Speaker 1: Welcome to the kick your Expert led podcast, helping you
Speaker 1: explore and learn everything about getting pregnant, pregnancy, birth, and
Speaker 1: becoming a parent.
Speaker 2: On the podcast and our online pregnancy program grow My Baby,
Speaker 2: we share my experience of helping more than four thousand
Speaker 2: babies to be born.
Speaker 1: And our experience of running a women's health clinic and
Speaker 1: parenting for boys.
Speaker 2: We're here to help everyone to feel empowered in pregnancy
Speaker 2: and birth with real life, practical information.
Speaker 1: Welcome everyone. I'm Bridget Malaney.
Speaker 2: And I'm obstatrician doctor Patrick.
Speaker 1: Maine, and today we've got a Q and A because
Speaker 1: we have so many and you know, they're fun.
Speaker 3: I like them.
Speaker 1: I hope everybody else likes them as much as people do. Yeah, yeah, good,
Speaker 1: I've actually we're going to, you know, do our typical
Speaker 1: thing and start straight at it. Pat, We're going to
Speaker 1: start now, okay, and I'm going to start by reading one.
Speaker 3: Okay, yes, but don't normally read them. I thought it
Speaker 3: was a good one. Good. Thanks for your fab podcast.
Speaker 1: Stumm a thirty six year old female who works in
Speaker 1: Allied Health so have good health literacy, but I have
Speaker 1: a couple of specific questions. I thought you could do
Speaker 1: a generic version of them on the pod. Well, trying
Speaker 1: to conceive, should you stick to Class A drugs and pregnancy,
Speaker 1: say foods given you might be pregnant seems like it
Speaker 1: could be a long time ago without though, depending on
Speaker 1: how long it takes to get pregnant, especially things like
Speaker 1: migrain wafers or running eggs. So basically, if you're trying
Speaker 1: to get pregnant, should you actually already have you already?
Speaker 4: Are?
Speaker 5: Yeah?
Speaker 2: Yeah? The simple answer is not real. The risks from
Speaker 2: these things are from when the pregnancy starts. In most cases,
Speaker 2: there are a couple of things that need special attention.
Speaker 2: There are some drugs that are so bad for a
Speaker 2: pregnancy that you've got to be really, really really careful
Speaker 2: that you don't get pregnant on that drug with very
Speaker 2: reliable contraceptive plan. And then there are some drugs where
Speaker 2: once you stop using that drug, there's a known gap
Speaker 2: before you should get pregnant after using it. So I
Speaker 2: guess those things you've got to be they're a special case.
Speaker 2: The majority of the other drugs, the risk and applies
Speaker 2: in pregnancy, and there is time to stop them when
Speaker 2: you get a positive presency test and convert to something
Speaker 2: else before it becomes relevant. The foods. We should be
Speaker 2: a non smoker anyway, we should be a we should
Speaker 2: be trying to maintain a healthy body weight, neat well anyway.
Speaker 2: But the specific risks again start when you're actually pregnant.
Speaker 3: What about alcohol, it's a good question.
Speaker 2: Safe alcohol is broadly thought to have us there is
Speaker 2: a safe level of intake, and compared to say smoking,
Speaker 2: there's probably no safe level of smoking. So with alcohol,
Speaker 2: we would say that people should have a safe level
Speaker 2: suitable for somebody who is likely to want to conceive soon.
Speaker 2: So that's actually surprisingly little, but it's not nune.
Speaker 1: Yeah, so a glass every now and then, but not
Speaker 1: big wild nights.
Speaker 2: Yeah, it depends. Are you trying or are you just
Speaker 2: thinking I might have a babe in a few months
Speaker 2: but I'm actually still on the pill. Yeah, it's different.
Speaker 3: It is different.
Speaker 1: And for people that are wondering about their medication and
Speaker 1: whether that medication is safe, what's the best thing for
Speaker 1: them to do?
Speaker 2: This is the main indication for a pre operative for
Speaker 2: for a pre pregnancy GP visit. Ye, So don't wait
Speaker 2: to be actually pregnant, go along, talk to your family
Speaker 2: doctor and say right I've got this plan. I want
Speaker 2: to be pregnant by Christmas. What should I be looking at?
