WEBVTT - It's Official, You're Growing A Human — Introducing Hello Bump

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

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<v Speaker 1>the traditional owners of the land. We have recorded this

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<v Speaker 1>podcast on the Gatagoul people of the Eora Nation. We

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<v Speaker 1>pay our respects to their elders past and present, and

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<v Speaker 1>extend that respect to all Aboriginal and Torres Strait Islander cultures.

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<v Speaker 2>Hello Producer Courtney here, coming into your ears with a

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<v Speaker 2>special treat because we have launched a brand new season

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<v Speaker 2>of our pregnancy podcast, Hello Bump. This season is a

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<v Speaker 2>week by week guide to pregnancy, holding your hand as

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<v Speaker 2>your baby grows from the size of a tiny poppy

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<v Speaker 2>seed all the way to the size of a pumpkin.

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<v Speaker 2>And in this new season, it's hosted by Olympian mother

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<v Speaker 2>of six and training obstetrician Yanna Pittman, as well as writer,

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<v Speaker 2>podcaster and first time mum Grace rope Ray. So if

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<v Speaker 2>you or someone you know is pregnant were just interested

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<v Speaker 2>in learning about pregnancy, then this podcast is for you.

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<v Speaker 2>We'll leave a link in the show notes so you

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<v Speaker 2>can listen to every single episode of Hell Bump wherever

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<v Speaker 2>you get your podcasts, and for now enjoy. We hope

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<v Speaker 2>you love this episode of Hello Bump.

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<v Speaker 3>I am pregnanted.

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<v Speaker 4>Welcome to Hello Bump.

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<v Speaker 5>We're making pregnancy less overwhelming and more manageable, hopefully. I'm

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<v Speaker 5>Grace Riefrey, a writer, actor, podcaster, and I am also

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<v Speaker 5>pregnant for the very first time.

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<v Speaker 3>And I'm Yana Pittman. I am a former Olympian, mother

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<v Speaker 3>of six and obstetric and gania registrar, which basically means

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<v Speaker 3>I deliver babies for a living.

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<v Speaker 5>And with our experience combined, each episode will be holding

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<v Speaker 5>your hand week by week through the mysterious, perplexing, and

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<v Speaker 5>sometimes scary miracle that is pregnancy, all the way from

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<v Speaker 5>a poppy seed to a pumpkin.

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<v Speaker 4>Week four.

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<v Speaker 5>So we're starting this podcast series at week four because

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<v Speaker 5>that's usually when you've found out that you are pregnant.

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<v Speaker 5>There's not a lot that happens between week one and three,

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<v Speaker 5>and they will backdate it from your last period. So, Yana,

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<v Speaker 5>how big is the baby at this point?

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<v Speaker 3>Well, your baby's about the size of a poppy seed

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<v Speaker 3>at this point point, or just like a speck of

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<v Speaker 3>dust or glitter, yeah, a little cheers or something very small.

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<v Speaker 3>It's basically a small clump of cells that's just embedded

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<v Speaker 3>into the lining of your uter it's about two point

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<v Speaker 3>five millimeters, so it's tiny.

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<v Speaker 2>What what's happening to me?

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<v Speaker 4>So tell me what's going on in our bodies this week.

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<v Speaker 3>Well, implantation has just occurred, so your sperm has met

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<v Speaker 3>your sperm, your partner sperm hopefully has met the egg,

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<v Speaker 3>and then it's made its way down the flopin and

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<v Speaker 3>she you've embedded into the uterine wall. So it's just

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<v Speaker 3>now that you'll be starting to get a positive pregnancy

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<v Speaker 3>test because you're making that beta HGG hormone that's the

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<v Speaker 3>hallmark of pregnancy. The placenter itself is actually starting to grow.

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<v Speaker 3>Your baby comes from different cells from the placenter, so

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<v Speaker 3>they grow at the same time, but independently. And right

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<v Speaker 3>now your baby's actually only the size we actually call it,

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<v Speaker 3>well it's not even quite an embryo yet, but it's

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<v Speaker 3>two layers at this point, and it'll slowly start differentiating

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<v Speaker 3>into all the organs and the heart and the lungs

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<v Speaker 3>and things over the next few weeks.

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<v Speaker 5>When does that placenter actually start to take over Because

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<v Speaker 5>at the moment, our body is just feeding everything and

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<v Speaker 5>giving it all.

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<v Speaker 4>Of its life. When is that plercenterally take over.

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<v Speaker 3>Well, it's funnily enough, it's actually not for several weeks,

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<v Speaker 3>so around between nine and ten weeks. I heard that

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<v Speaker 3>at this point the baby has what's called a yolk

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<v Speaker 3>sack that's actually feeding it. So when you go for

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<v Speaker 3>an early ultrasound, but guys way too early, do not

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<v Speaker 3>make an ultrasound booking yet, because that is one of

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<v Speaker 3>the biggest problems. Women go now and they can't see

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<v Speaker 3>anything and then they freak out that they're already having

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<v Speaker 3>a miscarriacter. That's just simply too early. But there is

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<v Speaker 3>a yolk sack, which will be one of the first

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<v Speaker 3>signs on ultrasound that there's a baby inside your belly,

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<v Speaker 3>and that is what feeds the baby for the first

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<v Speaker 3>couple of weeks of pregnancy.

