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Speaker 1: You're listening to a Muma Mia podcast. Mom and Maya

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Speaker 1: acknowledges the traditional owners of land and waters that this

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Speaker 1: podcast is recorded on.

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Speaker 2: I am pregnanted.

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Speaker 1: Welcome to Hello Bump. We're making pregnancy less overwhelming and

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Speaker 1: more manageable. I'm gracery, very pregnant for the very first time,

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Speaker 1: and I can no longer open my fridge without drive reaching.

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Speaker 2: And I'm Miana Pittman. I'm a former Olympian, I'm a

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Speaker 2: mother of six babies, and I'm training to be an

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Speaker 2: obstitrician and a gynocologist.

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Speaker 1: Each episode, Jana and I will be holding your hand

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Speaker 1: week by week through the mysterious, perplexing and sometimes it's

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Speaker 1: a very weird miracle that is pregnancy week six. Yanna,

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Speaker 1: how big is our baby? Our baby? I have your

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Speaker 1: baby seven to be good, I have six been.

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Speaker 2: It's now about the size of a lentil seed.

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Speaker 1: See this is where it starts to contextualize, doesn't it

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Speaker 1: a lentil seed? A lady bug?

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Speaker 2: Yeah, well let's go factual four to six millimeters. So

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Speaker 2: it's made a massive big jumps from las week. It's

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Speaker 2: it's almost a huge, but it's a huge compared to

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Speaker 2: last week when it was only a millimeter.

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Speaker 1: Yeah, it feels like it's an object now, yes, absolutely

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Speaker 1: not just the clump of cells exactly.

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Speaker 2: And if you had an early ultrasound you would now

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Speaker 2: probably see a little thing in there, maybe not a heart,

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Speaker 2: but yet hopefully but maybe not again. I don't want

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Speaker 2: you to have it. We're still waking ladies. Another week please,

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Speaker 2: but yes, it is growing nicely.

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Speaker 1: Maybe you can book it, but not bookase, but for

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Speaker 1: week seven, thank you. I love it. And what's happening

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Speaker 1: with the baby? How are they developing?

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Speaker 2: And as we've kind of just touched on, the biggest

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Speaker 2: thing is it's heart starting to beat, which I think

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Speaker 2: is a massive milestoning pregnancy like that is to me

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Speaker 2: makes it it's real, the little heart beating in there.

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Speaker 2: The other olgans are also continuing to grow, including the

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Speaker 2: digestive system, which is really weird to think, and it's

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Speaker 2: respiratory system, so how it's going to breathe. And there

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Speaker 2: might even be some facial features that are starting. We

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Speaker 2: can't see them on ultrasound, but the things like the

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Speaker 2: eyes and ears, and they starting the most weird and

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Speaker 2: wonderful places. They actually start on the complete outside of

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Speaker 2: the baby's head and then the eventually they'll move around

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Speaker 2: invert in woods.

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Speaker 1: Yeah, exactly, it's quite a weird. My app talks about

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Speaker 1: it's grown its nostrils, but doesn't have its nose. It's

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Speaker 1: just holes, which again makes it feel like elucision. Absolutely,

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Speaker 1: I can't deny that. Unfortunately, what happened, what's happening to me,

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Speaker 1: and what's happening with us, what's happening with our body?

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Speaker 2: Increasing from last week more and more and more and

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Speaker 2: more nauseous, and guys, at six weeks, it's gonna get worse,

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Speaker 2: So we peek around the nine to ten week mark

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Speaker 2: and then hopefully will get better. Continued fatigue. I actually

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Speaker 2: found this week the most fatiguing, and I felt like

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Speaker 2: it really feels like bad jet lag and you cannot

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Speaker 2: get off the couch. And interestingly, for some women it's

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Speaker 2: worse in your first pregnancy and it gets a little better,

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Speaker 2: and I found that. I found my first pregnancy was

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Speaker 2: not for six I was in the middle of my

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Speaker 2: Olympic career and couldn't train, couldn't do anything. Whereas I

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Speaker 2: had my sort of subsequent pregnancies, I found a little easier,

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Speaker 2: so hang in there. If it's really tough, try and

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Speaker 2: outsource at this point, like you know, get someone to

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Speaker 2: come and help you, because you really need that sleep.