Speaker 2: And one of them will be a plan for medications,
Speaker 2: A plan for maximizing the pre maximizing the state of
Speaker 2: any pre pregnancy conditions you've already got, so if you're
Speaker 2: known to have HYPEI isn't making sure you're on the
Speaker 2: right amount of your drugs? And then and then a
Speaker 2: plan for a genetic prepregnancy genetics screen Yeah.
Speaker 1: Yeah, which is free if you're an Australian citizen with
Speaker 1: a Medicare card. It's now free to do that. Pre
Speaker 1: genetic carrier screen.
Speaker 2: Went from four hundred Dodar bucks to zero.
Speaker 3: Yeah good.
Speaker 1: A follow up here is I live in regional in
Speaker 1: a regional area Golden Valley River in a area, and
Speaker 1: I always assumed I would have a private pregnancy and
Speaker 1: birth but it appears that might not be possible. Being
Speaker 1: a type A vibe woman expecting control and choice as
Speaker 1: well as an older mum meaning more risks. I was
Speaker 1: shocked that I was likely to have to drive three
Speaker 1: hours to Melbourne to see a private O and G
Speaker 1: is this safe or worth it?
Speaker 3: Or should I just suck it up?
Speaker 1: Her words and go public at my nearest regional hub.
Speaker 1: My biggest fear is being treated by students by.
Speaker 2: Student Okay, all right, a little bit of background for listeners,
Speaker 2: particularly over these. Australia has has a a bit of
Speaker 2: an oddly distributed population where the vast majority of the
Speaker 2: population live in big cities on the on the coast,
Speaker 2: and very few people as a percentage, live the further
Speaker 2: inland you go. So you could be living in parts
Speaker 2: of any state in Australia where despite being well resourced,
Speaker 2: you could be you could be rich to gether the
Speaker 2: world's best private insurance. There may not be a private
Speaker 2: health facility there for you to use, and this is
Speaker 2: this is not uncommon. So people from areas of Victoria
Speaker 2: not well serviced by private either might have a pregnancy
Speaker 2: in their local public unit, or they might or they
Speaker 2: might travel for one to one private care. And your
Speaker 2: your local public unit is likely to be it's likely
Speaker 2: to have good, good data and good outcomes. The care
Speaker 2: by global standards is very safe. The problems people have
Speaker 2: is typically related to lack of continuity of care. You
Speaker 2: might see someone different every time you go there. If
Speaker 2: there's a student involved in your care, they'll be supervised.
Speaker 1: Yeah, and you know, maybe just quickly, can you say
Speaker 1: that the levels, Like, so she doesn't mean a medical student,
Speaker 1: she means a registrar, which is the next level up.
Speaker 2: Yeah, yeah, sure, So a student, an undergraduate student, somebody
Speaker 2: who's training to be to be a doctor. At the
Speaker 2: most basic level, that person would always be supervised. And
Speaker 2: then if what we mean is a specialist in training,
Speaker 2: then those people again are supervised in the junior levels
Speaker 2: of their training and less and less unsupervised the more
Speaker 2: senior they get. But that's appropriate because by then they
Speaker 2: have substantial expertise.
Speaker 1: And if she's worried, like a a registrar that's in
Speaker 1: their fifth or sixth year, they've been training for thirteen
Speaker 1: years already.
Speaker 2: I think they're like the best obstitutions, to be honest,
Speaker 2: because you're if you're the senior registrate at the at
Speaker 2: a at a by hospital like the role Women's where
Speaker 2: I trained, you are doing. You are supervising, monitoring, and
Speaker 2: assisting with more babies in a week than someone in
Speaker 2: private practice might do in a month or several months.
Speaker 2: So that may actually be they may actually be the
Speaker 2: very best obstitutions.
Speaker 3: So I don't know.
Speaker 1: Maybe if she tries her local public hospital and the
Speaker 1: initial start isn't great, then she can make any different
Speaker 1: decision and say, yes it is worth me going to
Speaker 1: Melbourne or Bellarat.
Speaker 2: And you can also be booked for with two services. So,
Speaker 2: for example, as the pregnancy progresses, let's say for argument's sake,
Speaker 2: it became clear that for some important reason the baby
Speaker 2: medical and the baby either should be born by cesarean
Speaker 2: section or should be born by induced labor at thirty
Speaker 2: seven weeks or something on account of whatever condition xyst.
Speaker 2: Then that would give you the ability to get down
Speaker 2: to your private obstetriction in the capital city because you
Speaker 2: wouldn't have to come down in labor.
