WEBVTT - Week 12: Hearing The Heartbeat 0:00:11.149 --> 0:00:13.909 You're listening to a MoMA Mia podcast. 0:00:14.829 --> 0:00:17.869 Mom and Maya acknowledges the traditional owners of land and 0:00:17.949 --> 0:00:20.069 waters that this podcast is recorded on. 0:00:21.349 --> 0:00:23.949 I am pregnanty. 0:00:27.029 --> 0:00:29.909 Welcome to Hello Bump. We're making pregnancy less overwhelming and 0:00:30.109 --> 0:00:32.309 more manageable. I feel like it's more manageable already. I'm 0:00:32.309 --> 0:00:34.229 Grace Roobrain, I'm pregnant for the first time. 0:00:34.029 --> 0:00:36.269 And i'man A Pippin. I am a mother of six now. 0:00:36.349 --> 0:00:39.349 I am a former olympian and an obstetric trainee. I've 0:00:39.349 --> 0:00:41.789 had many many first Romessa's greens, so you know we 0:00:41.829 --> 0:00:43.149 can pretty much go anywhere with that. 0:00:44.389 --> 0:00:46.269 Each episode, Jana and I will be holding your hand 0:00:46.309 --> 0:00:49.549 week by week through the mysterious, perplexing, and sometimes overwhelming 0:00:49.589 --> 0:00:51.549 miracle that is pregnancy. 0:00:52.229 --> 0:00:56.269 Week twelve. What objects are we A plum? 0:00:56.669 --> 0:00:58.469 A plum baby's the size of a plumb or a 0:00:58.469 --> 0:00:59.269 small egg. 0:01:00.749 --> 0:01:02.989 A jelly doughnut hole, yes, exact? 0:01:03.029 --> 0:01:04.629 Or passion fruit. I mean you go with lots of fruits. 0:01:04.669 --> 0:01:05.389 There's a lot of fruits. 0:01:05.389 --> 0:01:08.869 This it's very fruit based in the first trimestery. 0:01:08.589 --> 0:01:10.989 Fruit based, and then animals in the last. Fromesser I've noticed, 0:01:10.989 --> 0:01:11.549 we'll get there. 0:01:14.229 --> 0:01:16.029 What have they developed in the last week. 0:01:16.189 --> 0:01:18.149 So their little kidneys are starting to make you ryan, 0:01:18.189 --> 0:01:20.949 which is actually amniotic fluid. Guys, your babies are swimming 0:01:20.949 --> 0:01:22.709 around in their own WII and drinking it and then 0:01:22.749 --> 0:01:24.829 peeing it out again. So it's around this time the 0:01:24.829 --> 0:01:26.869 baby starts to swallow that amniotic fluid and then it 0:01:26.949 --> 0:01:28.709 sort of moves through the body and then they pass 0:01:28.749 --> 0:01:32.549 it out. You can now often see or hear that heartbeat. 0:01:32.549 --> 0:01:34.149 When we talked about ages ago, you couldn't hear it. 0:01:34.149 --> 0:01:35.989 You can now hear that heartbeat, and even on an 0:01:36.029 --> 0:01:37.829 external doppler, So when you go and see your midwife, 0:01:37.869 --> 0:01:39.949 they can often not away, so don't be worried if 0:01:39.989 --> 0:01:42.309 they can't hear it. It also does depend a little 0:01:42.309 --> 0:01:43.989 bit on our body, on our size of our tummy, 0:01:44.509 --> 0:01:46.109 but they can often hear it externally, so you can 0:01:46.109 --> 0:01:47.629 hear what the little ones baby sounds like. 0:01:47.749 --> 0:01:49.509 I did hear it for the firty time I did. 0:01:49.749 --> 0:01:50.549 Just beautiful as it. 0:01:50.669 --> 0:01:52.989 Yeah, I can say that even though I felt so sick, 0:01:53.029 --> 0:01:55.229 like I'm not a monster, I love hearing the heartbeat 0:01:55.429 --> 0:01:59.149 like it is something that's really beautiful to beautiful. 