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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. I am pregnanty.

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Speaker 2: Welcome to Hello Bump.

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Speaker 1: We're making pregnancy less overwhelming and more hopefully manageable. I'm gracery,

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Speaker 1: very pregnant for the first time, and I definitely need

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Speaker 1: to pee a lot more.

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Speaker 3: I'm Iana Pittman and I'm thankfully not like that, although

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Speaker 3: after six babies still have to pee fright regularly. I'm

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Speaker 3: a former Olympian, I'm a mother of six, and I'm

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Speaker 3: now training to be an arbeticitrician.

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

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Speaker 1: week by week through the mysterious, perplexing and very nauseating

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Speaker 1: miracle that is pregnancy.

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Speaker 2: Week eight. What size is our baby?

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Speaker 3: I've gone from a blueberry to a raspberry guys this.

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Speaker 1: Week, more like a kidney bean or a baracca tablet

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Speaker 1: boby or a small cockroach, one of those like Sydney

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Speaker 1: ones that are in all the terrace houses.

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Speaker 3: Fourteen to two So any millimeters?

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Speaker 2: So is that a little bigger? We're a bit over

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Speaker 2: a centimeter, yeah, almost two centimeters. That's my math and

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Speaker 2: what is actually happening.

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Speaker 3: Well, this week, their hands are getting little arm bud

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Speaker 3: seat of making getting a bit longer, so we're getting

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Speaker 3: a little bit more development in their limbs. This is

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Speaker 3: one I think is amazing. Their reproductive organs are actually developing,

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Speaker 3: so it's way too early to see what sex they are,

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Speaker 3: so it's all to do with theirs is way beyond

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Speaker 3: but I love this stuff. All to do that with

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Speaker 3: their malaria and duck systems and WOLFI and ducks, which

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Speaker 3: is basically the very early primitive genital organs that will

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Speaker 3: eventually become male or female.

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Speaker 1: I think this was the week that I walked around

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Speaker 1: telling everyone that I was growing my child's clitterance.

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Speaker 2: Yeah, yeah, that's correct. I was like, that's why I'm

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Speaker 2: so tired.

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Speaker 3: But you know, you're already, particularly if it's a little

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Speaker 3: girl for anyone at home, you already have your grandchild

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Speaker 3: inside you as well. She already will be starting to

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Speaker 3: have her own usights, so her own eggs that will

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Speaker 3: obviously then you know, throughout closer to twenty weeks actually

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Speaker 3: have more actual robust development. But it's quite extraordinary to

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Speaker 3: think that as a little woman inside you, she already

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Speaker 3: has the potential to reproduce herself.

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Speaker 2: Women's bodies are actually amazing. That's not what's happening to me.

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Speaker 1: And what is happening to our bodies, well, your usurrus

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Speaker 1: is now the size of a tennis ball, so it's

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Speaker 1: getting bigger. Still can't feel it, though, because we have

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Speaker 1: quite a robust bone, our pubic bone that sits in

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Speaker 1: front of the uterus to protect these early pregnancies. But soon,

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Speaker 1: within a couple of weeks, you'll start feeling like a

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Speaker 1: little lump just above your pubic bone, which will be

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Speaker 1: the growing pregnancy. Your morning sickness is now at its worst,

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Speaker 1: so eight to nine weeks is really the peak of it.

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Speaker 1: And you might even notice your gums are starting to

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Speaker 1: bleed a little bit, so you brush your teeth. You've

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Speaker 1: got pretty good dental hygiene, but for some reason you

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Speaker 1: still end up spitting blood in the sink. My nausea

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Speaker 1: got infinitely worse, and I was vomiting every single day

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Speaker 1: at this point. And I did notice on my flow

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Speaker 1: app to look out for bleeding gums. I didn't get

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Speaker 1: bleeding gums. But why does it happen?

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Speaker 3: Well, the bleeding comes again, just blood volume, So you're

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Speaker 3: increasing more and more and more blood volume, more progesteronderneath you,

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Speaker 3: and it's all getting quite crazy, and so they just

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Speaker 3: leaky capillaries basically. So it's just you've got lots of

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Speaker 3: extra blood circulating around your mouth. You might find you

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Speaker 3: get a bit of a dry mouth, or you might

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Speaker 3: over salivate, which is interesting. It's all again to do

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Speaker 3: with the increase in blood volume and the hormones of pregnancy.

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Speaker 1: Is this normal normal? The nausea is definitely getting worse,

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Speaker 1: and I pretty much can't eat without vomiting first in

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Speaker 1: the morning.

