Speaker 1: You're listening to a Muma Mia podcast. Mom and Maya
Speaker 1: acknowledges the traditional owners of land and waters that this
Speaker 1: podcast is recorded on. I am pregnanty.
Speaker 2: Welcome to Hello Bump.
Speaker 1: We're making pregnancy less overwhelming and more hopefully manageable. I'm gracery,
Speaker 1: very pregnant for the first time, and I definitely need
Speaker 1: to pee a lot more.
Speaker 3: I'm Iana Pittman and I'm thankfully not like that, although
Speaker 3: after six babies still have to pee fright regularly. I'm
Speaker 3: a former Olympian, I'm a mother of six, and I'm
Speaker 3: now training to be an arbeticitrician.
Speaker 1: Each episode, Deanna and I will be holding your hand
Speaker 1: week by week through the mysterious, perplexing and very nauseating
Speaker 1: miracle that is pregnancy.
Speaker 2: Week eight. What size is our baby?
Speaker 3: I've gone from a blueberry to a raspberry guys this.
Speaker 1: Week, more like a kidney bean or a baracca tablet
Speaker 1: boby or a small cockroach, one of those like Sydney
Speaker 1: ones that are in all the terrace houses.
Speaker 3: Fourteen to two So any millimeters?
Speaker 2: So is that a little bigger? We're a bit over
Speaker 2: a centimeter, yeah, almost two centimeters. That's my math and
Speaker 2: what is actually happening.
Speaker 3: Well, this week, their hands are getting little arm bud
Speaker 3: seat of making getting a bit longer, so we're getting
Speaker 3: a little bit more development in their limbs. This is
Speaker 3: one I think is amazing. Their reproductive organs are actually developing,
Speaker 3: so it's way too early to see what sex they are,
Speaker 3: so it's all to do with theirs is way beyond
Speaker 3: but I love this stuff. All to do that with
Speaker 3: their malaria and duck systems and WOLFI and ducks, which
Speaker 3: is basically the very early primitive genital organs that will
Speaker 3: eventually become male or female.
Speaker 1: I think this was the week that I walked around
Speaker 1: telling everyone that I was growing my child's clitterance.
Speaker 2: Yeah, yeah, that's correct. I was like, that's why I'm
Speaker 2: so tired.
Speaker 3: But you know, you're already, particularly if it's a little
Speaker 3: girl for anyone at home, you already have your grandchild
Speaker 3: inside you as well. She already will be starting to
Speaker 3: have her own usights, so her own eggs that will
Speaker 3: obviously then you know, throughout closer to twenty weeks actually
Speaker 3: have more actual robust development. But it's quite extraordinary to
Speaker 3: think that as a little woman inside you, she already
Speaker 3: has the potential to reproduce herself.
Speaker 2: Women's bodies are actually amazing. That's not what's happening to me.
Speaker 1: And what is happening to our bodies, well, your usurrus
Speaker 1: is now the size of a tennis ball, so it's
Speaker 1: getting bigger. Still can't feel it, though, because we have
Speaker 1: quite a robust bone, our pubic bone that sits in
Speaker 1: front of the uterus to protect these early pregnancies. But soon,
Speaker 1: within a couple of weeks, you'll start feeling like a
Speaker 1: little lump just above your pubic bone, which will be
Speaker 1: the growing pregnancy. Your morning sickness is now at its worst,
Speaker 1: so eight to nine weeks is really the peak of it.
Speaker 1: And you might even notice your gums are starting to
Speaker 1: bleed a little bit, so you brush your teeth. You've
Speaker 1: got pretty good dental hygiene, but for some reason you
Speaker 1: still end up spitting blood in the sink. My nausea
Speaker 1: got infinitely worse, and I was vomiting every single day
Speaker 1: at this point. And I did notice on my flow
Speaker 1: app to look out for bleeding gums. I didn't get
Speaker 1: bleeding gums. But why does it happen?
Speaker 3: Well, the bleeding comes again, just blood volume, So you're
Speaker 3: increasing more and more and more blood volume, more progesteronderneath you,
Speaker 3: and it's all getting quite crazy, and so they just
Speaker 3: leaky capillaries basically. So it's just you've got lots of
Speaker 3: extra blood circulating around your mouth. You might find you
Speaker 3: get a bit of a dry mouth, or you might
Speaker 3: over salivate, which is interesting. It's all again to do
Speaker 3: with the increase in blood volume and the hormones of pregnancy.
