WEBVTT - Week 23: The Patterns To Know When Your Baby Starts Kicking

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<v Speaker 1>You're listening to a MoMA Mia podcast.

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<v Speaker 2>Mama Maya acknowledges the traditional owners of land and waters

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<v Speaker 2>that this podcast is recorded on.

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<v Speaker 3>I am pregnant.

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<v Speaker 2>Welcome to Hello Bump. We're making pregnancy less overwhelming and

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<v Speaker 2>more manageable. I'm Grace Rubrey, i am pregnant for the

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<v Speaker 2>very first time, and my throat is on fire.

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<v Speaker 1>I'm young a pitman.

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

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<v Speaker 3>obstetrics and guyiny registrar.

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<v Speaker 2>Each week, we'll be holding your hand, week by week

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<v Speaker 2>through the mysterious, perplexing and sometimes quite uncomfortable miracle that

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<v Speaker 2>is pregnancy.

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<v Speaker 1>Welcome to Week twenty three. What size is our baby?

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<v Speaker 1>A squash? We've got back to a burrito again, but

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<v Speaker 1>I'm not sure.

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<v Speaker 3>I'm pretty sure maybe it's a fact burrito this time

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<v Speaker 3>because we had a burrito in the past.

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<v Speaker 1>Fool Buredo.

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<v Speaker 2>As someone who's had a lot of goodsman and go mas,

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<v Speaker 2>you can get a like a mini one, So we're

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<v Speaker 2>a regular one now, not the mini, not the media anymore.

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<v Speaker 3>And we're going to animals as sugar lighter so ozzy animals,

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<v Speaker 3>sugar a little bit more lug Oh, I love that.

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<v Speaker 2>I do too.

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<v Speaker 3>So twenty nine centimeter, it's almost a rulele length inside

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<v Speaker 3>you at twenty twenty three weeks and five hundred grams,

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<v Speaker 3>which also marks what we call, for most hospitals, the viability.

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<v Speaker 3>So five hundred grams is what we need a baby

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<v Speaker 3>to be. We know has good outcomes from us from

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<v Speaker 3>a size perspective.

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<v Speaker 2>And what else are they growing? What else is making

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<v Speaker 2>them closer to that viability?

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<v Speaker 3>Well, I think that's what it is. This is the

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<v Speaker 3>most important week really in pregnancy. I mean there's other Obviously,

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<v Speaker 3>full term is probably the most important because that's where

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<v Speaker 3>maybe's exit strategy has to start being planned. But medically

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<v Speaker 3>it's a significant week because for our guys there's a

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<v Speaker 3>big caveat around here. It depends where you birth, it

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<v Speaker 3>depends on your risk factors, it depends on your baby.

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<v Speaker 3>There's lots of factors that it comes down to. But

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<v Speaker 3>in most major hospitals worldwide, we consider resuscitation from now,

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<v Speaker 3>so as soon as you're twenty three weeks in one day,

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<v Speaker 3>in fact, we even start talking about it at twenty

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<v Speaker 3>two weeks and six days that we give you steroids

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<v Speaker 3>to mature baby's lungs and magnesium sulfate for baby's brains.

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<v Speaker 3>So there's medications that we will be asking you do

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<v Speaker 3>you want to consider now. For the vast majority of

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<v Speaker 3>people listening to this, this won't be a conversation you

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<v Speaker 3>need to have because you're going to be pregnant for

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<v Speaker 3>a lot lot longer than today. But I think it's

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<v Speaker 3>a really important topic because there will be one or

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<v Speaker 3>two of you who this will happen to in the

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<v Speaker 3>next few weeks, and I think it's nice to have

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<v Speaker 3>information because you have to make the most difficult decisions

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<v Speaker 3>you're ever going to make, which is is it a

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<v Speaker 3>yes or is it a no? And it's still in

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<v Speaker 3>a window where you can say no if you don't

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<v Speaker 3>want or don't like the risks that are associated to this. Now,

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<v Speaker 3>if you were if you were birthing in a tiny

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<v Speaker 3>rural hospital and there was no time to move your

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<v Speaker 3>baby to a tertiary center, you might be a no

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<v Speaker 3>because it hasn't had a chance to have the steroids.

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<v Speaker 3>You haven't got a big unit with neronectologists that can

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<v Speaker 3>look after and put your little baby on a respiratory

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<v Speaker 3>respirator because they need to be intubated, they need to

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<v Speaker 3>be fed around the clock with a nasal gastric tube.

