WEBVTT - Week 8: Morning Sickness Vs. HG — How Much Nausea Is Normal?

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<v Speaker 1>You're listening to a Muma Mia podcast. Mom and Maya

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<v Speaker 1>acknowledges the traditional owners of land and waters that this

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<v Speaker 1>podcast is recorded on. I am pregnanty.

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<v Speaker 2>Welcome to Hello Bump.

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

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<v Speaker 1>very pregnant for the first time, and I definitely need

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<v Speaker 1>to pee a lot more.

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<v Speaker 3>I'm Iana Pittman and I'm thankfully not like that, although

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<v Speaker 3>after six babies still have to pee fright regularly. I'm

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<v Speaker 3>a former Olympian, I'm a mother of six, and I'm

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<v Speaker 3>now training to be an arbeticitrician.

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<v Speaker 1>Each episode, Deanna and I will be holding your hand

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<v Speaker 1>week by week through the mysterious, perplexing and very nauseating

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<v Speaker 1>miracle that is pregnancy.

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<v Speaker 2>Week eight. What size is our baby?

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<v Speaker 3>I've gone from a blueberry to a raspberry guys this.

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<v Speaker 1>Week, more like a kidney bean or a baracca tablet

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<v Speaker 1>boby or a small cockroach, one of those like Sydney

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<v Speaker 1>ones that are in all the terrace houses.

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<v Speaker 3>Fourteen to two So any millimeters?

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<v Speaker 2>So is that a little bigger? We're a bit over

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

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<v Speaker 2>what is actually happening.

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<v Speaker 3>Well, this week, their hands are getting little arm bud

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<v Speaker 3>seat of making getting a bit longer, so we're getting

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<v Speaker 3>a little bit more development in their limbs. This is

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<v Speaker 3>one I think is amazing. Their reproductive organs are actually developing,

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

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<v Speaker 3>so it's all to do with theirs is way beyond

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<v Speaker 3>but I love this stuff. All to do that with

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<v Speaker 3>their malaria and duck systems and WOLFI and ducks, which

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<v Speaker 3>is basically the very early primitive genital organs that will

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<v Speaker 3>eventually become male or female.

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<v Speaker 1>I think this was the week that I walked around

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<v Speaker 1>telling everyone that I was growing my child's clitterance.

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<v Speaker 2>Yeah, yeah, that's correct. I was like, that's why I'm

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<v Speaker 2>so tired.

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<v Speaker 3>But you know, you're already, particularly if it's a little

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<v Speaker 3>girl for anyone at home, you already have your grandchild

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<v Speaker 3>inside you as well. She already will be starting to

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<v Speaker 3>have her own usights, so her own eggs that will

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<v Speaker 3>obviously then you know, throughout closer to twenty weeks actually

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<v Speaker 3>have more actual robust development. But it's quite extraordinary to

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<v Speaker 3>think that as a little woman inside you, she already

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<v Speaker 3>has the potential to reproduce herself.

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

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<v Speaker 1>And what is happening to our bodies, well, your usurrus

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<v Speaker 1>is now the size of a tennis ball, so it's

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

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<v Speaker 1>quite a robust bone, our pubic bone that sits in

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<v Speaker 1>front of the uterus to protect these early pregnancies. But soon,

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<v Speaker 1>within a couple of weeks, you'll start feeling like a

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<v Speaker 1>little lump just above your pubic bone, which will be

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<v Speaker 1>the growing pregnancy. Your morning sickness is now at its worst,

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<v Speaker 1>so eight to nine weeks is really the peak of it.

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<v Speaker 1>And you might even notice your gums are starting to

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

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<v Speaker 1>got pretty good dental hygiene, but for some reason you

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<v Speaker 1>still end up spitting blood in the sink. My nausea

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<v Speaker 1>got infinitely worse, and I was vomiting every single day

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<v Speaker 1>at this point. And I did notice on my flow

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<v Speaker 1>app to look out for bleeding gums. I didn't get

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<v Speaker 1>bleeding gums. But why does it happen?

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<v Speaker 3>Well, the bleeding comes again, just blood volume, So you're

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<v Speaker 3>increasing more and more and more blood volume, more progesteronderneath you,

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<v Speaker 3>and it's all getting quite crazy, and so they just

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

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<v Speaker 3>extra blood circulating around your mouth. You might find you

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<v Speaker 3>get a bit of a dry mouth, or you might

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

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<v Speaker 3>with the increase in blood volume and the hormones of pregnancy.