0:01:59.829 --> 0:02:01.749 But on that note, there are a lot of dopplers 0:02:01.749 --> 0:02:03.469 you can buy outside of the home, and we sort 0:02:03.469 --> 0:02:06.189 of touched on this earlier. There's definitely a crazy women 0:02:06.229 --> 0:02:07.909 would love to be able to listen to their baby 0:02:07.909 --> 0:02:09.669 at home. Now, if you are going to buy one, 0:02:09.829 --> 0:02:12.109 because like you and I love listening to a baby's heart, 0:02:12.229 --> 0:02:14.589 that's fine, But there is never a time I want 0:02:14.629 --> 0:02:16.829 you to use it if you're worried about the baby's heartbeat, 0:02:17.269 --> 0:02:20.429 because the placenta sounds different to the fetus, and most 0:02:20.869 --> 0:02:24.109 untrained ears won't be able to differentiate both. 0:02:24.389 --> 0:02:26.149 Would so pick up your own heart. 0:02:26.989 --> 0:02:29.829 Yes, So unless you're really really sure what you're listening to, 0:02:31.109 --> 0:02:33.109 and for example, if it's decreased fetal movements, you need 0:02:33.109 --> 0:02:35.309 to come and see us. Anyway, even a midwife would 0:02:35.309 --> 0:02:37.509 not be happy just using a handheld doppler. They'd send 0:02:37.549 --> 0:02:39.589 you in for sixty minutes. You know you need a 0:02:39.629 --> 0:02:41.309 little bit longer to work out what the patterns of 0:02:41.309 --> 0:02:43.829 the baby's heart are. So it's absolutely not something for 0:02:43.829 --> 0:02:46.389 you to be using. I have seen horrible outcomes where 0:02:46.429 --> 0:02:48.229 someone has thought it was okay, but it was the 0:02:48.869 --> 0:02:51.189 it was not. So it's just a fun thing at 0:02:51.189 --> 0:02:52.949 home to listen in a lovely way. It is not 0:02:52.989 --> 0:02:55.069 something I want you to use to look after your pregnancy, 0:02:55.109 --> 0:02:55.749 and let us do that. 0:02:55.909 --> 0:02:57.749 One question I do have about all these tests is 0:02:58.029 --> 0:02:59.549 you have to go in with a full bladder? 0:03:00.989 --> 0:03:01.429 Yes? 0:03:01.549 --> 0:03:05.029 Yes, Is that because it makes the baby more visible? 0:03:05.229 --> 0:03:07.309 Or I've actually had no idea why we have to 0:03:07.429 --> 0:03:09.669 drink a bunch of way because it's. 0:03:09.629 --> 0:03:11.469 Very bothersame pregnancy, isn't it Because you get there and 0:03:11.509 --> 0:03:13.029 you're busting, You're like, can a little a little bit out, 0:03:13.029 --> 0:03:14.549 but I probably don't have enough blooder. 0:03:14.229 --> 0:03:15.949 Control a little it is all going to go out. 0:03:16.189 --> 0:03:18.109 We actually use the bladder as a window, so it 0:03:18.109 --> 0:03:22.389 actually it's the way the ultrasound works is it sends, 0:03:22.389 --> 0:03:24.349 you know, the ultra sound beams through and we use 0:03:24.349 --> 0:03:27.829 the bladder to actually to highlight the different black and 0:03:28.029 --> 0:03:31.549 dark colored structures of the baby and the fetus behind it. 0:03:31.549 --> 0:03:33.549 So if there's an empty bladder, two things you can't 0:03:33.629 --> 0:03:35.749 use that as a window. And the second thing is 0:03:35.749 --> 0:03:38.269 that lifts the uterus out slightly. So you can imagine 0:03:38.269 --> 0:03:40.429 the bladder sits in front of the pregnancy and as 0:03:40.429 --> 0:03:42.349 with a full bladder, it just lifts the pregnancy up 0:03:42.349 --> 0:03:43.669 a little bit more so you can actually scan it 0:03:43.669 --> 0:03:44.189 more easily. 0:03:44.349 --> 0:03:46.269 This is probably a dumb question. But none of it 0:03:46.309 --> 0:03:48.989 goes into their sack. 0:03:48.909 --> 0:03:49.989 To the urine. 