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<v Speaker 3>They need their monitoring really well. They sometimes need a

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<v Speaker 3>blood transfusion. They often need antibody. So there's a lot

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<v Speaker 3>of things this little guy's going to need to survive.

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<v Speaker 3>So that's a long conversation. The great thing is, though,

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<v Speaker 3>it will happen. In other words, a doctor will come in,

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<v Speaker 3>usually one of myself, an obstetrician in training, or a

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<v Speaker 3>consultant will talk to you from our perspective what birth

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<v Speaker 3>looks like. And the neotologist will come as well and say, right,

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<v Speaker 3>so these are your chances. So they might say something

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<v Speaker 3>along the probabilities. So the probabilities at twenty three weeks

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<v Speaker 3>is your baby has about a twenty to forty percent

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<v Speaker 3>chance of survival, with a disability rate of around fifty

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<v Speaker 3>percent in those that do survive.

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<v Speaker 1>So it's stilly percent. It's like it's getting better.

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<v Speaker 3>Yeah, some centers say up to seventy to eighty percent

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<v Speaker 3>already at this gestation. But again, weird things that determines,

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<v Speaker 3>like is your baby coming out head first? Is it

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<v Speaker 3>a vaginal birth, is it a cesarean section? And some

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<v Speaker 3>people think okay, no, I want this baby at all costs.

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<v Speaker 3>It's had steroids. I want a cesarean section because it's

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<v Speaker 3>the best chance for my baby to survive. The problem

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<v Speaker 3>is you then get left with a scar on a

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<v Speaker 3>transverse incision, so on a what we call a classical incision,

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<v Speaker 3>which means it's up and down like the old school

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<v Speaker 3>how people used to do Cesaian sections many years ago.

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<v Speaker 3>But it can cause significant problems for pain, but it

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<v Speaker 3>also causes problems for future pregnancy and problems of placenta

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<v Speaker 3>are is where where the placenter actually grows and gets

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<v Speaker 3>stuck or covers you us again, like we were talking

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<v Speaker 3>about last week, the placenta spectrum disorders.

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<v Speaker 1>It's a massive.

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<v Speaker 3>Conversation to have, and I think it's just going in

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<v Speaker 3>with an open mind with you and your partner that

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<v Speaker 3>probably at some points won't be on the same page,

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<v Speaker 3>but being aware that this is around the time the

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<v Speaker 3>conversation happens, and the hardest time is this week because

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<v Speaker 3>at twenty four weeks the survival rate goes up to

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<v Speaker 3>forty to sixty percent, and then at twenty five weeks

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<v Speaker 3>sixty to eighty percent, and then the twenty six weeks

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<v Speaker 3>seventy five to eighty percent, and where you are now,

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<v Speaker 3>you're sitting at eighty five to ninety to ninety percent

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<v Speaker 3>survival rates. So it's the hardest when those odds are

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<v Speaker 3>really low.

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<v Speaker 1>What hap what's happening to me?

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<v Speaker 2>If everything is going well? What are some of the

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<v Speaker 2>things that verns and mother can be expecting it at

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<v Speaker 2>this moment?

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<v Speaker 1>Any symptoms?

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<v Speaker 3>Nothing?

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<v Speaker 1>This is the lovely part of pregnancy. This is the time.

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<v Speaker 3>Hopefully baby's wriggling around and you're feeling it a little bit.

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<v Speaker 3>You're not too pregnant, you can't do things, you know,

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<v Speaker 3>your heartburn is still horrible. Let's be honest. Hopefully nauseous disappeared.

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<v Speaker 3>So it is the well for me, certainly, it was

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<v Speaker 3>the loveliest part and pregnancy on the planet because you

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<v Speaker 3>feel fantastic and you're starting to feel real because the

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<v Speaker 3>baby's moving enough and your tummy is big enough. So yes,

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<v Speaker 3>So if you're if you are out one of our

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<v Speaker 3>lovely low risk women, Let's be honest, most of us are.

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<v Speaker 3>This is the best time in your life. Is this normal?

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<v Speaker 3>Is it normal?