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<v Speaker 1>Is this normal normal? The nausea is definitely getting worse,

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<v Speaker 1>and I pretty much can't eat without vomiting first in

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<v Speaker 1>the morning.

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<v Speaker 2>Is there anything that can be.

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<v Speaker 1>Done to stop the vomit before food?

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<v Speaker 2>And do we know why it happens?

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<v Speaker 1>Because so many when I google, there's often things that's

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<v Speaker 1>like there's not enough.

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<v Speaker 2>Research, or it's your hCG or what do we actually

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<v Speaker 2>know about what's causing it?

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

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<v Speaker 3>You need to rule out things at this point. So

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

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<v Speaker 3>most women don't get it, thankfully, get it to your level.

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<v Speaker 3>Yours are starting to border on a lot on what

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<v Speaker 3>we call hyperremesis gravitam, which we'll go into that a

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<v Speaker 3>little bit more. But if you are at this point,

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<v Speaker 3>we need to rule out things like thirel disease, so

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<v Speaker 3>there's other things in pregnancy that can actually cause you

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<v Speaker 3>to have severe vomiting. Again, if you hadn't have your

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<v Speaker 3>dating scent, twins do it, so you need to make

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<v Speaker 3>sure we're only hurrying one BEBT. But if those things

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<v Speaker 3>have been ruled out and it just is nausea and

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<v Speaker 3>vomiting in pregnancy, which is what we call it at

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<v Speaker 3>this point, before it's given the HG sort of logo

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<v Speaker 3>or tag, it's time to start thinking about what you

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<v Speaker 3>can do naturally. Now, I know we said last episode

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

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<v Speaker 3>but give that sort of thing a go. Increasing your

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<v Speaker 3>fibers small and frequent meals what you kind of suggested before.

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<v Speaker 3>Some crackers and things like that can help. Then you

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<v Speaker 3>need to start thinking, right, none of that stuff is working.

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<v Speaker 3>I need to see a health professional, probably your GP

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<v Speaker 3>at this point, and start thinking about things like what

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<v Speaker 3>we call an antiemetic, so that is maxillon or in danzatron.

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<v Speaker 3>There are two medications we know are really safe in pregnancy,

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<v Speaker 3>which are anti nausea medication, we need to also be careful.

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<v Speaker 3>There's a caveat there on Danztron makes you constempated, so

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<v Speaker 3>the last thing you need is to be vomiting and constipated.

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<v Speaker 3>Not a great combination, and you end up with hemrhoids

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<v Speaker 3>as well, So no thank you. So if you're going

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<v Speaker 3>to take one of these medications, you also need to

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

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<v Speaker 3>center just the coloxal on its own, no center in

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<v Speaker 3>pregnancy and.

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<v Speaker 2>Reflux makes it worse.

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<v Speaker 3>And lots of women with high premises or with vomiting

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<v Speaker 3>a naisur in pregnancy need a PPI as well. So

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

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<v Speaker 3>Rennies are great, but sometimes you need something a little stronger,

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<v Speaker 3>and we actually give you a mep resole, which is

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<v Speaker 3>a medication, so it's a doctor prescribed medication that can

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<v Speaker 3>help with the acid because if you're vomiting and vomiting vomnity,

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<v Speaker 3>the acid just keeps coming right up eu esophagus triggers

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<v Speaker 3>the vomiting all over again, and then you're through and

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

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<v Speaker 3>It can even get to the point, and it's usually

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<v Speaker 3>around thirteen or fourteen weeks when it's getting really severe

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<v Speaker 3>that we can consider things like corticosteroids. So there are

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<v Speaker 3>lots of things, lots of things that we can do

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<v Speaker 3>to help you, but the bravery needs to be that

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<v Speaker 3>you come forward about it. It is not just nauture

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<v Speaker 3>and vomiting in pregnancy. It is okay. My own best

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<v Speaker 3>friend she had such severe high premises and I am

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

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

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

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<v Speaker 3>that's not the way we can We we need to

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<v Speaker 3>walk about this space. And I sat with this incredible

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<v Speaker 3>women because we admit women. So if you're dropping weight,

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<v Speaker 3>unable to eat food, oral or drink water, you actually

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<v Speaker 3>need to go to ED and sometimes we leave it

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<v Speaker 3>and admit you during this point to give you IV

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<v Speaker 3>fluids and to give you IV maxillon, so to actually

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<v Speaker 3>give you IV anti auto medication to try and just

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<v Speaker 3>get you through this chapter. And I met this incredible

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<v Speaker 3>woman who was sitting there. It was an IVF pregnancy,

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<v Speaker 3>six rounds of IVF. She was beside herself and she

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<v Speaker 3>just said, I so badly want a termination. And it

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<v Speaker 3>was the voicing it that she broke down in tears

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

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<v Speaker 3>That's normal.