Speaker 1: And we don't talk about shared care enough, just very quickly.
Speaker 1: Shared care is if you have a GP who might
Speaker 1: have a qualification called DRANSCOG, which is a diploma in
Speaker 1: obstetrics and gynecology. You might have someone in your town
Speaker 1: that does shared care, so instead of going to the
Speaker 1: public unit, you could be seen at your doctor's office.
Speaker 2: And then yeah, we utilize those people for even in
Speaker 2: my private practice, so I'll have people who are two
Speaker 2: or three hours away and rather than bring them down
Speaker 2: every week to check their blood pressure. That they have
Speaker 2: most of the checks locally, and some key ones with
Speaker 2: me and in the public of course, will do that
Speaker 2: all the time. If somebody's got certain complexity which means
Speaker 2: they need to be delivered in our big hospital, doesn't
Speaker 2: mean they need to have every visit in our big hospital, So.
Speaker 3: That that might be an option for you too.
Speaker 1: You know, you have most of your care in your
Speaker 1: local area, but you have your big appointments like your
Speaker 1: twelve week or twenty week like and then probably your
Speaker 1: thirties and forties I mean hopefully not forties, but yeah,
Speaker 1: and then your birth at at that hospital.
Speaker 2: That's right, all.
Speaker 3: Right, I'm going to move on to our s big
Speaker 3: pipe now, pat.
Speaker 6: Hi, doctor Patton Bridget. My name's Free. I'm from perf Wa.
Speaker 6: I'm not currently pregnant, however, we are looking to start
Speaker 6: trying next month. I've just finished listening to all one
Speaker 6: hundred and ninety one episodes of your podcast in just
Speaker 6: over three months. I started on the fifth of January.
Speaker 6: It's taken me ninety five days, and I just wanted
Speaker 6: to thank you that it's been a wonderful source of
Speaker 6: reassurance for me as an educational resource. I have OCD,
Speaker 6: so the the idea of having to rearrange and make
Speaker 6: you plans every two seconds and all the uncertainties that
Speaker 6: come with pregnancy has certainly going to be something that
Speaker 6: I will need to practice on overcoming. However, my question
Speaker 6: today is more in regards to sleeping disorders and pregnant women.
Speaker 6: I also have diagnosed insomnia and was recently on kutaypin
Speaker 6: at a lower dose to help with that, which I've
Speaker 6: been recommended to come off due to it being a
Speaker 6: Class C drug, And I'm currently on some older antihistamines
Speaker 6: now which are working. But I'm a little bit cautious
Speaker 6: of the fact that my sleep whilst I am pregnant
Speaker 6: might become more turbulent, and having existing insomnia probably isn't
Speaker 6: going to be great. I was wondering if there's any
Speaker 6: existing research or study around how many hours of sleep
Speaker 6: pregnant woman needs to actually maintain a healthy baby. I
Speaker 6: know that eight hours or so and a half hours
Speaker 6: is obviously the gold standard, but I'd like to know
Speaker 6: how many hours we can we can feel reassured that
Speaker 6: whilst we might be feeling really tired, we're not actually
Speaker 6: doing harm to the baby. So yeah, any info you
Speaker 6: have on that would be great. I'll probably speak to
Speaker 6: you guys later.
Speaker 7: Bye.
Speaker 1: Sleeping pregnancy is hard as it is, and yet you
Speaker 1: put on something on top with insomnia like this, poor lady.
Speaker 3: That's that's tough, isn't it?
Speaker 2: Sure is? I think that's a great question, because really
Speaker 2: I think, I mean, I think you've found a few
Speaker 2: things on this, but I don't know tons about this.
Speaker 2: I would typic if if someone was using a medication
Speaker 2: to help them sleep and wasn't pregnant yet. My usual
Speaker 2: advice will be keep using a thing and we'll change
Speaker 2: you over when you actually are pregnant. In pregnancy we
Speaker 2: use you know, the insomnia can be really quite quite something.
Speaker 2: It's thought to be an effect of the progesterone from
Speaker 2: the placenta on the sleep wake center in our brain
Speaker 2: stem that makes us go to sleep and then sets
Speaker 2: the time and wakes up again, and that that can
Speaker 2: be really quite disturbing. And then, of course in the
Speaker 2: second half the pregnancy, he add to that fidel movements
Speaker 2: pressure on your bladder and musculos gally little pain in
Speaker 2: your hips, so that it's uncomfortable in one position for
Speaker 2: very long and then it's meracle to get any sleep.