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<v Speaker 5>What I found interesting about this stage is that everything,

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<v Speaker 5>all signs kind of led to it being my period. Yes,

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<v Speaker 5>I was very bloated and I had cramps, and so

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<v Speaker 5>I assumed that it was my period until it kind

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<v Speaker 5>of got to like maybe two more days that I

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<v Speaker 5>normally maybe my period would have come, and it didn't,

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<v Speaker 5>So I took a test.

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<v Speaker 4>But why do all signs lead to it being your period.

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<v Speaker 3>Unfortunately, they're pretty similar to the hormones of pregnancy. Obviously

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<v Speaker 3>easy and progesterer. In our main two big wammies changed

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<v Speaker 3>quite considerably breastenders. I don't know if you got that

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<v Speaker 3>at all, but that was my first sign. I remember

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<v Speaker 3>walking outside in the cold and my nipples killing me

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<v Speaker 3>and thinking what is going on? So all of those

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<v Speaker 3>signs that can often, as you say in the Kate

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<v Speaker 3>pregnancy are unfortunately fluctuating hormones, which happen the same when

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<v Speaker 3>your period is due.

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<v Speaker 5>So is that why they're backdate when you are technically

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<v Speaker 5>your pregnancy starts, because it's all sort of part of

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<v Speaker 5>the same journey, you know how, Like when you find

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<v Speaker 5>out you're pregnant already four weeks, you're already four weeks by.

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<v Speaker 3>Yeah, so we go gestational age or pregnancy age. So

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<v Speaker 3>the age of the fetus is only like two weeks

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<v Speaker 3>by the time you actually find out you're pregnant, But

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<v Speaker 3>the pregnancy age, the whole lot of pregnancy starts from

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<v Speaker 3>the first day of your last period. So theoretically, every

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<v Speaker 3>month we're two weeks pregnant until our period comes and

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<v Speaker 3>then we're not.

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<v Speaker 5>It's I just find this fascinating about how much I

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<v Speaker 5>didn't know about my body until I got to this

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<v Speaker 5>stage and exciting, yeah, or like embarrassing.

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<v Speaker 3>And for some daunting because obviously not all of us

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<v Speaker 3>want to be pregnant, and some of us get a

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<v Speaker 3>little scared and find out that we are so, and

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<v Speaker 3>that's when it is tricky to sort of think, well,

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<v Speaker 3>do I want to continue with the pregnancy? Is this

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<v Speaker 3>something I planned? What is it going to do to

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<v Speaker 3>my life? And I can tell you as a mother

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<v Speaker 3>of six, it does a lot. So it's a hard

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<v Speaker 3>conversation to have with yourself when you first get those

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<v Speaker 3>positive lines. And most of us, like yourself, for I

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<v Speaker 3>don't know whether you were you excited.

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<v Speaker 5>Or no, not at all, Like even though it was

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<v Speaker 5>like wanted and I was aware of what unprotected sex

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<v Speaker 5>could do. Yes, there was no contraception, I think for

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<v Speaker 5>anyone listening. I had had my account tested and it

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<v Speaker 5>was on the lower side in the high nines, which

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<v Speaker 5>I'm thirty five, So it was a maybe start thinking

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<v Speaker 5>about it.

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<v Speaker 4>So I know a lot of.

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<v Speaker 5>People who have struggled for years, So we did start,

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<v Speaker 5>and then it just happened very quickly, so I wasn't prepared.

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<v Speaker 3>But I do think it's a really good point to

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<v Speaker 3>discuss because you know, some people do have the desire

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<v Speaker 3>and really, you know, really want to get pregnant and

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<v Speaker 3>then all of a sudden it's happened. And I know

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<v Speaker 3>a lot of women, certainly some of my patients have

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<v Speaker 3>discussed with me then in those first few weeks with

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<v Speaker 3>all the hormonal changes and started to feel pretty crappy

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<v Speaker 3>that they think, well, this is not really what I

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<v Speaker 3>signed up for, and do I even want to continue

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<v Speaker 3>even though it was a planned pregnancy, And I think

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<v Speaker 3>we need to honor that that's a normal part of

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<v Speaker 3>this process. A huge life change is on the up.

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<v Speaker 3>So please don't feel if you're listening to this, if

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<v Speaker 3>that was you, that it doesn't mean later you won't

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<v Speaker 3>bond with your baby or love the pregnancy and you know,

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<v Speaker 3>and it's also okay if you actually do change your mind.

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<v Speaker 3>Like I think, that's a conversation that we're very lucky

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<v Speaker 3>in Australia we can have and we need to highlight

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<v Speaker 3>that all women feel very differently through this period of gestation.

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<v Speaker 2>What what's happening to me?

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<v Speaker 5>Well that leads us into what is actually happening and

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<v Speaker 5>what might be feel like. What are some common symptoms

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<v Speaker 5>that could happen around this time.