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<v Speaker 1>It's so important to speak about this because it does

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

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<v Speaker 1>so much harder. The way I describe it is actually

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<v Speaker 1>like it makes me feel emotional thinking about it. Is

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<v Speaker 1>you just every day it's like you just get through

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<v Speaker 1>it and you go, oh, okay, I've done that day,

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<v Speaker 1>thank God, and then you wake up and you just

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<v Speaker 1>start it all over again and there's no reprieve and

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<v Speaker 1>you're trying all of these different things. And I went

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<v Speaker 1>to my GP and we talk about what the difference

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<v Speaker 1>between hyperameseses. And obviously this was probably a bit too

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<v Speaker 1>early because I wasn't vomiting more than three times, because

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<v Speaker 1>I could hold down water, I didn't classify as being

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<v Speaker 1>in hypperameses and people with hyperamesses can vomit up to

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<v Speaker 1>twenty even more times.

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<v Speaker 2>A day, which is horrific.

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<v Speaker 1>So I wasn't that and I could hold down water,

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<v Speaker 1>so they wouldn't prescribe any stronger medication for me. I

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<v Speaker 1>got some of the sorry, the safe for I want

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<v Speaker 1>B six.

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<v Speaker 2>I got B six rest of it.

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<v Speaker 1>Which you're going to sellamine, which you're going to talk

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<v Speaker 1>about and what that actually does. But it was try

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<v Speaker 1>rest of it one anti nausea medication. But the darkness

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<v Speaker 1>is very real where I would have preferred a miscarriage

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<v Speaker 1>at those at that point.

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<v Speaker 3>Yeah, and I think that's more common, and we need

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<v Speaker 3>to acknowledge that. It doesn't mean you're not going to

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<v Speaker 3>take those steps, although some women we actually advise to

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<v Speaker 3>do so, to actually end the pregnancy because they are

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<v Speaker 3>so unwell. Because if your electrolytes go completely bonkers, you

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<v Speaker 3>get heart a rhythmeres and things. This is a serious

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<v Speaker 3>condition that gets swept under the rug more often, not

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<v Speaker 3>from you know, decades and decades of women's problems as

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<v Speaker 3>being swept under the rug as normal. It's not normal,

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<v Speaker 3>it's common, so we need to change the language around

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<v Speaker 3>it's a common symptom in pregnancy. It's not a normal

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<v Speaker 3>symptom of life, and no one you know, look at

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<v Speaker 3>talk to cancer patients. We take their symptoms seriously because

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<v Speaker 3>they have nausio and in vomiting associated to chemotherapy. But

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<v Speaker 3>it's not the same in pregnancy. And it's also because

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<v Speaker 3>it comes with a lump of pregnancy is not a disease,

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<v Speaker 3>you know, it's a well woman's problem. And it's like, well,

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

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<v Speaker 3>the language around this space because for the women that

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<v Speaker 3>do suffer it, it is absolutely like yourself, debilitating and tear

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<v Speaker 3>jerking and often stops people from trying for a second trial.

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<v Speaker 3>But I think the thing with it is is that's

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<v Speaker 3>why I wanted to talk to you about this in

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<v Speaker 3>week eight. Like you know, most of the time we

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<v Speaker 3>don't diagnose high premises till several months later, you know,

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<v Speaker 3>twelve thirteen weeks, or when it's not going away at

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<v Speaker 3>fifteen or sixteen weeks too late. So particularly if you

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<v Speaker 3>decigrace to have a second pregnancy, we need you on

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<v Speaker 3>these medications early. Now. I will never dish what another

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<v Speaker 3>you know, gynocologist obstetrician or GP says, we use it

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

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

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<v Speaker 3>not puke as in sorry to the end of ladies.

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<v Speaker 2>Sorry.

