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Speaker 1: You're listening to a MoMA Mia podcast.

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Speaker 2: Mom and Maya acknowledges the traditional owners of land and

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Speaker 2: waters that this podcast is recorded on.

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Speaker 3: I am pregnant.

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Speaker 2: Welcome to Hello Bump.

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Speaker 4: We're making pregnancy less overwhelming and more manageable, hopefully. I'm Grace,

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Speaker 4: uy Ray, I'm pregnant for the first time and I

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Speaker 4: just learned that a cavity could bring on labor.

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Speaker 1: That's a very interesting move. We'll go into it.

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Speaker 3: I am your heart of it when I'm a former Olympian,

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Speaker 3: a mother of six of my own little ones, and

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Speaker 3: I am now training to be an obstetrician.

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Speaker 4: Each week, Leanna and I will be holding your hand

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Speaker 4: week by week through the mysterious, perplexing, and sometimes quite hilarious.

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Speaker 4: Mary called that is pregnancy week seventeen.

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Speaker 2: How big are we today?

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Speaker 1: Were still on the fruit, Grace, I'm sorry, naval orange.

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Speaker 2: I see it is that different to another orange?

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Speaker 1: Like, I don't know, we can tell me. I'm not

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Speaker 1: an expert in oranges, but it's a big orange.

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Speaker 2: I think. Yeah, I've got a serving of guacamoli.

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Speaker 1: I like it a bath bomb.

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Speaker 2: It was soft form. Yeah, we could go.

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Speaker 3: So twelve to fourteen centimetres is the little bubb it's

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Speaker 3: about one hundred and thirteen grams to one hundred and

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Speaker 3: forty two grams.

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Speaker 1: We're starting to get a bit of variation between.

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Speaker 2: Babies and what's happening to them.

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Speaker 3: Well, the baby's now finally starting to develop a little

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Speaker 3: layer of fat so good. It's called add a post tissue.

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Speaker 3: It's very important for babies temperature regulation when they're born.

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Speaker 3: So obviously different babies will put on different levels of

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Speaker 3: fat depending on what you're eating and your genetics. Their

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Speaker 3: external little sex orleans are now fully developed to their

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Speaker 3: LaBier and the glitteris and things like that are starting

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Speaker 3: and out where they're going to be. And there's tiny

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Speaker 3: lines even developing on their fingers that will eventually form

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Speaker 3: their unique fingerprints fingerprints.

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Speaker 2: That is not I just did not even hard to

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Speaker 2: think of that.

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Speaker 1: Yes, at seventeen weeks. Wow, yep, it's quite cool. That

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Speaker 1: is cool.

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Speaker 2: What what's happening to me and what's happening to my body?

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Speaker 3: Hopefully, increase energy and let's go at nighttime, though you

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Speaker 3: might start to snore. We've talked about nasal congestion in

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Speaker 3: the past, but it's really common that partners start kicking

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Speaker 3: you on the back at this point because you're making

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Speaker 3: a lot more noise, so you know it's largely again

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Speaker 3: just because we've talked about before, the increased blood volume,

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Speaker 3: So you've just got that congestion in your nose. But

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Speaker 3: let's actually put it numbers in it. You have about

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Speaker 3: three to three or four liters of blood circulating. Now

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Speaker 3: by the end of pregnancy, you'll have up to six

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Speaker 3: liters of blood, so we're talking a lot of extra

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Speaker 3: blood circulating.

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Speaker 4: I think I'm scared to ask this question, but when

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Speaker 4: you go back to normal blood volume, are you losing

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Speaker 4: that blood in labor or do you lose some?

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Speaker 1: Absolutely, we do lose some.

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Speaker 3: Up to five hundred meals is normal in a vaginal birth,

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Speaker 3: and up to a leader in a cesarian section, which

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Speaker 3: town's a larming. But when you've got an extra two

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Speaker 3: you're probably okay. You're winging most of the rest of

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Speaker 3: it out. So over the next couple of days, yeah,

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Speaker 3: you actually your blood kind of recirculates it and then

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Speaker 3: it goes and you end up you find what we

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Speaker 3: call a diarhsis. So you get up and you do

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Speaker 3: a lot of wing. You also lose blood for a

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Speaker 3: few weeks after birth, so I think we should normalize

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Speaker 3: that that people do continue to lose so it's a

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Speaker 3: reserve there as well.

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Speaker 4: You're wearing an appy, you just like your child direct

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Speaker 4: for quite a year of course.

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Speaker 3: Yeah, okay, yeah, now to this week. You also may

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Speaker 3: not need to peers much though. On that note, on

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Speaker 3: the pnote, because that baby's now moving above that bladder,

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Speaker 3: so hopefully getting a bit of a reprieve from having to

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Speaker 3: get up all through the night despite the snoring.