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Speaker 2: You know, you are growing a whole human inside, and

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Speaker 2: expect some moodswings. There is definitely some ups and downs

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Speaker 2: going on this week. Some tears are not unusual.

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Speaker 1: Let's say at week six, that was the last point

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Speaker 1: I could go into my kitchen just so hyper aware

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Speaker 1: of the smells. And I think for me, I don't

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Speaker 1: know if I was jet lagged feeling, but I definitely

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Speaker 1: the hangover feeling was just all through the day, and

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Speaker 1: then the nausea was definitely ramping up. But everything, as

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Speaker 1: you've said, was really getting a lot more intense.

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Speaker 2: And I think it's also important to heart that everyone's

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Speaker 2: symptoms are different, So don't freak out if you don't

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Speaker 2: have any symptoms, Like someone, oh my god, it mustn't

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Speaker 2: be real. It's not happening. I need to go and

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Speaker 2: see my doctor really quickly. Someone won just get lucky.

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Speaker 2: They just get lucky and they don't have much And

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Speaker 2: you know, and if you're expecting multiples, which means twins

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Speaker 2: or more babies, sometimes your symptoms are going to be worse,

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Speaker 2: So I think it's again no comparisons.

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Speaker 1: That's a really good point. There's a woman, one of

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Speaker 1: the women here in their Mum and me are office.

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Speaker 1: She was like, I was one of those lucky ones,

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Speaker 1: never had no orders. I never had anything, but I

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Speaker 1: had a baby who didn't sleep. So it gets you

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Speaker 1: any I've.

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Speaker 2: Had all of that, to be honest, Sometimes you get

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Speaker 2: both is this normal?

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Speaker 1: Is normal? Is it normal? I have a question about

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Speaker 1: I still have period cramps at this point.

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Speaker 2: It's your use for us getting used to accommodating a

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Speaker 2: growing pregnancy. So you can imagine that it's especially if

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Speaker 2: it's your first time. You haven't had that expanding little

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Speaker 2: thing inside stretching the walls or the muscles of the

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Speaker 2: uterus and the surrounding ligaments outside the uterus that are

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Speaker 2: slowly going to expand up. So we get a lot

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Speaker 2: of what's called round ligament pain. Not normally around the

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Speaker 2: six weeks. I mean some women do, but it's more

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Speaker 2: often a little bit later in pregnancy. But yes, all

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Speaker 2: these sort of aches and pains and things. Again, changes

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Speaker 2: in hormone levels. Sometimes there's even the bit of fluid

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Speaker 2: in the pelvis and things that can actually cause from

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Speaker 2: the ovulatary syst so where you actually ovulated, from which

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Speaker 2: it starts to produce progesterones to support the pregnancy. We

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Speaker 2: call it the corpus lutium if you want to be

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Speaker 2: really medical about it, but can also leak fluid and

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Speaker 2: irritate the abdomen. So it's also important to think though,

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Speaker 2: if you are having pain, not just cramps, it is

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Speaker 2: probably better to keep a close eye on it. And

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Speaker 2: if you're concerned about it, just call someone, call your

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Speaker 2: midwife or your GP to have a discussion about it.

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Speaker 1: And what about bloating? Is that okay, so it's still bloat,

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Speaker 1: it's not pregnancy, but it's not pregnancy.

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Speaker 2: I'd love to be but no, at six weeks you'd

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Speaker 2: be really unlikely. In fact, it's impossible. Let's just go there.

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Speaker 1: It's just blown or constipation. Yeah, me too, So that

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Speaker 1: gets worse and worse. I thought I was having round

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Speaker 1: ligament pains and my midwife was just like, no, that's

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Speaker 1: just your bounds just working really slowly.

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Speaker 2: Yeah, transition slows down unfortunately because of progesterone, one of

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Speaker 2: the main hormones of pregnancy.

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Speaker 1: But it's not as gratifying and there's no schedule anymore.

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Speaker 1: No fluid, keep you fluid up.

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Speaker 2: Okay, I think there's one of the big key messages

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Speaker 2: there to try and keep those bowers a bit more regular.

