WEBVTT - Week 11: Bedtime Snacks and Birth Playlists

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<v Speaker 1>You're listening to a Mom and mea podcast.

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<v Speaker 2>Mom and Maya 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 1>I am pregnant again.

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<v Speaker 3>Welcome to Hello Bump.

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

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

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<v Speaker 2>I think I have a bump.

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<v Speaker 3>I love it.

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<v Speaker 1>Homona Pittman, former Olympian mother of six, an obstetric and

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<v Speaker 1>Guani register. I do definitely have leftover bumps from my

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<v Speaker 1>six children, but not one of my own.

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<v Speaker 2>Currently, each episode, Diana and I will be holding your

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<v Speaker 2>hand week by week through the mysterious, perplexing, and ever

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<v Speaker 2>changing miracle that is pregnancy.

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<v Speaker 1>Week eleven, Welcome to week eleven.

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<v Speaker 3>What slice is our baby?

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<v Speaker 1>We're cracking on, aren't we? So the baby is now

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<v Speaker 1>the size of a lime.

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<v Speaker 3>Oh I loved lime. That a drink?

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<v Speaker 2>No, just maybe I'm maybe I'm reminiscing on like think

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<v Speaker 2>Mexican tequilo esque.

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<v Speaker 3>Or it could be a fig or.

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<v Speaker 1>A doughnut whole if you're that way in kind.

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<v Speaker 3>A golf ball.

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<v Speaker 1>So three point eight to five centimeters so it's definitely

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<v Speaker 1>significantly grown yet again from last week, which is obviously

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<v Speaker 1>what we.

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<v Speaker 3>Want, and how have they progressed.

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<v Speaker 1>A couple of things this week, So three to four

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<v Speaker 1>key developments. We're going to go with the organs first,

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<v Speaker 1>so they're starting to function more so they're actually working.

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<v Speaker 1>The pancreas itself is making insulin.

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<v Speaker 3>Isn't that nuts? Yeah?

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<v Speaker 1>I think it's gorgeous. The baby's face is more distinct.

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<v Speaker 1>Remember how we talked about where the eyes and ears

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<v Speaker 1>started on the outside of the face. They're now migrating

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<v Speaker 1>to where they'll finally stop in the correct spot. The

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<v Speaker 1>baby's now making small amounts of its movements with its limbs.

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<v Speaker 1>Now they're not purposeful. So it's interesting to know that

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<v Speaker 1>for quite a while the baby will be almost scare itself.

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<v Speaker 1>It'll go, whoa, I've moved.

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<v Speaker 3>We realize it's alive.

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<v Speaker 1>I don't revenize it's alive yet, but it can't make

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<v Speaker 1>purposeful movement. Okay, so it's just that, not that we

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<v Speaker 1>can feel it yet at this gestation, but it's starting to.

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<v Speaker 1>Like if on ultrasound, you'll see little fluctuations in the

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<v Speaker 1>way the baby's moving.

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<v Speaker 2>Some friends who are having their second pregnancy said that

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<v Speaker 2>around this time they've felt movement because they know what

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<v Speaker 2>they're feeling. For your face says, no, you can't feel anything.

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<v Speaker 1>At eleven weeks. I mean, I hear it, but I

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<v Speaker 1>can tell you that. I mean, I can't say for

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<v Speaker 1>it purposefully, like you know, there's there could be miracles

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<v Speaker 1>out there, I guess, and if there's more than one baby,

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<v Speaker 1>I think most of my colleagues would agree that it's gas.

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<v Speaker 1>You've got wind and you probably need to go to

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<v Speaker 1>the loo.

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<v Speaker 3>What's happening to me?

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<v Speaker 2>I think I taught my midwife even at one point

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<v Speaker 2>I was like, I feel like I feel flutters, and

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<v Speaker 2>she goes, you have a big artery running down there,

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<v Speaker 2>so I think you could be feeling your blood move or.

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<v Speaker 1>And increased blood volume. Again, remember we are by now

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<v Speaker 1>you've put at least twenty percent more blood flow through

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<v Speaker 1>your body, possibly even thirty percent, so it'll get up

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<v Speaker 1>to fifty percent more. So you're carrying a good leader

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<v Speaker 1>and a half more blood than you did before you

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<v Speaker 1>were pregnant.

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<v Speaker 2>And when you have that increased blood volume, what are

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<v Speaker 2>the things that you look out for? Like, are there

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<v Speaker 2>changes that we would recognize within our body that there

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<v Speaker 2>is more blood.

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<v Speaker 1>Lots of them, and hopefully we'll focus on some of them,

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<v Speaker 1>specifically Grace over the next couple of episodes. But like

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<v Speaker 1>your heart races a bit faster, your blood pressure decreases

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<v Speaker 1>then increases. So it's interesting throughout pregnancy that there's periods

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<v Speaker 1>where it gets lower and then it gets higher. There's

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<v Speaker 1>your gum bleeding, that there's a swelling in your legs,

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<v Speaker 1>there's increased salivation. Anything you can think of where more

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<v Speaker 1>blood volume would make you work more, in other words,

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<v Speaker 1>more sweat. All of that's related to the increased blood volume.