Speaker 2: We use those category A antihistamines quite a bit because
Speaker 2: they are powerfully sedative and really quite useful, but also
Speaker 2: category A so so they can be really really worth
Speaker 2: worth using. But in terms of how much sleep we're
Speaker 2: supposed to get to have a safe pregnancy, what did
Speaker 2: you find?
Speaker 4: So?
Speaker 3: I found a couple of studies.
Speaker 1: One that said that there's a median sleep so the average, well,
Speaker 1: the median sleep during pregnancy for the normal population is
Speaker 1: seven point two to seven point five hours a night.
Speaker 2: That sounds fatter than I thought.
Speaker 3: Yeah, normal, Like that's that's as much as I get. Yeah.
Speaker 1: And then another study that said that too much more
Speaker 1: than nine to ten hours a night or too little
Speaker 1: less than six to seven hours a night has an
Speaker 1: association with a higher risk of gestational diabetes diabetes.
Speaker 2: That's interesting.
Speaker 1: So mostly people said it's about quality of sleep, But
Speaker 1: there's there's a lot of observational studies, but there's no
Speaker 1: real study that we could probably hang our hat on there.
Speaker 2: That's interesting. And did they look at mental health in
Speaker 2: that study? No? Because I think the people who are
Speaker 2: sleeping way too much or way too little might have
Speaker 2: a pre existing mental health problem, or or it might
Speaker 2: create its own mental health problem.
Speaker 1: Yeah, so you know, I don't know how this call
Speaker 1: is going with her sleep. She didn't mention how many
Speaker 1: hours she's currently getting. There was another study that said
Speaker 1: that people who having more than an hour nap during
Speaker 1: the day have higher risk of things like hypertension and
Speaker 1: gestational diabetes too. But whether you know that's something that
Speaker 1: we can hang out hat on, I don't know.
Speaker 2: I'm not aware of any big number highly influential studies
Speaker 2: on this. We could keep looking. It's very interesting question.
Speaker 2: One thing that the caller should take into consideration is that, yes,
Speaker 2: she's got some OCD now, and she's been medicating so forth.
Speaker 2: But some people just go way better than they think
Speaker 2: they're going to. Yeah, it's easy if you're thinking about
Speaker 2: pregnancy in advance, and I guess if you've got OCD
Speaker 2: to worry in advance about things that may not actually happen.
Speaker 3: Yeah, good luck, Brey. I hope.
Speaker 1: I hope it all runs smoothly for you and you
Speaker 1: get pregnant in the next month or so. As you
Speaker 1: it's clearly want to like you're doing so much pre
Speaker 1: work that's so great.
Speaker 3: Good luck keep listening. All right, let's move on to
Speaker 3: this one.
Speaker 5: Hi, doctor Patton Bridgett, thank you for your podcast. I
Speaker 5: absolutely love it. My name is Laura. I wanted to
Speaker 5: share my person experience of having a partial molar pregnancy.
Speaker 5: It happened a few years ago when I was twenty eight.
Speaker 5: We started trying for a baby, got pregnant on the
Speaker 5: first try. We felt so fortunate, so lucky, and then
Speaker 5: at the eleven a week mark, I had a scan
Speaker 5: and it confirmed that I had miscarried, so I had
Speaker 5: a DNC. Following the DNC, I bled heavily for about
Speaker 5: six weeks. I had blood test done and my doctor
Speaker 5: sent me to get a pelvic ultra sound and that
Speaker 5: old sound confirmed that I had retained products of conception.
Speaker 5: So I had a second DNC, and at that point
Speaker 5: I received the news that I had had originally a
Speaker 5: partial molar pregnancy. So I remember at the time they said, oh,
Speaker 5: you do have a higher chance of having a second
Speaker 5: partial moler because you've had one.
Speaker 7: I can't remember what the odds were.
Speaker 5: I've subsequently had two little girls, easily complication free, and
Speaker 5: I've kind of wondered whether there's a genetic component to
Speaker 5: being prone to having.
Speaker 7: Partial Mola pregnancies or molars. It was such a confusing time.
Speaker 7: I remember.
Speaker 5: Talking to friends about it and they just had no
Speaker 5: idea and I hadn't heard about the time, and I know.
