Speaker 1: You're listening to a Mom and mea podcast.
Speaker 2: Mom and Maya acknowledges the traditional owners of land and
Speaker 2: waters that this podcast is recorded on.
Speaker 1: I am pregnant again.
Speaker 3: Welcome to Hello Bump.
Speaker 2: We're making pregnancy less overwhelming and more well manageable, hopefully.
Speaker 2: I'm Grace Reuby, I'm pregnant for the first time, and
Speaker 2: I think I have a bump.
Speaker 3: I love it.
Speaker 1: Homona Pittman, former Olympian mother of six, an obstetric and
Speaker 1: Guani register. I do definitely have leftover bumps from my
Speaker 1: six children, but not one of my own.
Speaker 2: Currently, each episode, Diana and I will be holding your
Speaker 2: hand week by week through the mysterious, perplexing, and ever
Speaker 2: changing miracle that is pregnancy.
Speaker 1: Week eleven, Welcome to week eleven.
Speaker 3: What slice is our baby?
Speaker 1: We're cracking on, aren't we? So the baby is now
Speaker 1: the size of a lime.
Speaker 3: Oh I loved lime. That a drink?
Speaker 2: No, just maybe I'm maybe I'm reminiscing on like think
Speaker 2: Mexican tequilo esque.
Speaker 3: Or it could be a fig or.
Speaker 1: A doughnut whole if you're that way in kind.
Speaker 3: A golf ball.
Speaker 1: So three point eight to five centimeters so it's definitely
Speaker 1: significantly grown yet again from last week, which is obviously
Speaker 1: what we.
Speaker 3: Want, and how have they progressed.
Speaker 1: A couple of things this week, So three to four
Speaker 1: key developments. We're going to go with the organs first,
Speaker 1: so they're starting to function more so they're actually working.
Speaker 1: The pancreas itself is making insulin.
Speaker 3: Isn't that nuts? Yeah?
Speaker 1: I think it's gorgeous. The baby's face is more distinct.
Speaker 1: Remember how we talked about where the eyes and ears
Speaker 1: started on the outside of the face. They're now migrating
Speaker 1: to where they'll finally stop in the correct spot. The
Speaker 1: baby's now making small amounts of its movements with its limbs.
Speaker 1: Now they're not purposeful. So it's interesting to know that
Speaker 1: for quite a while the baby will be almost scare itself.
Speaker 1: It'll go, whoa, I've moved.
Speaker 3: We realize it's alive.
Speaker 1: I don't revenize it's alive yet, but it can't make
Speaker 1: purposeful movement. Okay, so it's just that, not that we
Speaker 1: can feel it yet at this gestation, but it's starting to.
Speaker 1: Like if on ultrasound, you'll see little fluctuations in the
Speaker 1: way the baby's moving.
Speaker 2: Some friends who are having their second pregnancy said that
Speaker 2: around this time they've felt movement because they know what
Speaker 2: they're feeling. For your face says, no, you can't feel anything.
Speaker 1: At eleven weeks. I mean, I hear it, but I
Speaker 1: can tell you that. I mean, I can't say for
Speaker 1: it purposefully, like you know, there's there could be miracles
Speaker 1: out there, I guess, and if there's more than one baby,
Speaker 1: I think most of my colleagues would agree that it's gas.
Speaker 1: You've got wind and you probably need to go to
Speaker 1: the loo.
Speaker 3: What's happening to me?
Speaker 2: I think I taught my midwife even at one point
Speaker 2: I was like, I feel like I feel flutters, and
Speaker 2: she goes, you have a big artery running down there,
Speaker 2: so I think you could be feeling your blood move or.
Speaker 1: And increased blood volume. Again, remember we are by now
Speaker 1: you've put at least twenty percent more blood flow through
Speaker 1: your body, possibly even thirty percent, so it'll get up
Speaker 1: to fifty percent more. So you're carrying a good leader
Speaker 1: and a half more blood than you did before you
Speaker 1: were pregnant.
Speaker 2: And when you have that increased blood volume, what are
Speaker 2: the things that you look out for? Like, are there
Speaker 2: changes that we would recognize within our body that there
Speaker 2: is more blood.
Speaker 1: Lots of them, and hopefully we'll focus on some of them,
Speaker 1: specifically Grace over the next couple of episodes. But like
Speaker 1: your heart races a bit faster, your blood pressure decreases
Speaker 1: then increases. So it's interesting throughout pregnancy that there's periods
Speaker 1: where it gets lower and then it gets higher. There's
Speaker 1: your gum bleeding, that there's a swelling in your legs,
Speaker 1: there's increased salivation. Anything you can think of where more
Speaker 1: blood volume would make you work more, in other words,
Speaker 1: more sweat. All of that's related to the increased blood volume.