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Speaker 2: Is this normal? Is normal?

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Speaker 1: So?

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Speaker 4: I want to ask about the dental link to pre

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Speaker 4: term labor. This was a suggestion from my midwife that

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Speaker 4: said sometime before you're twenty weeks to go and have

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Speaker 4: a check up because a cavity or bad dental health

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Speaker 4: could bring on preterm labor. What do you know about career?

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Speaker 1: Doesn't it?

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Speaker 3: It does look a couple of things. I think, particularly

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Speaker 3: for someone like you who has had morning sickness and

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Speaker 3: been vomiting and vomiting and vomiting, you can imagine how

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Speaker 3: much acid it has been in your mouth, so you

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Speaker 3: might be more prone to unfortunately getting a dental infection.

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Speaker 3: You've also got a Dropp community. You've got an increased

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Speaker 3: blood flow that we've talked about pretty much every twenty seconds,

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Speaker 3: and so you're more prone to inflammation, is the bottom line.

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Speaker 3: So we know that whilst there's not an actual association

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Speaker 3: between preterm labor and dental health, there has been some research.

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Speaker 3: There's a bit, but it's kind of that research that

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Speaker 3: someone that say yes definitely and others say no. It

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Speaker 3: comes about that systemic inflammation from periodontal disease can trigger

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Speaker 3: the pre term labor.

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Speaker 1: So it's whether the.

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Speaker 3: Inflammatory response, which we know if same thing, urine retract infections,

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Speaker 3: for gial infections, all of those kind of things can

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Speaker 3: put you in a pre a pro inflammatory state which

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Speaker 3: can sometimes unfortunately trigger labor early. It's a protection, sadly,

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Speaker 3: a mechanism for you and not as often for your

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Speaker 3: baby because ultimately your body's like I need to survive.

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Speaker 3: So if it gets really really sick, it can't sustain

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Speaker 3: a pregnancy. The pregnancy makes you worse, and so up

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Speaker 3: until about twenty weeks this it's very more good and

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Speaker 3: I'm sorry guys, but for example, if you had a

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Speaker 3: car accident, we save mummy because baby is not viable

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Speaker 3: yet so if you got really, really, really sick, your

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Speaker 3: body's going to do the same thing. It's going to

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Speaker 3: protect the mother over the baby. So you know, I

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Speaker 3: guess that could be one of the anecdotal reasons as

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Speaker 3: to why it happens, but the bottom line has got

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Speaker 3: identist and to get it checked. It's totally safe in

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Speaker 3: pregnancy to have dental work. It's important if you have

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Speaker 3: had it to let your midwife know after because interestingly,

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Speaker 3: dental work itself can cause problems with infection because you

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Speaker 3: can obviously you're making a whole or something. When they're

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Speaker 3: digging through it, sometimes it can release bacteria into the system.

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Speaker 3: So it's also important if you do get sick in

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Speaker 3: a couple of weeks afterwards, or problems with your heart,

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Speaker 3: particularly that you let them know that you've had dental

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Speaker 3: work recently.

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Speaker 2: Can they still take X rays of your mouth when

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Speaker 2: you're pregnant.

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Speaker 1: I actually don't know that. Two ounce that's fine.

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Speaker 3: Yeah, I assume they would because they can obviously put

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Speaker 3: a coat over and protect the baby. But I mean, ideally, again,

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Speaker 3: have you your teeth checked beforehand, because we don't really

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Speaker 3: want X rays. Don't get me wrong, we use it

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Speaker 3: for example, we touched on the last episode dvt SO,

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Speaker 3: which is a blood clot in the legs that can

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Speaker 3: travel to the lungs, and we sometimes have to do

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Speaker 3: imaging that has radiation in that because again the maternal risk,

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Speaker 3: the mother risk of having a blood clot in the

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Speaker 3: lungs is more important than the baby. Not saying your

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Speaker 3: baby's not important, It's very important, but it is more

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Speaker 3: important to know if she's really sick or not. So

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Speaker 3: I guess it depends. If you come in with a

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Speaker 3: rip roaring tooth infection, they're very likely to do an

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Speaker 3: X ray and the risk of that is pretty low.

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Speaker 3: It's pretty much the same as going on a long

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Speaker 3: pol flight.

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Speaker 2: And what are some things that we can do xtal check?

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Speaker 3: Yeah, sorry, start think about a holiday sooner, baby moon,

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Speaker 3: so on the travel.

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Speaker 1: I think it's nice to sort of book it in.

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Speaker 3: I wouldn't be looking it in at thirty six weeks, guys,

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Speaker 3: because not all pregnancy is weake it that far. So

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Speaker 3: you know, around the twenty eight week mark is actually.