Speaker 7: It's really rare. I just wanted if you have any
Speaker 7: personal experience managing partial molars and what your knowledge is
Speaker 7: of them. Thank you, Biks.
Speaker 1: All Right, Patti, Mola pregnancies is quite a big topic,
Speaker 1: and I think we've covered that elsewhere, so we're going
Speaker 1: to put that into the show notes. But do you
Speaker 1: think this caller is asking because she wants more children
Speaker 1: or she worried about having a genetic component for her children.
Speaker 2: Yeah, it's not that's not clear, is it. But then
Speaker 2: either way, if she's talking about whether you can be
Speaker 2: predisposed to these things, and I think if really mala
Speaker 2: pregnancy is sort of bad luck on the on the
Speaker 2: day when the Superman air come together, and there are
Speaker 2: protocols for managing those, we do the curret, we find
Speaker 2: the molar pregnancy material, and then depending on the genetics
Speaker 2: of that particular pregnancy, we say you can drive another
Speaker 2: pregnancy after so many weeks or it might be a
Speaker 2: longer period necessary between pregnancies before you can try again.
Speaker 2: As long as we follow those rules, the risk for
Speaker 2: the next pregnancy is low. Then there is a rare
Speaker 2: genetic problem that people can have where they are actually
Speaker 2: genetically predisposed to molar pregnancies. And this is something I
Speaker 2: only learned when we research this question. I didn't really
Speaker 2: know about this. So you can actually carry a gene
Speaker 2: that predisposes you, so that there is actually a way
Speaker 2: that people can be genetically predisposed towards molar pregnancies. And
Speaker 2: it's something called familial recurrent attitude for Mole, which is
Speaker 2: actually a genetic predisposition, And some authoritative bodies suggest that
Speaker 2: if you've had two mole pregnancies, you probably should be
Speaker 2: treated tested for that gene.
Speaker 1: Yeah, but yeah, so whether this woman's asking for her
Speaker 1: own girls or not, like, you know, you're not recommending
Speaker 1: that her girls get tested or not.
Speaker 2: If she's only had one, that's much more likely to
Speaker 2: just be bad luck. Yeah, it's like the old discussion
Speaker 2: about you know, early pregnancy loss if you have if
Speaker 2: you have one, it is there's unlikely to be severe
Speaker 2: underlying pathology. But the more you've had in a row,
Speaker 2: the more likely there is to be severe underlying pathology.
Speaker 1: Good. Thank you so much for calling in and telling
Speaker 1: us about your MOLA pregnancies and that you had two
Speaker 1: healthy girls.
Speaker 3: I hope you're going super well.
Speaker 2: That's prilliant.
Speaker 3: All right, let's go to this caller.
Speaker 4: Hi, doctor part and Bridgette. I recently started listening to
Speaker 4: your podcast. I started on the episode pregnancy one O one,
Speaker 4: which is perfect timing for me. Me and my partner
Speaker 4: we asked thinking of starting to start trying to get pregnant.
Speaker 4: I'm thirty three and my partner is thirty five.
Speaker 1: And.
Speaker 4: I'm diagnosed with hyperthyroids up. I've been keeping it. I've
Speaker 4: been managing with my GP and my levels are correct.
Speaker 4: She tested me for PCOS and there's no signs of it.
Speaker 4: But I have irregular periods. I've always had irregular periods.
Speaker 4: It ranges from thirty thirty to fifty sometimes sixty two,
Speaker 4: sometimes even more. And I'm thinking, how do I'm how
Speaker 4: how do I know ovulating or how do is pregnant?
Speaker 4: Getting pregnant?
Speaker 5: With that.
Speaker 3: On work?
Speaker 4: I love your to know your answers. Thank you.
Speaker 1: Before I start, Can I just do a little sidebar
Speaker 1: and say we need to do another episode on p
Speaker 1: C O S because it's now called p M O S. Yes, yeah,
Speaker 1: so there's been an update.
Speaker 2: Can do that, but anyway, good question.
Speaker 3: This is wow, very irregular period also.
Speaker 2: Do to our heart because we don't like people to
Speaker 2: when people come in and say that they've been trying
Speaker 2: for a year and they're still not pregnant, and they've
Speaker 2: come along because they've been trying for a year, but
Speaker 2: they they've had a significant problem with one of the
Speaker 2: ingredients that was obvious at the start. Then that year
Speaker 2: could could have been a kind of waste of time.