0:03:50.029 --> 0:03:53.029 No, no, no, the water. It doesn't go into their amniotic 0:03:53.069 --> 0:03:54.229 fluid or anything like that. 0:03:54.309 --> 0:03:56.709 I mean, there's the theory is not now Later in pregnancy, 0:03:56.749 --> 0:03:57.909 you know that if your baby, if you have low 0:03:57.949 --> 0:04:00.069 amniotic fluid, the midwife might say go and drink more 0:04:00.069 --> 0:04:02.789 and hopefully the fluid levels will increase on the next pregnancy. Ultimately, 0:04:03.109 --> 0:04:05.349 whatever you feed through the baby, if your dehydrated, your 0:04:05.349 --> 0:04:08.309 baby may often move less and therefore have less fluid, 0:04:08.589 --> 0:04:11.549 less intake in, take output. But no, right before an 0:04:11.629 --> 0:04:13.189 ultra sound that a cute thing is not going to 0:04:13.269 --> 0:04:15.989 make any Okay, okay, yeah. 0:04:15.349 --> 0:04:19.789 What's happening to me? And what else is happening to 0:04:19.829 --> 0:04:20.349 our bodies? 0:04:20.429 --> 0:04:23.709 At week twelve, again from last week, it's getting worse 0:04:23.709 --> 0:04:26.949 with that laxicity. You're feeling more and more floppy, I 0:04:26.949 --> 0:04:29.749 think is the way you can feel it. Some people 0:04:29.789 --> 0:04:32.629 now do find they have almost a bit of an 0:04:32.629 --> 0:04:35.429 obstruction when it comes to their bladder, so difficultly difficult 0:04:35.429 --> 0:04:38.109 passing urine because that baby is literally sitting right where 0:04:38.109 --> 0:04:40.109 that bladder is soon it'll come up and get out 0:04:40.149 --> 0:04:42.669 of the pelvis. But you're right on that cusp where 0:04:43.389 --> 0:04:44.029 it doesn't. 0:04:43.749 --> 0:04:48.149 Feel like the stream is as free well yeah, free flowing, 0:04:48.309 --> 0:04:50.669 or it's just not as even though you feel busting. 0:04:50.749 --> 0:04:52.229 It's like trickles out exactly. 0:04:52.709 --> 0:04:55.789 You've pretty much nailed it perfectly. But that's the baby, unfortunately, 0:04:55.829 --> 0:04:58.909 pushing against that bladder and just causing restriction of the urethra. 0:04:59.069 --> 0:05:00.949 And that's because of the position that It's not that 0:05:00.949 --> 0:05:02.789 they're it's so big, it's just the position of where 0:05:02.789 --> 0:05:03.709 your uterus. 0:05:03.469 --> 0:05:06.189 Is because the baby's quite small still, but it's literally 0:05:06.189 --> 0:05:07.909 if you think about your pubic bone, which is a bone, 0:05:07.909 --> 0:05:09.709 so there's nowhere for the bladder to go up and 0:05:09.709 --> 0:05:12.549 a ways the bladder will fill upwards towards your belly button, 0:05:12.869 --> 0:05:15.109 but that's where your useress is literally sitting and cramping 0:05:15.109 --> 0:05:16.789 in that space, so it can actually you can actually 0:05:16.789 --> 0:05:18.429 there is a condition where you can actually get full 0:05:18.469 --> 0:05:21.789 bladder obstruction. So it's another red flag. We're going to 0:05:21.789 --> 0:05:24.069 start calling the red flags as we get through this podcast, 0:05:24.549 --> 0:05:26.309 where things that are really bad you need to see 0:05:26.309 --> 0:05:27.709 a doctor straight away. So the first red flag in 0:05:27.709 --> 0:05:29.389 the past was that ectopic pregnancy we were talking about 0:05:29.429 --> 0:05:31.629 before bleeding, And this is another one. If you find 0:05:31.709 --> 0:05:33.829 you can't pass you urine in pregnancy, it's time to 0:05:33.869 --> 0:05:36.589 go straight to either the birth unit or your or 0:05:36.629 --> 0:05:38.909 your ED. And now before twenty weeks, guys, that is ED, 0:05:39.069 --> 0:05:40.629 So you go to ED up until twenty weeks or 0:05:40.669 --> 0:05:43.189 e GP. After twenty weeks you call the berthing unit 0:05:43.189 --> 0:05:44.389 you're planning to deliver it. 0:05:44.869 --> 0:05:46.829 A lot of the time people might think that symptoms 0:05:46.869 --> 0:05:49.069 of not being able to pass urine is feeling like 0:05:49.109 --> 0:05:49.669 a uti. 0:05:49.989 --> 0:05:52.469 How do we know the difference several hours? 