Speaker 3: They sound like symptoms of a terrible disease.
Speaker 1: I've mean right now with your noise, it sounds like
Speaker 1: it is a bit of a terrible disease. But yeah, yeah, no,
Speaker 1: it gets better, okay sort of?
Speaker 3: Is this normal?
Speaker 1: Is it normal? My?
Speaker 3: Is this normal for you?
Speaker 1: Is?
Speaker 2: And you know this could be an awkward topic for
Speaker 2: some people, but I have noticed a lot more discharge
Speaker 2: and I wouldn't say any of it's a scary color,
Speaker 2: but it's just the frequency and the volume.
Speaker 3: Is that a common thing to happen.
Speaker 1: I think you hit the nail on the head. That
Speaker 1: is it normal? So we call this loukuria? So is
Speaker 1: it a normal white increase of your you know, discharge
Speaker 1: you get just before you have a period, for example, fine,
Speaker 1: happy with that? Is it itchy? Is it smelly? Thrush
Speaker 1: is really common in pregnancy. It's very very you know,
Speaker 1: wouldn't come in and they like, oh, I've got an
Speaker 1: itchie vagint I've never had it before outside of pregnancy.
Speaker 1: It could be that. So sometimes it is better for
Speaker 1: us to just check it. So just do a little
Speaker 1: low vaginal swab and they just check it if it's positive.
Speaker 1: You know, treating thrush is easy in pregnancy, which we
Speaker 1: try to avoid oral thrust treatment. So if you are
Speaker 1: someone who has thrush at home, guys, I'd much prefer
Speaker 1: to use a topical treatment in the vagina and around
Speaker 1: the VOVL area, ideally not oral. Some doctors will prescribe
Speaker 1: it orally, but it's got to be by a doctor,
Speaker 1: not self prescription because it is over the counter. If
Speaker 1: you remember Grace, if you think you have thrush, go get.
Speaker 3: It checked again.
Speaker 1: It's that blood volume, so you have increased I know,
Speaker 1: it sucks, doesn't it. You have increased blood flow to
Speaker 1: the pelvic organs and the vagina and the cervix, so
Speaker 1: you are going to have increased discharge. It's for a
Speaker 1: couple of things. The mucus plug and the cervical fluid
Speaker 1: is actually keeping infections out outside of the cervix and
Speaker 1: outside of the uterus, so it's a positive thing. We
Speaker 1: also have a quite amazing phenomenon with the cervix that
Speaker 1: as it gets through pregnancy inverts a little bit. So
Speaker 1: we have different cells on the inside of the cervix
Speaker 1: which are calumnar and secretary cells, and then you have
Speaker 1: your sort of skin. Your square cells are outside and
Speaker 1: in the vagina and around the cervix, and so sometimes
Speaker 1: you can actually get more of those secretary cells coming
Speaker 1: sort of inverting the cervix and it can cause increased discharge.
Speaker 1: I think it's also a good point if you're not
Speaker 1: up to date with your phaps here, I still want
Speaker 1: you to have one in pregnancy. This is around the
Speaker 1: time that it's a good one to have, especially if
Speaker 1: you've got increased discharge. Get a swamp at the same time,
Speaker 1: check you if you've got thrush. Really important. It doesn't
Speaker 1: affect the pregnancy. There's no high increased miscarriage rate, get
Speaker 1: it done by a professional, because we make sure that
Speaker 1: we use only a special brush on it. It's safer
Speaker 1: in pregnancy. But it's definitely better to get it than wait.
Speaker 2: Does UTI's come in anywhere within this discharge conversation? If
Speaker 2: things are untreated or are they completely separate things?
Speaker 1: No, that's so important. I actually feel a bit naughty
Speaker 1: as a doctor for not thinking about this, So thank
Speaker 1: you grace. Chlamydia, gonorrhea, vaginismith all this kind of stuff
Speaker 1: still happens in pregnancy. A bacterial of aaginosis, I should say,
Speaker 1: so we don't want that going untreated. So it's very
Speaker 1: early in pregnancy. But those kind of infections can actually
Speaker 1: trigger pre term labor because they irritate the uterus, which
Speaker 1: can then cause contractions. So any type of infection is
Speaker 1: essentially be treated. Even a urine retract infection can cause
Speaker 1: preterm labor. It just irritates the uterus again. So even
Speaker 1: if you have no symptoms, but funnily enough, your GP
Speaker 1: gets you to do a urine because you just go
Speaker 1: a bit more frequently and it comes back positive. We
Speaker 1: will treat it in pregnancy. So it's quite good and
Speaker 1: I guess the key is that is keep an eye
Speaker 1: on your body. If something's unusual, get it treated. Most
Speaker 1: likely it'll be nothing, but it's better to not sit
Speaker 1: on something.