Speaker 1: Is this normal normal? The nausea is definitely getting worse,
Speaker 1: and I pretty much can't eat without vomiting first in
Speaker 1: the morning.
Speaker 2: Is there anything that can be.
Speaker 1: Done to stop the vomit before food?
Speaker 2: And do we know why it happens?
Speaker 1: Because so many when I google, there's often things that's
Speaker 1: like there's not enough.
Speaker 2: Research, or it's your hCG or what do we actually
Speaker 2: know about what's causing it?
Speaker 3: Pregnancy unfortunately, and the placenta, and we don't entirely know that.
Speaker 3: You need to rule out things at this point. So
Speaker 3: if you're a grossing movielance, yours is bad. Okay, So
Speaker 3: most women don't get it, thankfully, get it to your level.
Speaker 3: Yours are starting to border on a lot on what
Speaker 3: we call hyperremesis gravitam, which we'll go into that a
Speaker 3: little bit more. But if you are at this point,
Speaker 3: we need to rule out things like thirel disease, so
Speaker 3: there's other things in pregnancy that can actually cause you
Speaker 3: to have severe vomiting. Again, if you hadn't have your
Speaker 3: dating scent, twins do it, so you need to make
Speaker 3: sure we're only hurrying one BEBT. But if those things
Speaker 3: have been ruled out and it just is nausea and
Speaker 3: vomiting in pregnancy, which is what we call it at
Speaker 3: this point, before it's given the HG sort of logo
Speaker 3: or tag, it's time to start thinking about what you
Speaker 3: can do naturally. Now, I know we said last episode
Speaker 3: you don't like the ginger, so we'll leave that one,
Speaker 3: but give that sort of thing a go. Increasing your
Speaker 3: fibers small and frequent meals what you kind of suggested before.
Speaker 3: Some crackers and things like that can help. Then you
Speaker 3: need to start thinking, right, none of that stuff is working.
Speaker 3: I need to see a health professional, probably your GP
Speaker 3: at this point, and start thinking about things like what
Speaker 3: we call an antiemetic, so that is maxillon or in danzatron.
Speaker 3: There are two medications we know are really safe in pregnancy,
Speaker 3: which are anti nausea medication, we need to also be careful.
Speaker 3: There's a caveat there on Danztron makes you constempated, so
Speaker 3: the last thing you need is to be vomiting and constipated.
Speaker 3: Not a great combination, and you end up with hemrhoids
Speaker 3: as well, So no thank you. So if you're going
Speaker 3: to take one of these medications, you also need to
Speaker 3: take a laxative. So like movercole colosal. Coloxil's good, not
Speaker 3: center just the coloxal on its own, no center in
Speaker 3: pregnancy and.
Speaker 2: Reflux makes it worse.
Speaker 3: And lots of women with high premises or with vomiting
Speaker 3: a naisur in pregnancy need a PPI as well. So
Speaker 3: that is basically you know you're over the counter. Remy's great.
Speaker 3: Rennies are great, but sometimes you need something a little stronger,
Speaker 3: and we actually give you a mep resole, which is
Speaker 3: a medication, so it's a doctor prescribed medication that can
Speaker 3: help with the acid because if you're vomiting and vomiting vomnity,
Speaker 3: the acid just keeps coming right up eu esophagus triggers
Speaker 3: the vomiting all over again, and then you're through and
Speaker 3: through a cycle. So I think we're talking pretty severe here.
Speaker 3: It can even get to the point, and it's usually
Speaker 3: around thirteen or fourteen weeks when it's getting really severe
Speaker 3: that we can consider things like corticosteroids. So there are
Speaker 3: lots of things, lots of things that we can do
Speaker 3: to help you, but the bravery needs to be that
Speaker 3: you come forward about it. It is not just nauture
Speaker 3: and vomiting in pregnancy. It is okay. My own best
Speaker 3: friend she had such severe high premises and I am
Speaker 3: an obstetrician trainee, and she didn't tell me. She was
Speaker 3: so embarrassed that I'm not going to complain about this symptom.
Speaker 3: It's normal in pregnancy. I'm so lucky to be pregnant. Absolutely, No,
Speaker 3: that's not the way we can We we need to
Speaker 3: walk about this space. And I sat with this incredible
Speaker 3: women because we admit women. So if you're dropping weight,
Speaker 3: unable to eat food, oral or drink water, you actually
Speaker 3: need to go to ED and sometimes we leave it
Speaker 3: and admit you during this point to give you IV
Speaker 3: fluids and to give you IV maxillon, so to actually
Speaker 3: give you IV anti auto medication to try and just
Speaker 3: get you through this chapter. And I met this incredible
Speaker 3: woman who was sitting there. It was an IVF pregnancy,
Speaker 3: six rounds of IVF. She was beside herself and she
Speaker 3: just said, I so badly want a termination. And it
Speaker 3: was the voicing it that she broke down in tears
Speaker 3: and then horrified by the fact that she'd even suggested it.