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<v Speaker 3>But basically, it looks at how many times you vomit,

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<v Speaker 3>how nauseous you are, how many hours of nausea you

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<v Speaker 3>have a day, and how often you wretch. So even

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<v Speaker 3>if you're not vomiting, you can score points in the

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<v Speaker 3>nausea and the wretching. So I feel like if I

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<v Speaker 3>went back and did your pink score, you would probably

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<v Speaker 3>be hypermesses. And the other thing is that these medications

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<v Speaker 3>are safe in pregnancy, so why not, Yeah, why not

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<v Speaker 3>try and find some repeat for someone who's even if

0:09:46.349 --> 0:09:48.109
<v Speaker 3>they're only vomiting twice a day. I don't know, but

0:09:48.149 --> 0:09:50.789
<v Speaker 3>I actually would prefer to vomit then feel nauseous, because

0:09:50.829 --> 0:09:52.989
<v Speaker 3>you get that least reprieve after having a vomit where

0:09:52.989 --> 0:09:54.229
<v Speaker 3>you're like, oh god, I've got half an hour I'm

0:09:54.229 --> 0:09:55.029
<v Speaker 3>not feeling nauseous.

0:09:55.109 --> 0:09:57.069
<v Speaker 1>Yeah, and that's but sometimes that half an hour is

0:09:57.069 --> 0:09:59.909
<v Speaker 1>all you need to give you a break, a break

0:10:00.549 --> 0:10:02.349
<v Speaker 1>from the waves.

0:10:02.029 --> 0:10:04.589
<v Speaker 3>Exactly, and you took rest of it and then you

0:10:04.629 --> 0:10:06.229
<v Speaker 3>do feel like it makes a difference the next day?

0:10:06.229 --> 0:10:08.029
<v Speaker 1>Correct when you I can feel the difference if I

0:10:08.069 --> 0:10:10.869
<v Speaker 1>haven't taken it, Because then I I got in my

0:10:10.949 --> 0:10:12.909
<v Speaker 1>head about it because it's the rest of it is

0:10:12.949 --> 0:10:15.829
<v Speaker 1>a sleeping aid and an anti estamine and a sleeping aid.

0:10:15.909 --> 0:10:17.789
<v Speaker 2>I was like, oh, I shouldn't be taking this.

0:10:18.109 --> 0:10:20.949
<v Speaker 1>So if I wasn't feeling like if my nausea was

0:10:20.949 --> 0:10:22.309
<v Speaker 1>like a five out of ten instead of a nine

0:10:22.349 --> 0:10:24.189
<v Speaker 1>out of ten, I was like, I probably don't need it.

0:10:24.309 --> 0:10:26.029
<v Speaker 1>But then the next day I would notice the difference

0:10:26.069 --> 0:10:26.869
<v Speaker 1>if I hadn't had.

0:10:26.709 --> 0:10:29.029
<v Speaker 2>It exactly, So why not give it a go earlier?

0:10:29.269 --> 0:10:31.509
<v Speaker 3>So the things we need is a PPI so you

0:10:31.509 --> 0:10:33.869
<v Speaker 3>needed something for your reflux like on ameprozol. You need

0:10:33.869 --> 0:10:36.589
<v Speaker 3>an anti medic, so your maxilloni on danceatron. I also

0:10:36.629 --> 0:10:38.989
<v Speaker 3>want you to take a laxative, okay, and then vitamin

0:10:39.029 --> 0:10:41.109
<v Speaker 3>B six. We call it pyrodoxceine, so it's got a

0:10:41.149 --> 0:10:43.509
<v Speaker 3>medical name and I can never actually pronounce that right,

0:10:43.509 --> 0:10:44.789
<v Speaker 3>and my boss has always laugh me. So it's p

0:10:45.109 --> 0:10:47.589
<v Speaker 3>y R d O x I n E Okay, So

0:10:47.589 --> 0:10:48.949
<v Speaker 3>if I pronounce it wrong, you can at least get

0:10:48.949 --> 0:10:50.989
<v Speaker 3>it right from aout actual perspective and the rest of it,

0:10:50.989 --> 0:10:53.789
<v Speaker 3>which is doxelamine. So we also sometimes do plus or

0:10:53.829 --> 0:10:57.069
<v Speaker 3>minus and antihistamine so like primethazine. So there's lots of

0:10:57.069 --> 0:10:58.229
<v Speaker 3>those things. All sounds are very zen.

0:10:58.389 --> 0:10:58.549
<v Speaker 1>You know.