Speaker 2: And that's always been a bit disappointing and frustrating because
Speaker 2: we would rather have helped that person a year ago. Yeah.
Speaker 2: So this this cycle is highly highly abnormal and there's
Speaker 2: every chance you're not ovulating at all. So we would
Speaker 2: not want that person, this person to come along and
Speaker 2: see us. So after a year of trying, we would
Speaker 2: want to sort this out. Now. Okay, so through a
Speaker 2: dedicated women's health GP or a specialist obstrition and gynecologist,
Speaker 2: we want to work out what's try and work out
Speaker 2: what's wrongs. Some things that are relatively straightforward to rule out.
Speaker 2: There are some things that blood tests will need to
Speaker 2: rule out, and then there's a group of women who
Speaker 2: just done ovulating for no apparent reason. Some of these
Speaker 2: things are correctible and others not. It is possible to
Speaker 2: have a really prolonged cycle like this and still be ovulating,
Speaker 2: but it can be very difficult to track down exactly
Speaker 2: when that ovulation is happening. And the problem with that
Speaker 2: is that unless you're an early wad to having sex
Speaker 2: every day, it's hard to time intercourse around the ovulatory
Speaker 2: time if you don't know when that is. So with
Speaker 2: a cycle it's really long like this, we would want
Speaker 2: to try and work out is there any evidence of ovulation,
Speaker 2: and we can do that with some cereal blood tests.
Speaker 2: More likely there's not, and the bleeding just comes when
Speaker 2: it's ready, and that needs to be corrected before you
Speaker 2: get pregnant at all. So this is someone we would
Speaker 2: like to meet with, investigate and treat.
Speaker 1: Yeah, so she needs a referral to a gynocologist.
Speaker 2: Isn't it now?
Speaker 7: Though?
Speaker 2: Not in it?
Speaker 1: Don't wait, Yeah, don't wait. I hope that you know,
Speaker 1: if anything, starting to listen to our podcasts and stuff,
Speaker 1: if you want to get pregnant, don't wait, please go
Speaker 1: and see Acolture.
Speaker 2: The waiting times for people whose ducks are in a row. Okay,
Speaker 2: so we've got a healthy partner, that the cycle is
Speaker 2: normal and there's no perfect pain. Yeah, so I definitely
Speaker 2: need some attention now, all.
Speaker 3: Right, Pat, Well that's all we've got time for today.
Speaker 3: There's lots in there.
Speaker 2: Now, we've got some more in the tank. Love to
Speaker 2: do another one.
Speaker 3: Do another one? Yes, we'll do another one.
Speaker 1: And if you want to get your voice on our
Speaker 1: speak pipe, we would love to hear from you. We
Speaker 1: love answering your question. So just go to either the
Speaker 1: show notes or to our website grow Mybaby dot com
Speaker 1: dot au. Or we've also got a link in our
Speaker 1: Instagram bio. Lots of ways that you can get on
Speaker 1: there and it's just a really simple click and speak
Speaker 1: and you don't have to sign up to anything, which
Speaker 1: is also nice in these days of having.
Speaker 3: Your inbox full of stuff.
Speaker 1: So you won't ever hear from speak pipe again, hear
Speaker 1: you just want to hear your vice, all.
Speaker 3: Right, so yes, do that obviously.
Speaker 1: People who are in the Grow my Baby program get
Speaker 1: to priority. So if you want a little sneaky tip,
Speaker 1: just jump on into the program where you get lots
Speaker 1: of weekly information about what we think happens at that
Speaker 1: particular week of your pregnancy, and we would love to
Speaker 1: see you in that program. All right, until then, keep well,
Speaker 1: keep growing those babies.
Speaker 2: Thanks for listening everybody.
Speaker 3: Next week by for now.
Speaker 1: Hey, even though doctor Pat is well a doctor and
Speaker 1: we get lots of other doctors and other experts on
Speaker 1: our podcast, I just need to remind you that this
Speaker 1: podcast is for informational purposes only. We share lots of
Speaker 1: medical insights and experience, but everything we talk about is
Speaker 1: general in nature and may not apply to your specific situation.
Speaker 1: Please always consult with your own healthcare provider for your
Speaker 1: individual medical advice when you grow your baby