Speaker 3: That's normal.
Speaker 1: It's so important to speak about this because it does
Speaker 1: go dark, because you're not feeling like yourself. Everything is
Speaker 1: so much harder. The way I describe it is actually
Speaker 1: like it makes me feel emotional thinking about it. Is
Speaker 1: you just every day it's like you just get through
Speaker 1: it and you go, oh, okay, I've done that day,
Speaker 1: thank God, and then you wake up and you just
Speaker 1: start it all over again and there's no reprieve and
Speaker 1: you're trying all of these different things. And I went
Speaker 1: to my GP and we talk about what the difference
Speaker 1: between hyperameseses. And obviously this was probably a bit too
Speaker 1: early because I wasn't vomiting more than three times, because
Speaker 1: I could hold down water, I didn't classify as being
Speaker 1: in hypperameses and people with hyperamesses can vomit up to
Speaker 1: twenty even more times.
Speaker 2: A day, which is horrific.
Speaker 1: So I wasn't that and I could hold down water,
Speaker 1: so they wouldn't prescribe any stronger medication for me. I
Speaker 1: got some of the sorry, the safe for I want
Speaker 1: B six.
Speaker 2: I got B six rest of it.
Speaker 1: Which you're going to sellamine, which you're going to talk
Speaker 1: about and what that actually does. But it was try
Speaker 1: rest of it one anti nausea medication. But the darkness
Speaker 1: is very real where I would have preferred a miscarriage
Speaker 1: at those at that point.
Speaker 3: Yeah, and I think that's more common, and we need
Speaker 3: to acknowledge that. It doesn't mean you're not going to
Speaker 3: take those steps, although some women we actually advise to
Speaker 3: do so, to actually end the pregnancy because they are
Speaker 3: so unwell. Because if your electrolytes go completely bonkers, you
Speaker 3: get heart a rhythmeres and things. This is a serious
Speaker 3: condition that gets swept under the rug more often, not
Speaker 3: from you know, decades and decades of women's problems as
Speaker 3: being swept under the rug as normal. It's not normal,
Speaker 3: it's common, so we need to change the language around
Speaker 3: it's a common symptom in pregnancy. It's not a normal
Speaker 3: symptom of life, and no one you know, look at
Speaker 3: talk to cancer patients. We take their symptoms seriously because
Speaker 3: they have nausio and in vomiting associated to chemotherapy. But
Speaker 3: it's not the same in pregnancy. And it's also because
Speaker 3: it comes with a lump of pregnancy is not a disease,
Speaker 3: you know, it's a well woman's problem. And it's like, well,
Speaker 3: it's not a problem either. We've got to really change
Speaker 3: the language around this space because for the women that
Speaker 3: do suffer it, it is absolutely like yourself, debilitating and tear
Speaker 3: jerking and often stops people from trying for a second trial.
Speaker 3: But I think the thing with it is is that's
Speaker 3: why I wanted to talk to you about this in
Speaker 3: week eight. Like you know, most of the time we
Speaker 3: don't diagnose high premises till several months later, you know,
Speaker 3: twelve thirteen weeks, or when it's not going away at
Speaker 3: fifteen or sixteen weeks too late. So particularly if you
Speaker 3: decigrace to have a second pregnancy, we need you on
Speaker 3: these medications early. Now. I will never dish what another
Speaker 3: you know, gynocologist obstetrician or GP says, we use it
Speaker 3: don't laugh, ladies. A puke e score. This is what
Speaker 3: we use to diagnose high paramesis puke. It's p uq,
Speaker 3: not puke as in sorry to the end of ladies.
Speaker 2: Sorry.