0:10:58.589 --> 0:11:02.429
<v Speaker 3>It's in words and medical terms. There's actually wonderful guidelines

0:11:02.469 --> 0:11:04.869
<v Speaker 3>in this space. All hospitals have them. So it's just

0:11:05.149 --> 0:11:07.349
<v Speaker 3>if you don't get the right answer from the current doctor,

0:11:07.549 --> 0:11:09.589
<v Speaker 3>seek help. Okay, it's not got to be like this.

0:11:11.269 --> 0:11:12.869
<v Speaker 1>My toolkit for this week is like I was a

0:11:12.909 --> 0:11:16.069
<v Speaker 1>big gym person and I couldn't go to classes anymore

0:11:16.549 --> 0:11:18.629
<v Speaker 1>because the mornings were always the worst for me. But

0:11:18.709 --> 0:11:21.989
<v Speaker 1>I just switched to walks, and I guess any form

0:11:22.029 --> 0:11:23.749
<v Speaker 1>of cardio is better than nothing.

0:11:23.829 --> 0:11:25.949
<v Speaker 3>I'm guessing one hundred percent, even a little walk for

0:11:25.949 --> 0:11:27.989
<v Speaker 3>twenty minutes a day out in the fresh air. Those

0:11:28.029 --> 0:11:31.509
<v Speaker 3>smells out there are less smells out there. The endorphins

0:11:31.509 --> 0:11:33.029
<v Speaker 3>and the adrenaline you get from it and a light

0:11:33.109 --> 0:11:35.629
<v Speaker 3>walk is it's more about your emotions and your mood. Okay,

0:11:35.669 --> 0:11:37.349
<v Speaker 3>it's not going to help you. Wait, and who cares

0:11:37.389 --> 0:11:40.349
<v Speaker 3>in this point in pregnancy. You know I stressed about it,

0:11:40.349 --> 0:11:42.189
<v Speaker 3>as you can imagine more than average because my job

0:11:42.269 --> 0:11:44.029
<v Speaker 3>was to be an athlete. So when I couldn't train

0:11:44.109 --> 0:11:46.789
<v Speaker 3>for the first few weeks of pregnancy, I lost the plot, thinking, Oh,

0:11:46.789 --> 0:11:48.309
<v Speaker 3>that's the end of my career. I'm going to retire,

0:11:48.309 --> 0:11:50.829
<v Speaker 3>I'm never going to get back. Just is not necessary

0:11:50.869 --> 0:11:53.109
<v Speaker 3>to concern yourself with that. Pregnancy is a short time

0:11:53.149 --> 0:11:55.709
<v Speaker 3>in life, and you can get back to full fitness

0:11:55.829 --> 0:11:57.949
<v Speaker 3>several months after pregnancy. It's right now is not the

0:11:57.949 --> 0:11:59.869
<v Speaker 3>time to be worrying about where where your heart health is.

0:11:59.909 --> 0:12:01.549
<v Speaker 3>It's about your baby and your mental status.

0:12:01.709 --> 0:12:04.029
<v Speaker 1>All right, Well, oh, I definitely needed to hear that,

0:12:04.509 --> 0:12:06.309
<v Speaker 1>But we need to wrap this episode because I actually

0:12:06.349 --> 0:12:10.349
<v Speaker 1>need to wait. Yes, we hope you and we read

0:12:10.349 --> 0:12:13.189
<v Speaker 1>this episode of Hello Bump. We have so many episodes

0:12:13.229 --> 0:12:16.189
<v Speaker 1>of this series filled with tips and stories from women

0:12:16.309 --> 0:12:18.229
<v Speaker 1>and experts who've been through it all before.

0:12:18.589 --> 0:12:20.429
<v Speaker 3>You can go back and listen to everything else Hello

0:12:20.469 --> 0:12:22.189
<v Speaker 3>Bump related in this podcast.

0:12:21.709 --> 0:12:23.789
<v Speaker 1>Feed, and while you're there, we'd love if you could

0:12:23.789 --> 0:12:25.589
<v Speaker 1>give us a five star rating and maybe leave us

0:12:25.589 --> 0:12:28.029
<v Speaker 1>a review or even share this episode with a friend.

0:12:28.189 --> 0:12:31.349
<v Speaker 3>This episode was produced by Courtney Ammenhauser with audio production

0:12:31.429 --> 0:12:33.109
<v Speaker 3>by Tom Lyon. We'll catch you next time.

0:12:33.189 --> 0:12:36.029
<v Speaker 1>This episode of Hello Bump was made in partnership with Huggies.

0:12:36.229 --> 0:12:39.589
<v Speaker 2>Bye Bye