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Speaker 1: And what are some good things to do? What's on

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Speaker 1: our to do list this week?

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Speaker 2: Well, as you know, we talked about booking your ultrasound.

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Speaker 2: I think it's pretty important. This time in pregnancy is

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Speaker 2: a little hard because you're just kind of in the

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Speaker 2: waiting game. So you've got lots of things coming up

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Speaker 2: in the future that you need to do. But at

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Speaker 2: this point, you know what, I think you need to

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Speaker 2: think really closely. You kind of touched on it with

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Speaker 2: the abdominal cramps and things.

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Speaker 1: If you bleed.

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Speaker 2: Now, twenty to forty percent of women will bleed in pregnancy,

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Speaker 2: particularly in the first tromester, and that's quite a lot,

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Speaker 2: and it's not always a concern. It could be still

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Speaker 2: implantation bleeding. It could be sometimes we get what's called

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Speaker 2: a subcoreonic chemotoma, which is it's big words of guys,

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Speaker 2: but it's just a bit of like a bruise around

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Speaker 2: where the baby is, around the amigniotic sack. Most of

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Speaker 2: the time they resolve. So even if you see that

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Speaker 2: on your ultrasound next week, ninety percent of the time

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Speaker 2: it goes away.

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Speaker 1: What's the best thing to do in that case? If

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Speaker 1: you do notice that you're spotting, is it? Are you

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Speaker 1: at the level of we go to hospital or you

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Speaker 1: book a GP appointment?

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Speaker 2: Every woman's individual. I've been down to d many, many,

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Speaker 2: many times for someone spotting in pregnancy because there's a

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Speaker 2: lot of anxiety and really wanting the pregnancy for me.

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Speaker 2: You cannot do anything right now, guys, So if you

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Speaker 2: are bleeding in early pregnancy, our concern is if you're

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Speaker 2: bleeding heavily enough that we need to monitor you from

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Speaker 2: a blood loss perspective. So I think GPS the right

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Speaker 2: place you don't want to sit in a NED for

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Speaker 2: four or five hours waiting to be seen by one

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Speaker 2: of us. Was in guyning doctors. So if your GP's concerned,

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Speaker 2: they'll send you in. We often have what's called an

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Speaker 2: early pregnancy Assessment clinic. Most public hospitals have one, so

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Speaker 2: if you concerned, your GP can refer you to see

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Speaker 2: one of the doctors. But at least it means you

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Speaker 2: have an allocated appointment to see someone roughly within an

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Speaker 2: hour of getting there rather than four or five in

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Speaker 2: a ned. But the biggest thing there is if you

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Speaker 2: haven't yet got a diagnosed pregnancy on ultrasound and you

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Speaker 2: have pain and cramping. Unfortunately, we have to raise that

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Speaker 2: not all pregnancies end up in the uterus. Sometimes pregnancies

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Speaker 2: can unfortunately end up in the filopian tubes, the ovaries,

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Speaker 2: and even the abdomen or your cervix. They're called it

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Speaker 2: topic pregnancies. So if pain and bleeding comes together and

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Speaker 2: you haven't confirmed the pregnancies inside the uterus, that is

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Speaker 2: a time it's an ed visit straight away.

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Speaker 1: If we're you're having our dating scan, it's seven weeks.

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Speaker 1: But if you do have an ectopic pregnancy, is it

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Speaker 1: at risk of rupturing before that seven weeks before they

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Speaker 1: catch it?

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Speaker 2: Okay?

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Speaker 1: And at what point is it you've just lost the

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Speaker 1: pregnancy or you're at risk of losing the filopian tube.

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Speaker 1: I know this is scary things.

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Speaker 2: That's important. Yeah, So often ectopic pregnancies grow slower than

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Speaker 2: into uterine pregnancies, which means a uterus maybe inside the uterus.