Speaker 2: One thing that shocked me is I know that New
Speaker 2: South Wales Health is looking into it at the moment.
Speaker 2: Is the increase of gestational syphilis.
Speaker 1: Okay, yes, syphilis, and yes we're now treating now.
Speaker 2: Anyway, Yes that women are tested for syphilis and chlmydia,
Speaker 2: which is great. They should be because the risk to
Speaker 2: the fetus if you do have it and untreated it
Speaker 2: is like forty percent.
Speaker 1: It's immortality, especially if it's primary, if it's the first
Speaker 1: time you're having it. Yeah, we test syphilis every tremester,
Speaker 1: so one, two and three. So don't ladies be upset
Speaker 1: when we say it twenty eight weeks. Can we retest
Speaker 1: your rology your blood test for syphilis. It's not you.
Speaker 1: It is a routine guideline from the New South Wales
Speaker 1: government now that we check it. It used to be
Speaker 1: considered high risk populations, so you know, more in an
Speaker 1: our indigenous women at one point, but it now is
Speaker 1: becoming more prevalent austraight wide and so therefore it's something
Speaker 1: that we know if we can get on top of,
Speaker 1: we can try and prevent.
Speaker 2: Okay, apart from perhaps means, what else can we be
Speaker 2: doing in eleven weeks?
Speaker 1: Now is the time that you should have had your
Speaker 1: nipt or at least have definitely booked in your first
Speaker 1: tremestero screening, because it's you know, eleven weeks is the
Speaker 1: start of when that time ultra is and if you're
Speaker 1: going with the government based one, it's got to be booked.
Speaker 2: My little toolkit for people if they are still feeling
Speaker 2: sick is to eat a snack before bed.
Speaker 3: To like it, yeah, to try it. I've learned a
Speaker 3: lot from last.
Speaker 2: Episode about going for a walk before a bed as well,
Speaker 2: so I feel like putting those two things together is
Speaker 2: actually going.
Speaker 1: To help better.
Speaker 3: A snack, walk and a snack.
Speaker 1: Yes, yes, I'm fast forwarding a bit of head here.
Speaker 1: I think you should start preparing for a playlist that
Speaker 1: you might like in birth now. Know it's a long
Speaker 1: way away, but I think you add one song a week.
Speaker 1: You're actually kind of also thinking about that birth process
Speaker 1: in advance too, so I think that's something we should
Speaker 1: start soon because your.
Speaker 2: Job is birthing babies is there a song that you
Speaker 2: see pop up very frequently on people's playlists.
Speaker 1: I've had like some of the most severe heavy rock
Speaker 1: in birthy and it's right down to Enya.
Speaker 3: It's very interesting.
Speaker 1: One that I love is actually a lady called Melissa Spillstead,
Speaker 1: so she actually does hypno birthing. So I'm just I'm
Speaker 1: very holistic when it comes to birth. You'll learn that
Speaker 1: over the next few weeks because I go into more
Speaker 1: of the midwifreelite. I was a duel love before I
Speaker 1: was a doctor, so very old school when it comes
Speaker 1: to the way we do things. But hypno Birthing is
Speaker 1: a wonderful way to prepare for birth. And she does
Speaker 1: some really calm in music that basically walks you through
Speaker 1: the surges of labor, the contractions, and how to connect
Speaker 1: with your baby. So it's a beautiful you can download online.
Speaker 3: But in the meantime, andya.
Speaker 2: On recay Flow, let's get that. We hope you enjoyed
Speaker 2: this episode of Hello Bump. We have so many episodes
Speaker 2: of this series filled with tips and stories from women
Speaker 2: and experts who've been through it all before.
Speaker 1: You can go back and listen to everything else. Hello
Speaker 1: Bump related in this podcast feed.
Speaker 2: And while you're there, we'd love if you could give
Speaker 2: us a five star rating and maybe leave us a review,
Speaker 2: or even shared this episode with a friend.
Speaker 1: This episode was produced by Courtney Ammenhauser with audio production
Speaker 1: by Tom Lyon. We'll catch you next time. Bye.
Speaker 2: This episode of Hello Bump was made in partnership with
Speaker 2: Hikes Bye dixisen Kits