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<v Speaker 2>Is this normal? Is about babies movements? Because all of

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<v Speaker 2>the pamphlets, all of the apps. Everything says to start

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<v Speaker 2>figuring out the pattern, but what's about I don't know

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<v Speaker 2>what the pattern is, so I have started My placenta

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<v Speaker 2>is anterior at the front yep, which meause you don't

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<v Speaker 2>feel as much. So I don't feel as much, and

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<v Speaker 2>I don't I rarely feel anything in the center. It

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<v Speaker 2>is on the sides. In terms of starting to figure

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<v Speaker 2>out when she's moving, I'm not quite sure how to

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<v Speaker 2>pick up on those patterns. And then one of the

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<v Speaker 2>things that the apps say is make sure it's like

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<v Speaker 2>ten movements every hour or ten movements every two hours,

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<v Speaker 2>which is quite a stressful thing to count. What is

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<v Speaker 2>the in your experience as both someone who's had six

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<v Speaker 2>children and also speaking to very anxious pregnant people, what

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<v Speaker 2>are we looking for?

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<v Speaker 3>This is probably the most common conversation I have every week,

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<v Speaker 3>because everyone comes in with what we call decreased feedal movements.

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<v Speaker 3>Even now at twenty three, twenty four weeks, we get

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<v Speaker 3>women coming in. Now, guys, we will not be putting

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<v Speaker 3>a CTG, which is the continuous monitoring on your baby.

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<v Speaker 1>It's too early. We start that hunt around.

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<v Speaker 3>Twenty four weeks, so next week, but we can't tell

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<v Speaker 3>you the answer. I would love a Crystal Wald to

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<v Speaker 3>be able to say what it means and what it's

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<v Speaker 3>going to do. Every baby is its own little person

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<v Speaker 3>and has its own little movements, so it's literally trying

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<v Speaker 3>to work out what is normal for her. So what

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<v Speaker 3>does she do? Is she a night kicker? Is she

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<v Speaker 3>a day kicker? Is she not a particularly big kicker?

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<v Speaker 3>And when you notice a change, that's when you need

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<v Speaker 3>to call us. And I think the biggest thing here

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<v Speaker 3>is it's never wrong to call the unit if you're concerned.

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<v Speaker 3>You know that we are, especially if it's a public hospital.

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<v Speaker 3>We're a twenty four to seven servants. We're paid to

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<v Speaker 3>be there, so it's completely okay. And it's also really nice.

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<v Speaker 3>Think about it from a flip sid perspective. I deliver

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<v Speaker 3>some crappy news pretty regularly.

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<v Speaker 1>I have to be in pretty high risk, sometimes really

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<v Speaker 1>horrible outcome situation.

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<v Speaker 3>It's really nice to reassure a mum her baby's perfect

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<v Speaker 3>and fine and send her off with a smile. So

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<v Speaker 3>it's fine if you come in, just for us to

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<v Speaker 3>at least allow you to go, yes, I'm good. I

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<v Speaker 3>saw my baby on the ultrasound. The heartbeat looks great,

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<v Speaker 3>I'm reassured, I'll go home.

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<v Speaker 2>This might be a dumb question or one that's hard

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<v Speaker 2>to answer, but what other type of movements are there?

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<v Speaker 2>Because there's kicks and there's butterflies, but what other things

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<v Speaker 2>could be happening that you.

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<v Speaker 3>Might not know is a movement? So sure, that's a

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<v Speaker 3>good questions. Hiccups another one. Mum's feel that tummy just

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<v Speaker 3>like regularly feels a little hick you feel. Kicking obviously

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<v Speaker 3>is the main one. Now, one of the funny things

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<v Speaker 3>is if your baby is feet down, you might feel

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<v Speaker 3>increased bladder. Like I said, it's jumping and having a

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<v Speaker 3>party on your butter So you'll feel your movements wherever

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<v Speaker 3>your baby's limbs are sort of pointing. And that's what

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<v Speaker 3>also can change when you've got an anteria placenters, you

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<v Speaker 3>do feel them like laterally is you said, on the

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<v Speaker 3>outsides or in different areas and not expecting. But movements

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<v Speaker 3>are just that. Most of the time, it starts off

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<v Speaker 3>as flutters and then it gets stronger, and then it

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<v Speaker 3>gets stronger sort of twenty eight to thirty four weeks,

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<v Speaker 3>it's pretty regular, big strong movements. I'm rolling over towards

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<v Speaker 3>later pregnancy though, that don't have as much room, so

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<v Speaker 3>if the frequency and intensity should still be the same,

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<v Speaker 3>but you might find they're not as giant. They're more

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<v Speaker 3>like a whack on mum here, I am all my god,

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<v Speaker 3>that hurts, but not quite as huge, big rolling movements

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<v Speaker 3>because we don't you know, once baby's head down, we

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<v Speaker 3>kind of like them to stay there.