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Speaker 2: So the highlight there is if you have any pain

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Speaker 2: and bleeding, which you're concerned about, go to ED or

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Speaker 2: at least to you GP for a discussion, and if

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Speaker 2: they're concerned, they'll send you in. Most of the time,

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Speaker 2: even though it's early, we'll do an ultrasound to check

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Speaker 2: and because you can still see a gestational sackle or

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Speaker 2: at least a pregnancy, a clear cystic structure inside the uterus,

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Speaker 2: that will likely be a pregnancy. Things to be concerned about,

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Speaker 2: which not not for you guys to worry, but more

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Speaker 2: for me to worry about, is if the baby has

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Speaker 2: a heartbeat already and it's in the tube, if there's

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Speaker 2: already bleeding inside the pelvis, that's unfortunately a time when

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Speaker 2: we will say, look, we wouldn't manage you medically, so

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Speaker 2: we can give often given an injection in the arm

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Speaker 2: to manage them, which is called methotrexate, or we take

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Speaker 2: you to theaters and unfortunately sometimes have to remove the

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Speaker 2: fallopian tube. Big discussions. Okay, so this is a conversation

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Speaker 2: probably outside of our pregnancy podcast, but if you are

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Speaker 2: concerned about that, it's always, always, always better to come

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Speaker 2: to hospital and get checked, because it's not the loss

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Speaker 2: of the tube I'm worried about. You've got another one okay,

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Speaker 2: And ironically, even if you lose one tube, you still

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Speaker 2: have a ninety percent chance of getting pregnant because that

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Speaker 2: amazing second tube floats around, would you believe inside, and

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Speaker 2: the actual egg has some chemo receptive factors that actually

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Speaker 2: allows it to find the other tubes. So even if

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Speaker 2: you opulate from the left ovary but don't have a

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Speaker 2: tube on that side, most of the time the other

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Speaker 2: filopian tube will collect it. So that's not your concern.

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Speaker 2: My concern is your bleeding becomes so heavy that your

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Speaker 2: life is compromised. So and topic pregnancy is absolutely not

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Speaker 2: something to wait for, even if the pregnancy is very

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Speaker 2: much wanted.

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Speaker 1: I think that's probably overall advice for pregnancy is that

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Speaker 1: there's no dumb questions.

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Speaker 2: Yes, I agree, Yes, thank you.

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Speaker 1: It's the best advice for this week. Yeah, no dumb questions.

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Speaker 1: Always ask cups will always be safe because also a

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Speaker 1: medical professional would have heard it all before.

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Speaker 2: Exactly and they can reassure.

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Speaker 1: You in the toolkit. This week, I've got drink lots

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Speaker 1: of water because it's starting to feel hot just living,

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Speaker 1: and also to just do outdoor dining just in case

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Speaker 1: if you're at a restaurant pick a table outside.

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Speaker 2: Yeah, because of the heat.

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Speaker 1: The heat, you don't know what smells are going to

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Speaker 1: come past. You don't know if someone is going to

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Speaker 1: order something next to you that's now repulsive to you.

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Speaker 1: So yeah, that was too I've got.

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Speaker 2: Largely because we need to prepare for the next few months.

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Speaker 2: I think it's time to also think about who's going

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Speaker 2: to be around with you around the time of birth.

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Speaker 2: So just invite that person to your outdoor dining experience

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Speaker 2: or a couple of people you know. You can do

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Speaker 2: it as in a bit of an interview style, but

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Speaker 2: it's you're going to need your family and friends around

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Speaker 2: you for pregnancy and birth, and so probably time to

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Speaker 2: start thinking about who those people are going to be.

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Speaker 1: Yeah, find your confidence. We hope you enjoyed this episode

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Speaker 1: of Hello Bump. We have so many episodes of this

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Speaker 1: series filled with tips and stories from women and experts

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Speaker 1: who've been through it all before.

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Speaker 2: You can go back and listen to everything else Hello

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Speaker 2: Bump related in this podcast.

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Speaker 1: Feed, and while you're there, we'd love if you could

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Speaker 1: give us a five star rating and maybe leave us

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Speaker 1: a review, or even share this episode with a friend.

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Speaker 2: This episode was produced by Courtney Ammenhauser, with audio production

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Speaker 2: by Tom Lyon.

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Speaker 1: We'll catch you next time. This episode of Hello Bump

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Speaker 1: was made in partnership with Huggies Bye Bye