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Speaker 2: Is there anything that can be.

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Speaker 1: Done to stop the vomit before food?

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Speaker 2: And do we know why it happens?

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Speaker 1: Because so many when I google, there's often things that's

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Speaker 1: like there's not enough.

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Speaker 2: Research, or it's your hCG or what do we actually

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Speaker 2: know about what's causing it?

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Speaker 3: Pregnancy unfortunately, and the placenta, and we don't entirely know that.

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Speaker 3: You need to rule out things at this point. So

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Speaker 3: if you're a grossing movielance, yours is bad. Okay, So

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Speaker 3: most women don't get it, thankfully, get it to your level.

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Speaker 3: Yours are starting to border on a lot on what

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Speaker 3: we call hyperremesis gravitam, which we'll go into that a

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Speaker 3: little bit more. But if you are at this point,

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Speaker 3: we need to rule out things like thirel disease, so

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Speaker 3: there's other things in pregnancy that can actually cause you

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Speaker 3: to have severe vomiting. Again, if you hadn't have your

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Speaker 3: dating scent, twins do it, so you need to make

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Speaker 3: sure we're only hurrying one BEBT. But if those things

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Speaker 3: have been ruled out and it just is nausea and

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Speaker 3: vomiting in pregnancy, which is what we call it at

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Speaker 3: this point, before it's given the HG sort of logo

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Speaker 3: or tag, it's time to start thinking about what you

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Speaker 3: can do naturally. Now, I know we said last episode

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Speaker 3: you don't like the ginger, so we'll leave that one,

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Speaker 3: but give that sort of thing a go. Increasing your

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Speaker 3: fibers small and frequent meals what you kind of suggested before.

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Speaker 3: Some crackers and things like that can help. Then you

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Speaker 3: need to start thinking, right, none of that stuff is working.

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Speaker 3: I need to see a health professional, probably your GP

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Speaker 3: at this point, and start thinking about things like what

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Speaker 3: we call an antiemetic, so that is maxillon or in danzatron.

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Speaker 3: There are two medications we know are really safe in pregnancy,

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Speaker 3: which are anti nausea medication, we need to also be careful.

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Speaker 3: There's a caveat there on Danztron makes you constempated, so

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Speaker 3: the last thing you need is to be vomiting and constipated.

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Speaker 3: Not a great combination, and you end up with hemrhoids

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Speaker 3: as well, So no thank you. So if you're going

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Speaker 3: to take one of these medications, you also need to

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Speaker 3: take a laxative. So like movercole colosal. Coloxil's good, not

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Speaker 3: center just the coloxal on its own, no center in

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Speaker 3: pregnancy and.

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Speaker 2: Reflux makes it worse.

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Speaker 3: And lots of women with high premises or with vomiting

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Speaker 3: a naisur in pregnancy need a PPI as well. So

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Speaker 3: that is basically you know you're over the counter. Remy's great.

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Speaker 3: Rennies are great, but sometimes you need something a little stronger,

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Speaker 3: and we actually give you a mep resole, which is

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Speaker 3: a medication, so it's a doctor prescribed medication that can

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Speaker 3: help with the acid because if you're vomiting and vomiting vomnity,

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Speaker 3: the acid just keeps coming right up eu esophagus triggers

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Speaker 3: the vomiting all over again, and then you're through and

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Speaker 3: through a cycle. So I think we're talking pretty severe here.

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Speaker 3: It can even get to the point, and it's usually

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Speaker 3: around thirteen or fourteen weeks when it's getting really severe

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Speaker 3: that we can consider things like corticosteroids. So there are

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Speaker 3: lots of things, lots of things that we can do

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Speaker 3: to help you, but the bravery needs to be that

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Speaker 3: you come forward about it. It is not just nauture

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Speaker 3: and vomiting in pregnancy. It is okay. My own best

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Speaker 3: friend she had such severe high premises and I am

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Speaker 3: an obstetrician trainee, and she didn't tell me. She was

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Speaker 3: so embarrassed that I'm not going to complain about this symptom.

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Speaker 3: It's normal in pregnancy. I'm so lucky to be pregnant. Absolutely, No,

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Speaker 3: that's not the way we can We we need to

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Speaker 3: walk about this space. And I sat with this incredible

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Speaker 3: women because we admit women. So if you're dropping weight,

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Speaker 3: unable to eat food, oral or drink water, you actually

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Speaker 3: need to go to ED and sometimes we leave it

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Speaker 3: and admit you during this point to give you IV

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Speaker 3: fluids and to give you IV maxillon, so to actually

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Speaker 3: give you IV anti auto medication to try and just

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Speaker 3: get you through this chapter. And I met this incredible

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Speaker 3: woman who was sitting there. It was an IVF pregnancy,

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Speaker 3: six rounds of IVF. She was beside herself and she

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Speaker 3: just said, I so badly want a termination. And it

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Speaker 3: was the voicing it that she broke down in tears

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Speaker 3: and then horrified by the fact that she'd even suggested it.