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<v Speaker 3>They sound like symptoms of a terrible disease.

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<v Speaker 1>I've mean right now with your noise, it sounds like

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<v Speaker 1>it is a bit of a terrible disease. But yeah, yeah, no,

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<v Speaker 1>it gets better, okay sort of?

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<v Speaker 3>Is this normal?

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<v Speaker 1>Is it normal? My?

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<v Speaker 3>Is this normal for you?

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<v Speaker 1>Is?

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<v Speaker 2>And you know this could be an awkward topic for

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<v Speaker 2>some people, but I have noticed a lot more discharge

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<v Speaker 2>and I wouldn't say any of it's a scary color,

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<v Speaker 2>but it's just the frequency and the volume.

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<v Speaker 3>Is that a common thing to happen.

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<v Speaker 1>I think you hit the nail on the head. That

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<v Speaker 1>is it normal? So we call this loukuria? So is

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<v Speaker 1>it a normal white increase of your you know, discharge

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<v Speaker 1>you get just before you have a period, for example, fine,

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<v Speaker 1>happy with that? Is it itchy? Is it smelly? Thrush

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<v Speaker 1>is really common in pregnancy. It's very very you know,

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<v Speaker 1>wouldn't come in and they like, oh, I've got an

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<v Speaker 1>itchie vagint I've never had it before outside of pregnancy.

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<v Speaker 1>It could be that. So sometimes it is better for

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<v Speaker 1>us to just check it. So just do a little

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<v Speaker 1>low vaginal swab and they just check it if it's positive.

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<v Speaker 1>You know, treating thrush is easy in pregnancy, which we

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<v Speaker 1>try to avoid oral thrust treatment. So if you are

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<v Speaker 1>someone who has thrush at home, guys, I'd much prefer

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<v Speaker 1>to use a topical treatment in the vagina and around

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<v Speaker 1>the VOVL area, ideally not oral. Some doctors will prescribe

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<v Speaker 1>it orally, but it's got to be by a doctor,

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<v Speaker 1>not self prescription because it is over the counter. If

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<v Speaker 1>you remember Grace, if you think you have thrush, go get.

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<v Speaker 3>It checked again.

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<v Speaker 1>It's that blood volume, so you have increased I know,

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<v Speaker 1>it sucks, doesn't it. You have increased blood flow to

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<v Speaker 1>the pelvic organs and the vagina and the cervix, so

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<v Speaker 1>you are going to have increased discharge. It's for a

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<v Speaker 1>couple of things. The mucus plug and the cervical fluid

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<v Speaker 1>is actually keeping infections out outside of the cervix and

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<v Speaker 1>outside of the uterus, so it's a positive thing. We

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<v Speaker 1>also have a quite amazing phenomenon with the cervix that

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<v Speaker 1>as it gets through pregnancy inverts a little bit. So

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<v Speaker 1>we have different cells on the inside of the cervix

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<v Speaker 1>which are calumnar and secretary cells, and then you have

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<v Speaker 1>your sort of skin. Your square cells are outside and

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<v Speaker 1>in the vagina and around the cervix, and so sometimes

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<v Speaker 1>you can actually get more of those secretary cells coming

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<v Speaker 1>sort of inverting the cervix and it can cause increased discharge.

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<v Speaker 1>I think it's also a good point if you're not

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<v Speaker 1>up to date with your phaps here, I still want

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<v Speaker 1>you to have one in pregnancy. This is around the

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<v Speaker 1>time that it's a good one to have, especially if

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<v Speaker 1>you've got increased discharge. Get a swamp at the same time,

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<v Speaker 1>check you if you've got thrush. Really important. It doesn't

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<v Speaker 1>affect the pregnancy. There's no high increased miscarriage rate, get

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<v Speaker 1>it done by a professional, because we make sure that

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<v Speaker 1>we use only a special brush on it. It's safer

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<v Speaker 1>in pregnancy. But it's definitely better to get it than wait.

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<v Speaker 2>Does UTI's come in anywhere within this discharge conversation? If

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<v Speaker 2>things are untreated or are they completely separate things?

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<v Speaker 1>No, that's so important. I actually feel a bit naughty

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<v Speaker 1>as a doctor for not thinking about this, So thank

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<v Speaker 1>you grace. Chlamydia, gonorrhea, vaginismith all this kind of stuff

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<v Speaker 1>still happens in pregnancy. A bacterial of aaginosis, I should say,

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<v Speaker 1>so we don't want that going untreated. So it's very

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<v Speaker 1>early in pregnancy. But those kind of infections can actually

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<v Speaker 1>trigger pre term labor because they irritate the uterus, which

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<v Speaker 1>can then cause contractions. So any type of infection is

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<v Speaker 1>essentially be treated. Even a urine retract infection can cause

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<v Speaker 1>preterm labor. It just irritates the uterus again. So even

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<v Speaker 1>if you have no symptoms, but funnily enough, your GP

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<v Speaker 1>gets you to do a urine because you just go

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<v Speaker 1>a bit more frequently and it comes back positive. We

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<v Speaker 1>will treat it in pregnancy. So it's quite good and

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<v Speaker 1>I guess the key is that is keep an eye

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<v Speaker 1>on your body. If something's unusual, get it treated. Most

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<v Speaker 1>likely it'll be nothing, but it's better to not sit

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<v Speaker 1>on something.