0:05:52.549 --> 0:05:55.069 So if you have an obstruction, you'll need you'll you'll 0:05:55.069 --> 0:05:58.389 find you can't pass more than dribbles for hours and hours. 0:05:58.389 --> 0:06:01.149 Whereas I mean, urine retract infections in pregnancy can present 0:06:01.189 --> 0:06:03.029 in so many different ways. And just like the thrush 0:06:03.069 --> 0:06:06.749 we talked about before, really common and asymptomatic urine retract 0:06:06.789 --> 0:06:08.949 infections are really common too. Why because we drop arou 0:06:08.949 --> 0:06:12.149 immune system because we're pregnant. So I know, another fun thing, 0:06:12.629 --> 0:06:14.349 but basically you know we have we don't want to 0:06:14.389 --> 0:06:16.829 have any problems from a rejection perspective with the baby. 0:06:16.869 --> 0:06:18.749 And you're also taking on a lot, your nutrition's going 0:06:18.789 --> 0:06:21.309 somewhere else, you're not sleeping as much, you're uncomfortable. There's 0:06:21.349 --> 0:06:24.789 lots of reasons our immune systems reduce, and so therefore 0:06:24.829 --> 0:06:27.469 symptoms of urine. We probably all know of them, burning, stinging, 0:06:27.909 --> 0:06:31.069 funny odor. Back pain is a big one, and we 0:06:31.069 --> 0:06:31.749 can often mask. 0:06:31.869 --> 0:06:33.069 Oh i've got a pregnancy coming. 0:06:33.109 --> 0:06:34.909 I've got a bit of back pain, but definitely worth 0:06:34.909 --> 0:06:38.229 getting it checked, color change in the urine, any concern 0:06:38.349 --> 0:06:39.869 is really easy to pee in a little cup that 0:06:39.909 --> 0:06:41.309 you can get from your GP and they can send 0:06:41.309 --> 0:06:49.589 it off. Is this normal? Is normal? 0:06:49.869 --> 0:06:51.549 I have a few questions for is this normal? 0:06:51.589 --> 0:06:54.309 Because I've just gone through these the first trimester screening 0:06:54.349 --> 0:06:57.509 and the NIPT. I want to know if the nipt 0:06:58.189 --> 0:07:00.309 I got the sex revealed. 0:06:59.989 --> 0:07:03.789 To me because she's a girl, So I want to. 0:07:05.349 --> 0:07:08.589 That's what I wanted, and my partner said that that's 0:07:08.629 --> 0:07:11.069 what he wanted as well. I don't know that if 0:07:11.069 --> 0:07:13.349 that was real, but anyway, we're both both happy. The 0:07:13.429 --> 0:07:15.389 names are easier, I think, so I want to know 0:07:15.429 --> 0:07:17.869 how accurate that test is at this stage. And then 0:07:17.869 --> 0:07:20.229 I also want to know about I sort of said 0:07:20.349 --> 0:07:23.829 to the sonographer when I was in there, or is 0:07:23.869 --> 0:07:27.389 everything looking fine or is everything healthy? And they sort 0:07:27.389 --> 0:07:30.509 of said their wording around it was as much as 0:07:30.549 --> 0:07:32.949 we can tell, yes, and they wouldn't sort of give 0:07:32.989 --> 0:07:35.429 any kind of clarity answers because they said. 0:07:35.309 --> 0:07:37.109 It's still too small exactly. 