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Speaker 3: That's normal.

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Speaker 1: It's so important to speak about this because it does

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Speaker 1: go dark, because you're not feeling like yourself. Everything is

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Speaker 1: so much harder. The way I describe it is actually

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Speaker 1: like it makes me feel emotional thinking about it. Is

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Speaker 1: you just every day it's like you just get through

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Speaker 1: it and you go, oh, okay, I've done that day,

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Speaker 1: thank God, and then you wake up and you just

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Speaker 1: start it all over again and there's no reprieve and

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Speaker 1: you're trying all of these different things. And I went

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Speaker 1: to my GP and we talk about what the difference

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Speaker 1: between hyperameseses. And obviously this was probably a bit too

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Speaker 1: early because I wasn't vomiting more than three times, because

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Speaker 1: I could hold down water, I didn't classify as being

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Speaker 1: in hypperameses and people with hyperamesses can vomit up to

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Speaker 1: twenty even more times.

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Speaker 2: A day, which is horrific.

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Speaker 1: So I wasn't that and I could hold down water,

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Speaker 1: so they wouldn't prescribe any stronger medication for me. I

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Speaker 1: got some of the sorry, the safe for I want

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Speaker 1: B six.

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Speaker 2: I got B six rest of it.

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Speaker 1: Which you're going to sellamine, which you're going to talk

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Speaker 1: about and what that actually does. But it was try

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Speaker 1: rest of it one anti nausea medication. But the darkness

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Speaker 1: is very real where I would have preferred a miscarriage

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Speaker 1: at those at that point.

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Speaker 3: Yeah, and I think that's more common, and we need

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Speaker 3: to acknowledge that. It doesn't mean you're not going to

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Speaker 3: take those steps, although some women we actually advise to

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Speaker 3: do so, to actually end the pregnancy because they are

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Speaker 3: so unwell. Because if your electrolytes go completely bonkers, you

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Speaker 3: get heart a rhythmeres and things. This is a serious

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Speaker 3: condition that gets swept under the rug more often, not

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Speaker 3: from you know, decades and decades of women's problems as

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Speaker 3: being swept under the rug as normal. It's not normal,

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Speaker 3: it's common, so we need to change the language around

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Speaker 3: it's a common symptom in pregnancy. It's not a normal

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Speaker 3: symptom of life, and no one you know, look at

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Speaker 3: talk to cancer patients. We take their symptoms seriously because

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Speaker 3: they have nausio and in vomiting associated to chemotherapy. But

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Speaker 3: it's not the same in pregnancy. And it's also because

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Speaker 3: it comes with a lump of pregnancy is not a disease,

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Speaker 3: you know, it's a well woman's problem. And it's like, well,

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Speaker 3: it's not a problem either. We've got to really change

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Speaker 3: the language around this space because for the women that

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Speaker 3: do suffer it, it is absolutely like yourself, debilitating and tear

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Speaker 3: jerking and often stops people from trying for a second trial.

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Speaker 3: But I think the thing with it is is that's

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Speaker 3: why I wanted to talk to you about this in

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Speaker 3: week eight. Like you know, most of the time we

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Speaker 3: don't diagnose high premises till several months later, you know,

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Speaker 3: twelve thirteen weeks, or when it's not going away at

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Speaker 3: fifteen or sixteen weeks too late. So particularly if you

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Speaker 3: decigrace to have a second pregnancy, we need you on

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Speaker 3: these medications early. Now. I will never dish what another

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Speaker 3: you know, gynocologist obstetrician or GP says, we use it

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Speaker 3: don't laugh, ladies. A puke e score. This is what

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Speaker 3: we use to diagnose high paramesis puke. It's p uq,

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Speaker 3: not puke as in sorry to the end of ladies.

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Speaker 2: Sorry.

