaker 1: with yourself because some people will continue apprenticeing no matter what. 223 00:09:18,389 --> 00:09:19,829 Speaker 1: I want to reassure you that if you are in 224 00:09:19,869 --> 00:09:21,629 Speaker 1: that position, because a lot of women are, you'll have 225 00:09:21,669 --> 00:09:24,469 Speaker 1: thorough genetic counseling. You'll meet with the Maternal Fiddle Medicine 226 00:09:24,469 --> 00:09:27,589 Speaker 1: Department which work with this space really really well, council 227 00:09:27,589 --> 00:09:30,589 Speaker 1: women around this all the time you have time. So 228 00:09:30,629 --> 00:09:33,029 Speaker 1: in Australia we are really lucky that there are hospitals 229 00:09:33,029 --> 00:09:35,509 Speaker 1: that will support your decision till very late in gestation. 230 00:09:35,589 --> 00:09:38,749 Speaker 1: Now we may not all like that ethically, but some 231 00:09:38,829 --> 00:09:41,349 Speaker 1: women take couples, I should say, take ten weeks to 232 00:09:41,349 --> 00:09:43,229 Speaker 1: make a decision around a baby that may not have 233 00:09:43,829 --> 00:09:47,789 Speaker 1: a good life trajectory. So there are people who will 234 00:09:48,029 --> 00:09:50,709 Speaker 1: support your decision no matter what you make, and many 235 00:09:50,749 --> 00:09:52,629 Speaker 1: decide I don't want to have the invasive testing. I'll 236 00:09:52,669 --> 00:09:56,189 Speaker 1: wait for morphology because morphology the baby is bigger and 237 00:09:56,229 --> 00:09:59,269 Speaker 1: it's the most accurate time we can look at brain, heart, liver. 238 00:09:59,589 --> 00:10:01,429 Speaker 1: What side is the heart is the body on? Are 239 00:10:01,469 --> 00:10:03,629 Speaker 1: there any funny abnormalities with the kidneys? Are there cysts 240 00:10:03,669 --> 00:10:06,109 Speaker 1: on the kidneys? Are there two kidneys so there's all 241 00:10:06,109 --> 00:10:10,029 Speaker 1: these really amazing things that can sometimes indicate chromosomal ABNAML 242 00:10:10,429 --> 00:10:12,789 Speaker 1: that aren't the standard three that we look at with 243 00:10:12,869 --> 00:10:15,269 Speaker 1: the NIPT, and that's what those structural ultra sounds do. 244 00:10:15,429 --> 00:10:17,509 Speaker 1: But it is hard you only look at major things 245 00:10:17,629 --> 00:10:20,069 Speaker 1: at the twelve to thirteen week mark, like are there 246 00:10:20,149 --> 00:10:22,949 Speaker 1: four chambers in the heart? Does it have a brain? 247 00:10:23,429 --> 00:10:23,629 Speaker 3: Yeah? 248 00:10:23,709 --> 00:10:25,789 Speaker 1: You know, is it obviously you know, got kidneys and 249 00:10:26,349 --> 00:10:28,869 Speaker 1: a normal that they measure that sounds are silly, but 250 00:10:28,909 --> 00:10:30,629 Speaker 1: the length of the legs to the size of the hedge, 251 00:10:30,709 --> 00:10:32,109 Speaker 1: like those kind of things you say are there because 252 00:10:32,109 --> 00:10:35,709 Speaker 1: they're telltale signs. Some of the major chromosomeal abnormalodies often 253 00:10:35,789 --> 00:10:38,989 Speaker 1: have really abnormal sized legs and arms compared to its 254 00:10:39,069 --> 00:10:40,069 Speaker 1: its brain and it's utical. 