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<v Speaker 2>What is something we can do this week? What's on

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<v Speaker 2>our checklist or to do list?

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<v Speaker 3>Probably this time of the pregnancy is time to start

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<v Speaker 3>thinking about what type of anti enatal classes you'd like

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<v Speaker 3>to do. So we're early, obviously, got plenty of time

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<v Speaker 3>another fifteen weeks or so, but I think again, if

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<v Speaker 3>baby was to have another agenda and come a little earlier,

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<v Speaker 3>it's nice to have, you know, your tool kit started.

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<v Speaker 3>So we have lots of options. You have great things

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<v Speaker 3>like calm birthing classes, she birthing classes.

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<v Speaker 1>I'm a big fan of hypno birthing.

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<v Speaker 3>As I've said before, all of them are strategies to

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<v Speaker 3>help you through your later.

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<v Speaker 2>What is the difference between she birthing and hypno birthing

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<v Speaker 2>or active birth or I mean.

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<v Speaker 1>They're all pretty similar.

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<v Speaker 3>They'll give you strategies to Actually, it's a lot of

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<v Speaker 3>things and it's good to chat. They give you how

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<v Speaker 3>to have a conversation with your medical team. Will start

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<v Speaker 3>thinking what you'd like for birth. What is you know,

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<v Speaker 3>what are your priorities in terms of pain relief, in

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<v Speaker 3>terms of not having an interventional birth. I mean, sometimes

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<v Speaker 3>we can't help it. We are going to say, do

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<v Speaker 3>you we recommend a cesarean for example, But you can

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<v Speaker 3>start thinking about what you would like your birth to

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<v Speaker 3>look like, and also teaching you to breathe, teaching you

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<v Speaker 3>about what labor is, what things to expect, What are

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<v Speaker 3>the scary things because you need to know them versus

0:09:29.269 --> 0:09:31.749
<v Speaker 3>what are the normal things? My answer, that are not

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<v Speaker 3>much normal about labor. It kind of is very different

0:09:33.949 --> 0:09:36.909
<v Speaker 3>for everybody, and there's lots of variations of what is

0:09:36.909 --> 0:09:39.909
<v Speaker 3>normal and what's not. But at least it arms you

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<v Speaker 3>with information.

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<v Speaker 2>My toolkit this week is actually about booking classes and

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<v Speaker 2>that the hospital that I will be giving birth, that

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<v Speaker 2>they offer newborn care, breastfeeding, early breastfeeding rate, and also

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<v Speaker 2>baby CPR.

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<v Speaker 1>Oh that's fantastic, which it terrifies me.

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<v Speaker 2>But I would have no idea what to do if

0:10:00.109 --> 0:10:03.709
<v Speaker 2>a baby was choking or I'm not sure blue, or yeah,

0:10:03.709 --> 0:10:06.189
<v Speaker 2>if this goes into a CID's territory or something like that,

0:10:06.229 --> 0:10:07.149
<v Speaker 2>because that's just a.

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<v Speaker 3>Whole scary but it arms you. It's all about with information,

0:10:11.229 --> 0:10:12.749
<v Speaker 3>isn't it. So I mean I don't have that, but

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<v Speaker 3>I would definitely say, if you can find a first

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<v Speaker 3>aid course for your baby before being parents, that's fantastic.

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<v Speaker 1>Grandparents too. Ideally, Mmmm, that's awesome.

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<v Speaker 2>We hope you enjoyed this episode of Hello Bump. We

0:10:24.589 --> 0:10:27.629
<v Speaker 2>have so many episodes of this series filled with tips

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<v Speaker 2>and stories from women and experts who've been through it

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<v Speaker 2>all before.

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<v Speaker 3>You can go back and listen to everything else Hello

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<v Speaker 3>bumb related in this podcast.

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<v Speaker 2>Feed, and while you're there, we'd love if you could

0:10:36.869 --> 0:10:38.669
<v Speaker 2>give us a five star rating and maybe leave us

0:10:38.669 --> 0:10:41.109
<v Speaker 2>a review or even share this episode with a friend.

0:10:41.509 --> 0:10:44.709
<v Speaker 3>This episode was produced by Courtney Ammenhauser with audio production

0:10:44.789 --> 0:10:45.429
<v Speaker 3>by Tom Lyon.

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<v Speaker 1>We'll catch you next time. Bye.

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<v Speaker 2>This episode of Hello Bump was made in partnership with

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<v Speaker 2>Huggis