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Speaker 3: But basically, it looks at how many times you vomit,

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Speaker 3: how nauseous you are, how many hours of nausea you

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Speaker 3: have a day, and how often you wretch. So even

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Speaker 3: if you're not vomiting, you can score points in the

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Speaker 3: nausea and the wretching. So I feel like if I

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Speaker 3: went back and did your pink score, you would probably

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Speaker 3: be hypermesses. And the other thing is that these medications

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Speaker 3: are safe in pregnancy, so why not, Yeah, why not

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Speaker 3: try and find some repeat for someone who's even if

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Speaker 3: they're only vomiting twice a day. I don't know, but

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Speaker 3: I actually would prefer to vomit then feel nauseous, because

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Speaker 3: you get that least reprieve after having a vomit where

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Speaker 3: you're like, oh god, I've got half an hour I'm

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Speaker 3: not feeling nauseous.

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Speaker 1: Yeah, and that's but sometimes that half an hour is

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Speaker 1: all you need to give you a break, a break

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Speaker 1: from the waves.

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Speaker 3: Exactly, and you took rest of it and then you

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Speaker 3: do feel like it makes a difference the next day?

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Speaker 1: Correct when you I can feel the difference if I

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Speaker 1: haven't taken it, Because then I I got in my

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Speaker 1: head about it because it's the rest of it is

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Speaker 1: a sleeping aid and an anti estamine and a sleeping aid.

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Speaker 2: I was like, oh, I shouldn't be taking this.

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Speaker 1: So if I wasn't feeling like if my nausea was

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Speaker 1: like a five out of ten instead of a nine

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Speaker 1: out of ten, I was like, I probably don't need it.

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Speaker 1: But then the next day I would notice the difference

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Speaker 1: if I hadn't had.

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Speaker 2: It exactly, So why not give it a go earlier?

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Speaker 3: So the things we need is a PPI so you

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Speaker 3: needed something for your reflux like on ameprozol. You need

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Speaker 3: an anti medic, so your maxilloni on danceatron. I also

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Speaker 3: want you to take a laxative, okay, and then vitamin

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Speaker 3: B six. We call it pyrodoxceine, so it's got a

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Speaker 3: medical name and I can never actually pronounce that right,

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Speaker 3: and my boss has always laugh me. So it's p

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Speaker 3: y R d O x I n E Okay, So

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Speaker 3: if I pronounce it wrong, you can at least get

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Speaker 3: it right from aout actual perspective and the rest of it,

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Speaker 3: which is doxelamine. So we also sometimes do plus or

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Speaker 3: minus and antihistamine so like primethazine. So there's lots of

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Speaker 3: those things. All sounds are very zen.

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Speaker 1: You know.

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Speaker 3: It's in words and medical terms. There's actually wonderful guidelines

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Speaker 3: in this space. All hospitals have them. So it's just

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Speaker 3: if you don't get the right answer from the current doctor,

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Speaker 3: seek help. Okay, it's not got to be like this.

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Speaker 1: My toolkit for this week is like I was a

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Speaker 1: big gym person and I couldn't go to classes anymore

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Speaker 1: because the mornings were always the worst for me. But

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Speaker 1: I just switched to walks, and I guess any form

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Speaker 1: of cardio is better than nothing.

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Speaker 3: I'm guessing one hundred percent, even a little walk for

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Speaker 3: twenty minutes a day out in the fresh air. Those

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Speaker 3: smells out there are less smells out there. The endorphins

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Speaker 3: and the adrenaline you get from it and a light

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Speaker 3: walk is it's more about your emotions and your mood. Okay,

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Speaker 3: it's not going to help you. Wait, and who cares

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Speaker 3: in this point in pregnancy. You know I stressed about it,

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Speaker 3: as you can imagine more than average because my job

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Speaker 3: was to be an athlete. So when I couldn't train

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Speaker 3: for the first few weeks of pregnancy, I lost the plot, thinking, Oh,

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Speaker 3: that's the end of my career. I'm going to retire,

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Speaker 3: I'm never going to get back. Just is not necessary

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Speaker 3: to concern yourself with that. Pregnancy is a short time

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Speaker 3: in life, and you can get back to full fitness

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Speaker 3: several months after pregnancy. It's right now is not the

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Speaker 3: time to be worrying about where where your heart health is.

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Speaker 3: It's about your baby and your mental status.

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Speaker 1: All right, Well, oh, I definitely needed to hear that,

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Speaker 1: But we need to wrap this episode because I actually

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Speaker 1: need to wait. Yes, we hope you and we read

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

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Speaker 1: of this series filled with tips and stories from women

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Speaker 1: and experts who've been through 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: 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 3: This episode was produced by Courtney Ammenhauser with audio production

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Speaker 3: by Tom Lyon. We'll catch you next time.

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Speaker 1: This episode of Hello Bump was made in partnership with Huggies.

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Speaker 2: Bye Bye