0:07:37.669 --> 0:07:39.909 I guess what are they specifically looking for in these 0:07:39.949 --> 0:07:44.749 tests to go it's viable or whatever, and what could 0:07:44.829 --> 0:07:48.829 potentially still develop that could make it a non viable 0:07:48.829 --> 0:07:51.349 pregnancy or have problems later on. 0:07:51.909 --> 0:07:54.509 It's a hard discussion around abnimalodies and pregnancy chromosome or 0:07:55.069 --> 0:07:58.509 genetic abnimalodies or structural abnormalody. So as we sort of 0:07:58.509 --> 0:08:01.269 discussed before the NIPT is the blood test, we still 0:08:01.269 --> 0:08:03.349 strongly recommend to have an ultrasound as well because the 0:08:03.389 --> 0:08:06.909 NIPT does miss things like triplody, pregnancies and things that 0:08:06.949 --> 0:08:09.829 aren't tested. So it's ninety nine percent sensitive for Down syndrome, 0:08:10.109 --> 0:08:13.189 pertousyn drome, and Edward, which are three more common disorders 0:08:13.189 --> 0:08:16.029 that it can pick up, whereas the combined first tromester screen, 0:08:16.029 --> 0:08:17.629 which is the government fund and run, is around sort 0:08:17.629 --> 0:08:19.669 of the eighty five to ninety percent, so it's still 0:08:19.789 --> 0:08:22.589 very good. It has about a four to five percent 0:08:23.229 --> 0:08:26.229 false positive rate. But again both of them do, so 0:08:26.349 --> 0:08:28.149 I think it's really hard, and I get a lot 0:08:28.189 --> 0:08:30.349 of women actually asking should I have both, Like you know, 0:08:30.389 --> 0:08:31.909 I can afford it, Should I have the government one 0:08:31.949 --> 0:08:34.749 and the NIPT? And some I know, I have a 0:08:34.789 --> 0:08:36.269 lot of an amazing bosses that I work for who 0:08:36.309 --> 0:08:38.389 obviously training me to be an obstecution and some of 0:08:38.389 --> 0:08:39.509 them are on the fence with it. So some of 0:08:39.549 --> 0:08:41.629 them say yes, get both. Why not? Others say no, 0:08:41.709 --> 0:08:44.149 that's just overuse of you know, government funds and medicare. 0:08:44.589 --> 0:08:46.589 But having had, as I said close friend in the past, 0:08:46.629 --> 0:08:48.709 you went through that and ended up having a terribly 0:08:48.789 --> 0:08:51.269 unwell baby that didn't survive at fourteen weeks with a 0:08:51.309 --> 0:08:54.109 normal nipped you can see why women do it. So 0:08:54.229 --> 0:08:57.109 perhaps the agreement really is that you do NIPT if 0:08:57.109 --> 0:08:58.989 you can afford it, but also have your structural study. 0:08:59.349 --> 0:09:00.949 And there's lots of other things that come out of 0:09:00.989 --> 0:09:03.269 that screening as well, with the blood tests around the 0:09:03.349 --> 0:09:07.069 hypertension and the potential for gross restrictions. So the bottom 0:09:07.109 --> 0:09:09.069 line is, though you may find something you don't want 0:09:09.069 --> 0:09:10.749 to know, and then you have to decide what to 0:09:10.749 --> 0:09:13.709 do about it. It's a really tough conversation to have 0:09:13.789 --> 0:09:18.029 with yourself because some people will continue apprenticeing no matter what. 0:09:18.389 --> 0:09:19.829 I want to reassure you that if you are in 0:09:19.869 --> 0:09:21.629 that position, because a lot of women are, you'll have 0:09:21.669 --> 0:09:24.469 thorough genetic counseling. You'll meet with the Maternal Fiddle Medicine 0:09:24.469 --> 0:09:27.589 Department which work with this space really really well, council 0:09:27.589 --> 0:09:30.589 women around this all the time you have time. So 0:09:30.629 --> 0:09:33.029 in Australia we are really lucky that there are hospitals 0:09:33.029 --> 0:09:35.509 that will support your decision till very late in gestation. 