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<v Speaker 2>One thing that shocked me is I know that New

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<v Speaker 2>South Wales Health is looking into it at the moment.

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<v Speaker 2>Is the increase of gestational syphilis.

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<v Speaker 1>Okay, yes, syphilis, and yes we're now treating now.

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<v Speaker 2>Anyway, Yes that women are tested for syphilis and chlmydia,

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<v Speaker 2>which is great. They should be because the risk to

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<v Speaker 2>the fetus if you do have it and untreated it

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<v Speaker 2>is like forty percent.

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<v Speaker 1>It's immortality, especially if it's primary, if it's the first

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<v Speaker 1>time you're having it. Yeah, we test syphilis every tremester,

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<v Speaker 1>so one, two and three. So don't ladies be upset

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<v Speaker 1>when we say it twenty eight weeks. Can we retest

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<v Speaker 1>your rology your blood test for syphilis. It's not you.

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<v Speaker 1>It is a routine guideline from the New South Wales

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<v Speaker 1>government now that we check it. It used to be

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<v Speaker 1>considered high risk populations, so you know, more in an

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<v Speaker 1>our indigenous women at one point, but it now is

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<v Speaker 1>becoming more prevalent austraight wide and so therefore it's something

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<v Speaker 1>that we know if we can get on top of,

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<v Speaker 1>we can try and prevent.

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<v Speaker 2>Okay, apart from perhaps means, what else can we be

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<v Speaker 2>doing in eleven weeks?

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<v Speaker 1>Now is the time that you should have had your

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<v Speaker 1>nipt or at least have definitely booked in your first

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<v Speaker 1>tremestero screening, because it's you know, eleven weeks is the

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<v Speaker 1>start of when that time ultra is and if you're

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<v Speaker 1>going with the government based one, it's got to be booked.

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<v Speaker 2>My little toolkit for people if they are still feeling

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<v Speaker 2>sick is to eat a snack before bed.

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<v Speaker 3>To like it, yeah, to try it. I've learned a

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<v Speaker 3>lot from last.

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<v Speaker 2>Episode about going for a walk before a bed as well,

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<v Speaker 2>so I feel like putting those two things together is

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<v Speaker 2>actually going.

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<v Speaker 1>To help better.

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<v Speaker 3>A snack, walk and a snack.

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<v Speaker 1>Yes, yes, I'm fast forwarding a bit of head here.

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<v Speaker 1>I think you should start preparing for a playlist that

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<v Speaker 1>you might like in birth now. Know it's a long

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<v Speaker 1>way away, but I think you add one song a week.

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<v Speaker 1>You're actually kind of also thinking about that birth process

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<v Speaker 1>in advance too, so I think that's something we should

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<v Speaker 1>start soon because your.

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<v Speaker 2>Job is birthing babies is there a song that you

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<v Speaker 2>see pop up very frequently on people's playlists.

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<v Speaker 1>I've had like some of the most severe heavy rock

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<v Speaker 1>in birthy and it's right down to Enya.

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<v Speaker 3>It's very interesting.

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<v Speaker 1>One that I love is actually a lady called Melissa Spillstead,

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<v Speaker 1>so she actually does hypno birthing. So I'm just I'm

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<v Speaker 1>very holistic when it comes to birth. You'll learn that

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<v Speaker 1>over the next few weeks because I go into more

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<v Speaker 1>of the midwifreelite. I was a duel love before I

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<v Speaker 1>was a doctor, so very old school when it comes

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<v Speaker 1>to the way we do things. But hypno Birthing is

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<v Speaker 1>a wonderful way to prepare for birth. And she does

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<v Speaker 1>some really calm in music that basically walks you through

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<v Speaker 1>the surges of labor, the contractions, and how to connect

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<v Speaker 1>with your baby. So it's a beautiful you can download online.

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<v Speaker 3>But in the meantime, andya.

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<v Speaker 2>On recay Flow, let's get that. We hope you enjoyed

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<v Speaker 2>this episode of Hello Bump. We have so many episodes

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<v Speaker 2>of this series filled with tips and stories from women

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<v Speaker 2>and experts who've been through it all before.

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<v Speaker 1>You can go back and listen to everything else. Hello

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<v Speaker 1>Bump related in this podcast feed.

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<v Speaker 2>And while you're there, we'd love if you could give

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<v Speaker 2>us a five star rating and maybe leave us a review,

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<v Speaker 2>or even shared this episode with a friend.

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<v Speaker 1>This episode was produced by Courtney Ammenhauser with audio production

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<v Speaker 1>by Tom Lyon. We'll catch you next time. Bye.

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<v Speaker 2>This episode of Hello Bump was made in partnership with

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<v Speaker 2>Hikes Bye dixisen Kits