255 00:10:40,429 --> 00:10:40,589 Speaker 3: Yeah. 256 00:10:40,629 --> 00:10:42,869 Speaker 2: So all they've sort of told me was, well, it's 257 00:10:42,869 --> 00:10:45,349 Speaker 2: got two arms, two legs, a heartbeat, and a head 258 00:10:45,789 --> 00:10:48,149 Speaker 2: and that's all we're looking for. And I was like, okay, 259 00:10:48,509 --> 00:10:51,109 Speaker 2: you're sort of I don't know if there's if there 260 00:10:51,149 --> 00:10:53,789 Speaker 2: are people who listening who are quite anxious pregnant people, 261 00:10:53,989 --> 00:10:58,029 Speaker 2: I guess I was surprised there wasn't more reassurance, But 262 00:10:58,069 --> 00:10:59,429 Speaker 2: then I don't know what I was looking for. 263 00:10:59,749 --> 00:11:01,269 Speaker 3: Yeah, with that reassurance. 264 00:11:01,789 --> 00:11:03,549 Speaker 1: I think it's hard and it's a hard topic to 265 00:11:03,589 --> 00:11:06,189 Speaker 1: touch on, but it's because you can't give a result 266 00:11:06,229 --> 00:11:07,829 Speaker 1: and then a mother or a father later comes back 267 00:11:07,829 --> 00:11:09,469 Speaker 1: and said, well, I was told at my first tremester 268 00:11:09,549 --> 00:11:12,429 Speaker 1: ultrasound that it was all normal. They can only give 269 00:11:12,429 --> 00:11:13,949 Speaker 1: to the best of their ability of what they can see, 270 00:11:14,069 --> 00:11:15,789 Speaker 1: and that's why we always say, well, if you concerned, 271 00:11:15,909 --> 00:11:18,589 Speaker 1: have that morphology done, even potentially a little early, because 272 00:11:18,629 --> 00:11:20,429 Speaker 1: we recommend the morphology be sort of between eighteen and 273 00:11:20,469 --> 00:11:22,789 Speaker 1: twenty two weeks. Have it earlier if there's a concern, 274 00:11:23,069 --> 00:11:25,069 Speaker 1: or go and see the genetic counselor and discuss whether 275 00:11:25,069 --> 00:11:26,789 Speaker 1: you want a more invasive tests which can give you 276 00:11:26,829 --> 00:11:29,469 Speaker 1: a far stronger probability of whether this baby is affected. 277 00:11:31,069 --> 00:11:32,029 Speaker 3: And one of the things we can do. 278 00:11:32,269 --> 00:11:35,349 Speaker 2: Because you're tested for pre eclampsia multiple times throughout your pregnancy, 279 00:11:35,429 --> 00:11:38,389 Speaker 2: this is the first time that you are tested. What 280 00:11:38,509 --> 00:11:40,309 Speaker 2: if your tests come back and your high risk at 281 00:11:40,349 --> 00:11:41,789 Speaker 2: this point at twelve weeks. 282 00:11:41,949 --> 00:11:44,549 Speaker 1: Lots of obsertcutions will recommend you're starting aspirin at this point. 283 00:11:44,629 --> 00:11:46,229 Speaker 1: They know that it can help. You might have already 284 00:11:46,269 --> 00:11:47,869 Speaker 1: been on aspirin. To be honest, if you've had preclamps 285 00:11:47,869 --> 00:11:49,309 Speaker 1: here in your last pregnancy, it would be something that 286 00:11:49,349 --> 00:11:52,109 Speaker 1: your obstetution will start pretty early. But if you come 287 00:11:52,189 --> 00:11:54,229 Speaker 1: back with a high risk screening at this point, a 288 00:11:54,349 --> 00:11:56,389 Speaker 1: whole combination of that algorithm with the papa A and 289 00:11:56,389 --> 00:11:59,109 Speaker 1: all different mechanisms of related to this test, but they 290 00:11:59,189 --> 00:12:01,709 