0:09:35.589 --> 0:09:38.749 Now we may not all like that ethically, but some 0:09:38.829 --> 0:09:41.349 women take couples, I should say, take ten weeks to 0:09:41.349 --> 0:09:43.229 make a decision around a baby that may not have 0:09:43.829 --> 0:09:47.789 a good life trajectory. So there are people who will 0:09:48.029 --> 0:09:50.709 support your decision no matter what you make, and many 0:09:50.749 --> 0:09:52.629 decide I don't want to have the invasive testing. I'll 0:09:52.669 --> 0:09:56.189 wait for morphology because morphology the baby is bigger and 0:09:56.229 --> 0:09:59.269 it's the most accurate time we can look at brain, heart, liver. 0:09:59.589 --> 0:10:01.429 What side is the heart is the body on? Are 0:10:01.469 --> 0:10:03.629 there any funny abnormalities with the kidneys? Are there cysts 0:10:03.669 --> 0:10:06.109 on the kidneys? Are there two kidneys so there's all 0:10:06.109 --> 0:10:10.029 these really amazing things that can sometimes indicate chromosomal ABNAML 0:10:10.429 --> 0:10:12.789 that aren't the standard three that we look at with 0:10:12.869 --> 0:10:15.269 the NIPT, and that's what those structural ultra sounds do. 0:10:15.429 --> 0:10:17.509 But it is hard you only look at major things 0:10:17.629 --> 0:10:20.069 at the twelve to thirteen week mark, like are there 0:10:20.149 --> 0:10:22.949 four chambers in the heart? Does it have a brain? 0:10:23.429 --> 0:10:23.629 Yeah? 0:10:23.709 --> 0:10:25.789 You know, is it obviously you know, got kidneys and 0:10:26.349 --> 0:10:28.869 a normal that they measure that sounds are silly, but 0:10:28.909 --> 0:10:30.629 the length of the legs to the size of the hedge, 0:10:30.709 --> 0:10:32.109 like those kind of things you say are there because 0:10:32.109 --> 0:10:35.709 they're telltale signs. Some of the major chromosomeal abnormalodies often 0:10:35.789 --> 0:10:38.989 have really abnormal sized legs and arms compared to its 0:10:39.069 --> 0:10:40.069 its brain and it's utical. 0:10:40.429 --> 0:10:40.589 Yeah. 0:10:40.629 --> 0:10:42.869 So all they've sort of told me was, well, it's 0:10:42.869 --> 0:10:45.349 got two arms, two legs, a heartbeat, and a head 0:10:45.789 --> 0:10:48.149 and that's all we're looking for. And I was like, okay, 0:10:48.509 --> 0:10:51.109 you're sort of I don't know if there's if there 0:10:51.149 --> 0:10:53.789 are people who listening who are quite anxious pregnant people, 0:10:53.989 --> 0:10:58.029 I guess I was surprised there wasn't more reassurance, But 0:10:58.069 --> 0:10:59.429 then I don't know what I was looking for. 0:10:59.749 --> 0:11:01.269 Yeah, with that reassurance. 0:11:01.789 --> 0:11:03.549 I think it's hard and it's a hard topic to 0:11:03.589 --> 0:11:06.189 touch on, but it's because you can't give a result 0:11:06.229 --> 0:11:07.829 and then a mother or a father later comes back 0:11:07.829 --> 0:11:09.469 and said, well, I was told at my first tremester 0:11:09.549 --> 0:11:12.429 ultrasound that it was all normal. They can only give 0:11:12.429 --> 0:11:13.949 to the best of their ability of what they can see, 0:11:14.069 --> 0:11:15.789 and that's why we always say, well, if you concerned, 0:11:15.909 --> 0:11:18.589 have that morphology done, even potentially a little early, because 0:11:18.629 --> 0:11:20.429 we recommend the morphology be sort of between eighteen and 0:11:20.469 --> 0:11:22.789 twenty two weeks. Have it earlier if there's a concern, 0:11:23.069 --> 0:11:25.069 or go and see the genetic counselor and discuss whether 0:11:25.069 --> 0:11:26.789 you want a more invasive tests which can give you 0:11:26.829 --> 0:11:29.469 a far stronger probability of whether this baby is affected. 