Speaker 3: But basically, it looks at how many times you vomit,
Speaker 3: how nauseous you are, how many hours of nausea you
Speaker 3: have a day, and how often you wretch. So even
Speaker 3: if you're not vomiting, you can score points in the
Speaker 3: nausea and the wretching. So I feel like if I
Speaker 3: went back and did your pink score, you would probably
Speaker 3: be hypermesses. And the other thing is that these medications
Speaker 3: are safe in pregnancy, so why not, Yeah, why not
Speaker 3: try and find some repeat for someone who's even if
Speaker 3: they're only vomiting twice a day. I don't know, but
Speaker 3: I actually would prefer to vomit then feel nauseous, because
Speaker 3: you get that least reprieve after having a vomit where
Speaker 3: you're like, oh god, I've got half an hour I'm
Speaker 3: not feeling nauseous.
Speaker 1: Yeah, and that's but sometimes that half an hour is
Speaker 1: all you need to give you a break, a break
Speaker 1: from the waves.
Speaker 3: Exactly, and you took rest of it and then you
Speaker 3: do feel like it makes a difference the next day?
Speaker 1: Correct when you I can feel the difference if I
Speaker 1: haven't taken it, Because then I I got in my
Speaker 1: head about it because it's the rest of it is
Speaker 1: a sleeping aid and an anti estamine and a sleeping aid.
Speaker 2: I was like, oh, I shouldn't be taking this.
Speaker 1: So if I wasn't feeling like if my nausea was
Speaker 1: like a five out of ten instead of a nine
Speaker 1: out of ten, I was like, I probably don't need it.
Speaker 1: But then the next day I would notice the difference
Speaker 1: if I hadn't had.
Speaker 2: It exactly, So why not give it a go earlier?
Speaker 3: So the things we need is a PPI so you
Speaker 3: needed something for your reflux like on ameprozol. You need
Speaker 3: an anti medic, so your maxilloni on danceatron. I also
Speaker 3: want you to take a laxative, okay, and then vitamin
Speaker 3: B six. We call it pyrodoxceine, so it's got a
Speaker 3: medical name and I can never actually pronounce that right,
Speaker 3: and my boss has always laugh me. So it's p
Speaker 3: y R d O x I n E Okay, So
Speaker 3: if I pronounce it wrong, you can at least get
Speaker 3: it right from aout actual perspective and the rest of it,
Speaker 3: which is doxelamine. So we also sometimes do plus or
Speaker 3: minus and antihistamine so like primethazine. So there's lots of
Speaker 3: those things. All sounds are very zen.
Speaker 1: You know.
Speaker 3: It's in words and medical terms. There's actually wonderful guidelines
Speaker 3: in this space. All hospitals have them. So it's just
Speaker 3: if you don't get the right answer from the current doctor,
Speaker 3: seek help. Okay, it's not got to be like this.
Speaker 1: My toolkit for this week is like I was a
Speaker 1: big gym person and I couldn't go to classes anymore
Speaker 1: because the mornings were always the worst for me. But
Speaker 1: I just switched to walks, and I guess any form
Speaker 1: of cardio is better than nothing.
Speaker 3: I'm guessing one hundred percent, even a little walk for
Speaker 3: twenty minutes a day out in the fresh air. Those
Speaker 3: smells out there are less smells out there. The endorphins
Speaker 3: and the adrenaline you get from it and a light
Speaker 3: walk is it's more about your emotions and your mood. Okay,
Speaker 3: it's not going to help you. Wait, and who cares
Speaker 3: in this point in pregnancy. You know I stressed about it,
Speaker 3: as you can imagine more than average because my job
Speaker 3: was to be an athlete. So when I couldn't train
Speaker 3: for the first few weeks of pregnancy, I lost the plot, thinking, Oh,
Speaker 3: that's the end of my career. I'm going to retire,
Speaker 3: I'm never going to get back. Just is not necessary
Speaker 3: to concern yourself with that. Pregnancy is a short time
Speaker 3: in life, and you can get back to full fitness
Speaker 3: several months after pregnancy. It's right now is not the
Speaker 3: time to be worrying about where where your heart health is.
Speaker 3: It's about your baby and your mental status.
Speaker 1: All right, Well, oh, I definitely needed to hear that,
Speaker 1: But we need to wrap this episode because I actually
Speaker 1: need to wait. Yes, we hope you and we read
Speaker 1: this episode of Hello Bump. We have so many episodes
Speaker 1: of this series filled with tips and stories from women
Speaker 1: and experts who've been through it all before.
Speaker 3: You can go back and listen to everything else Hello
Speaker 3: Bump related in this podcast.
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Speaker 3: This episode was produced by Courtney Ammenhauser with audio production
Speaker 3: by Tom Lyon. We'll catch you next time.
Speaker 1: This episode of Hello Bump was made in partnership with Huggies.
Speaker 2: Bye Bye