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Speaker 4: You might not want to move, or you might don't

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Speaker 4: want to move. This is a good point or too much? Yeah,

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Speaker 4: A dry a drive two hours is just say no.

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Speaker 1: Exactly so, and it's time by then to be close

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Speaker 1: to the hospital.

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Speaker 3: Would be nice to do something really nice with you know,

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Speaker 3: with your partner or your or your friend, whoever it's

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Speaker 3: going to do, and maybe start looking at some yoga

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Speaker 3: classes or some pregnancy specific classes. You're looking good, nice, pregnant.

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Speaker 3: Now the bump is not, you know how sometimes you're like, oh,

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Speaker 3: is she pregnant?

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Speaker 2: Is she not pregnant?

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Speaker 1: By about now it.

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Speaker 3: Starts to look a little more like, yes, it's confidently

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Speaker 3: you're pregnancy in there.

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Speaker 4: You know, you might wear some mountfits that are bumping

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Speaker 4: it like that pregnant do you know?

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Speaker 2: You might not not know the answer to this.

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Speaker 4: But some good baby moon places, like is there anything

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Speaker 4: that people you've seen go?

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Speaker 3: Yeah, that Powerful Island's a big one, really is in Australia.

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Speaker 3: But you get to go long haul New Zealand's and

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Speaker 3: other good ones, and he's three hours flight. It's nice

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Speaker 3: to sort of get away somewhere that's a bit quieter

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Speaker 3: and go some nice walks, particularly if it's earlier in pregnancy.

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Speaker 3: It depends what you like. I'm a hiker, but then

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Speaker 3: I want to come home and have a massage. So

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Speaker 3: it depends what you're sort of ntchies. I wouldn't go

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Speaker 3: somewhere where street food's your only option. I think you'd

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Speaker 3: be Let's be really honest. I love beautiful places like

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Speaker 3: Fiji and Barley, the wonderful places to travel. Most of

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Speaker 3: their healthcare is pretty good. Even places like the Philippines

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Speaker 3: have amazing health care. But just make sure you know

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Speaker 3: where it is so that if you do travel on

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Speaker 3: something untoward happens, you have access to adequate healthcare.

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Speaker 4: The toolkit this week is dentist related. I went in

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Speaker 4: and I said to them and then a very lovely

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Speaker 4: dentist and said, look, I'm very sensitive to tastes and

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Speaker 4: smells and everything. And I said, am I allowed to

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Speaker 4: request no fluid treatment because I think I'll vomit?

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Speaker 2: And they said absolutely.

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Speaker 4: And then when they were doing the cavity tests, everything

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Speaker 4: was fine. They've done the check and they'd done the clean.

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Speaker 4: They were doing like the extra polish, and I dry

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Speaker 4: reached like five times and they just went, you know what,

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Speaker 4: we can stop. We don't have to finish it. We've

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Speaker 4: done most about work. It was just a bonus, just

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Speaker 4: come back in six months or whatever. So I think

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Speaker 4: my talk kit is if you're going into any other appointments,

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Speaker 4: you're allowed to request things you don't want or do want,

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Speaker 4: and they were very responsive to that.

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Speaker 3: Yeah, and look, actually think that's a nice time based

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Speaker 3: off what you just said to bring that exact thing up.

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Speaker 3: In pregnancy, you can say no to anything. Ultimately, it's

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Speaker 3: your body. But I think now around the sort of

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Speaker 3: seventeen eight eight week mark is about the time to

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Speaker 3: start sitting down and thinking what actually do you not

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Speaker 3: want and want? Because there are going to be a

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Speaker 3: lot of things that your medical team and we are

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Speaker 3: going to talk about them, are going to ask you

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Speaker 3: or recommend, let's say you do over the next twenty

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Speaker 3: weeks of pregnancy. Most of them you'll be like, yeah, sure,

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Speaker 3: sounds good. Others may might not sit with you morally.

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Speaker 3: So I think it'd be a good thing to know

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Speaker 3: where you sit with it, do your own research, and

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Speaker 3: come really well prepared with those questions to your legal team.

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Speaker 2: We hope you enjoyed this episode of Hello bum.

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Speaker 4: We have so many episodes of this series filled with

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Speaker 4: tips and stories from women and experts who've been through

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Speaker 4: it all before.

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Speaker 3: You can go back and listen to everything else Hello

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Speaker 3: bumb related in this podcast feed.

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Speaker 4: And while you're there, we'd love if you could give

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Speaker 4: us a fine star rating and maybe mave us a review,

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Speaker 4: or even share this episode with a friend.

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Speaker 3: This episode was produced by Courtney Ammenhauser with audio production

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Speaker 3: by Tom Lyon.

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Speaker 1: We'll catch you next time. Bye.

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Speaker 2: This episode of Hello Bump was made in partnership with

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Speaker 2: Huggies