0:11:31.069 --> 0:11:32.029 And one of the things we can do. 0:11:32.269 --> 0:11:35.349 Because you're tested for pre eclampsia multiple times throughout your pregnancy, 0:11:35.429 --> 0:11:38.389 this is the first time that you are tested. What 0:11:38.509 --> 0:11:40.309 if your tests come back and your high risk at 0:11:40.349 --> 0:11:41.789 this point at twelve weeks. 0:11:41.949 --> 0:11:44.549 Lots of obsertcutions will recommend you're starting aspirin at this point. 0:11:44.629 --> 0:11:46.229 They know that it can help. You might have already 0:11:46.269 --> 0:11:47.869 been on aspirin. To be honest, if you've had preclamps 0:11:47.869 --> 0:11:49.309 here in your last pregnancy, it would be something that 0:11:49.349 --> 0:11:52.109 your obstetution will start pretty early. But if you come 0:11:52.189 --> 0:11:54.229 back with a high risk screening at this point, a 0:11:54.349 --> 0:11:56.389 whole combination of that algorithm with the papa A and 0:11:56.389 --> 0:11:59.109 all different mechanisms of related to this test, but they 0:11:59.189 --> 0:12:01.709 might suggest some ways to try and reduce it, which 0:12:01.789 --> 0:12:04.069 is starting on aspirin, and it's important we start that 0:12:04.109 --> 0:12:06.829 as early as possible too, as in after this, so 0:12:06.949 --> 0:12:09.909 now ten weeks, eleven weeks, twelve weeks, not twenty two 0:12:09.909 --> 0:12:11.909 tis twenty three to twenty four weeks to try and 0:12:12.349 --> 0:12:14.109 change because it actually helps. Well, the theory is that 0:12:14.149 --> 0:12:16.749 it helps with the way the placenter is developing, so 0:12:16.829 --> 0:12:19.589 the way the arteries and the spiral arteries that actually 0:12:19.669 --> 0:12:23.149 feed the placenter and the maternal interface develop, which is 0:12:23.229 --> 0:12:25.629 where there's lots of theories around what preclamps here is. 0:12:25.669 --> 0:12:27.389 But what one of the theories is that And as 0:12:27.429 --> 0:12:29.269 we go along, we'll talk about preclams here a lot 0:12:29.309 --> 0:12:31.709 more because there are so many other different ways that 0:12:31.789 --> 0:12:32.869 it can be picked up. 0:12:32.989 --> 0:12:34.829 So I have a lot of questions for you, which 0:12:34.829 --> 0:12:35.909 I'm sure we'll get into. 0:12:37.989 --> 0:12:41.589 My talkit this week is something that we talked about 0:12:41.949 --> 0:12:45.069 weeks ago or episodes ago. Is because I cleared all 0:12:45.109 --> 0:12:47.629 my tests. For me, that was a moment of this 0:12:47.829 --> 0:12:50.669 is real. Yes, so I went and bought my first item. 0:12:50.909 --> 0:12:52.469 It's perfect. Yeah, I love it. 0:12:52.549 --> 0:12:54.029 I'm not going to add anything that I think it's 0:12:54.069 --> 0:12:54.789 the perfect time. 0:12:54.669 --> 0:12:59.469 To do it. Hope, we hope you enjoyed this episode 0:12:59.469 --> 0:13:02.069 of Hello Bumb. We have so many episodes of this 0:13:02.189 --> 0:13:05.549 series filled with tips and stories from women and experts 0:13:05.549 --> 0:13:06.909 who've been through it all before. 0:13:07.389 --> 0:13:09.189 You can go back and listen to everything else Hello 0:13:09.269 --> 0:13:09.949 Bumb related in this. 0:13:10.309 --> 0:13:12.669 Casp and while you're there, we'd love if you could 0:13:12.709 --> 0:13:14.469 give us a fine star rating and maybe love us 0:13:14.509 --> 0:13:16.909 a review, or even share this episode with a friend. 0:13:17.349 --> 0:13:20.509 This episode was produced by Courtney Ammenhauser with audio production 0:13:20.589 --> 0:13:21.229 by Tom Lyon. 0:13:21.309 --> 0:13:22.269 We'll catch you next time. 0:13:22.509 --> 0:13:22.749 Bye. 0:13:23.229 --> 0:13:26.109 This episode of Hello Bump was made in partnership with Huggies.