Speaker 1: might suggest some ways to try and reduce it, which 291 00:12:01,789 --> 00:12:04,069 Speaker 1: is starting on aspirin, and it's important we start that 292 00:12:04,109 --> 00:12:06,829 Speaker 1: as early as possible too, as in after this, so 293 00:12:06,949 --> 00:12:09,909 Speaker 1: now ten weeks, eleven weeks, twelve weeks, not twenty two 294 00:12:09,909 --> 00:12:11,909 Speaker 1: tis twenty three to twenty four weeks to try and 295 00:12:12,349 --> 00:12:14,109 Speaker 1: change because it actually helps. Well, the theory is that 296 00:12:14,149 --> 00:12:16,749 Speaker 1: it helps with the way the placenter is developing, so 297 00:12:16,829 --> 00:12:19,589 Speaker 1: the way the arteries and the spiral arteries that actually 298 00:12:19,669 --> 00:12:23,149 Speaker 1: feed the placenter and the maternal interface develop, which is 299 00:12:23,229 --> 00:12:25,629 Speaker 1: where there's lots of theories around what preclamps here is. 300 00:12:25,669 --> 00:12:27,389 Speaker 2: But what one of the theories is that And as 301 00:12:27,429 --> 00:12:29,269 Speaker 2: we go along, we'll talk about preclams here a lot 302 00:12:29,309 --> 00:12:31,709 Speaker 2: more because there are so many other different ways that 303 00:12:31,789 --> 00:12:32,869 Speaker 2: it can be picked up. 304 00:12:32,989 --> 00:12:34,829 Speaker 3: So I have a lot of questions for you, which 305 00:12:34,829 --> 00:12:35,909 Speaker 3: I'm sure we'll get into. 306 00:12:37,989 --> 00:12:41,589 Speaker 2: My talkit this week is something that we talked about 307 00:12:41,949 --> 00:12:45,069 Speaker 2: weeks ago or episodes ago. Is because I cleared all 308 00:12:45,109 --> 00:12:47,629 Speaker 2: my tests. For me, that was a moment of this 309 00:12:47,829 --> 00:12:50,669 Speaker 2: is real. Yes, so I went and bought my first item. 310 00:12:50,909 --> 00:12:52,469 Speaker 3: It's perfect. Yeah, I love it. 311 00:12:52,549 --> 00:12:54,029 Speaker 1: I'm not going to add anything that I think it's 312 00:12:54,069 --> 00:12:54,789 Speaker 1: the perfect time. 313 00:12:54,669 --> 00:12:59,469 Speaker 2: To do it. Hope, we hope you enjoyed this episode 314 00:12:59,469 --> 00:13:02,069 Speaker 2: of Hello Bumb. We have so many episodes of this 315 00:13:02,189 --> 00:13:05,549 Speaker 2: series filled with tips and stories from women and experts 316 00:13:05,549 --> 00:13:06,909 Speaker 2: who've been through it all before. 317 00:13:07,389 --> 00:13:09,189 Speaker 1: You can go back and listen to everything else Hello 318 00:13:09,269 --> 00:13:09,949 Speaker 1: Bumb related in this. 319 00:13:10,309 --> 00:13:12,669 Speaker 2: Casp and while you're there, we'd love if you could 320 00:13:12,709 --> 00:13:14,469 Speaker 2: give us a fine star rating and maybe love us 321 00:13:14,509 --> 00:13:16,909 Speaker 2: a review, or even share this episode with a friend. 322 00:13:17,349 --> 00:13:20,509 Speaker 1: This episode was produced by Courtney Ammenhauser with audio production 323 00:13:20,589 --> 00:13:21,229 Speaker 1: by Tom Lyon. 324 00:13:21,309 --> 00:13:22,269 Speaker 3: We'll catch you next time. 325 00:13:22,509 --> 00:13:22,749 Speaker 1: Bye. 326 00:13:23,229 --> 00:13:26,109 Speaker 3: This episode of Hello Bump was made in partnership with Huggies.