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<v Speaker 3>Well, I think you highlighted them pretty well, thanks unfortunately

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<v Speaker 3>to you experiencing them all. Breast tenderness, bloated feeling around

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<v Speaker 3>your tummy, twiny pains, even some spotting. So sometimes we

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<v Speaker 3>get to what's called an implantation bleed, and that's actually

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<v Speaker 3>that little weaker than parasites. Little parasite is basically nesting

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<v Speaker 3>into your individual lining of your uterus, so eventually you

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<v Speaker 3>know you'll make your little spiral arteries is part of

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<v Speaker 3>your makeup. Anatomically, we'll join the supply so that you'll

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<v Speaker 3>start eventually feeding your baby. But at this point they're

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<v Speaker 3>pretty robust. Many people pregnant very easily, particularly not wanting

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<v Speaker 3>to earlier on in life.

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<v Speaker 5>It's funny I call it a parasite, but for different reasons,

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<v Speaker 5>which we'll get to.

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<v Speaker 1>Is this normal?

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<v Speaker 3>Is it normal?

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<v Speaker 5>A couple of things about is it normal at this time?

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<v Speaker 5>There's the symptoms that are the ones we spoke about,

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<v Speaker 5>the implantation pain or potentially bleeding what you do think

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<v Speaker 5>is your period. But one of the first things I

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<v Speaker 5>noticed was an aversion to alcohol Okay, it was I

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<v Speaker 5>hadn't taken a test yet, and now looking back, it

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<v Speaker 5>feels like that was a potential signing.

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<v Speaker 4>Is that quite early for avergins to come in now?

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<v Speaker 3>Look, I mean I think you guys were trying so

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<v Speaker 3>psychologically each month you are preparing it as possible. So

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<v Speaker 3>there is that psychological factor that we avert foods we

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<v Speaker 3>know will consider to be something we should avoid. In pregnancy,

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<v Speaker 3>you're starting that whole modal change already, so your body's

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<v Speaker 3>doing remarkable things. And for some women I've even had that,

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<v Speaker 3>they've said they are starting to feel nauseous already at

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<v Speaker 3>that four to five week mark. It's not even though

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<v Speaker 3>the BEATA hat CG hormones are not really high, which

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<v Speaker 3>is obviously what triggers a lot of the nausea, it's

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<v Speaker 3>not impossible. So if you're already feeling yucky, the last

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<v Speaker 3>thing you want to go is, you know's neck a

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<v Speaker 3>bottle of wine. So I mean, hopefully it's a good thing.

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<v Speaker 3>You know, this is something that we're trying to continue

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<v Speaker 3>to have the discussion around. Lots of people, by the way,

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<v Speaker 3>don't know they're pregnant yet though, and are drinking and

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<v Speaker 3>doing fun things in life, because you know, we need

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<v Speaker 3>to live. I think it's so it's also important that

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<v Speaker 3>to highlight that if you don't know you're pregnant yet,

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<v Speaker 3>that we don't beat yourself up for the things that

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<v Speaker 3>did happen prior to that. Yes, I think that's more

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<v Speaker 3>common than not, you know, because I think there are

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<v Speaker 3>a large number of pregnancies that are unplanned and people

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<v Speaker 3>don't find out sometimes, so there are nine or ten

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<v Speaker 3>weeks pregnant, so they've made lots of decisions during that

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<v Speaker 3>time that weren't you know, pregnancy related. You know. Ideally,

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<v Speaker 3>I think let's be medical here for a second. I've put

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<v Speaker 3>my little doctors had on you have had prenatal discussions

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<v Speaker 3>with your with your GP. Ideally, have had some serroology,

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<v Speaker 3>which is the blood tests looking at you know in

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<v Speaker 3>anti natal markers, infection markers, even things like your fol

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<v Speaker 3>eight level. Your blood group's really important in pregnancy to

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<v Speaker 3>know whether your H negative, which do you have a

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<v Speaker 3>negative or a positive blood group?

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<v Speaker 5>Is that where they test whether my blood is attacking

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<v Speaker 5>the baby. Yes, okay, and it's.

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<v Speaker 3>Kind of little important because it's not at this four

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<v Speaker 3>weeks pregnant. It doesn't matter because we wouldn't do anything.

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<v Speaker 3>So if you came in, it matters, if you come

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<v Speaker 3>in bleeding, it matters if you've had a car accident

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<v Speaker 3>or something like that, because it's basically where your baby

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<v Speaker 3>makes a different blood group to you, and your own

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<v Speaker 3>body will make antibodies against your baby's blood group. Now

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<v Speaker 3>it doesn't matter in this pregnancy at all. It's actually

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<v Speaker 3>about subsequent pregnancy. So you don't want your body to

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<v Speaker 3>make those antibodies against the positive blood group because you're negative.

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<v Speaker 3>So what that means, though, is if you find out

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<v Speaker 3>you are what we call RH negative, if you have

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<v Speaker 3>an inciting event like a miscarriage or an accident where

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<v Speaker 3>there could be some fetal cells that crossover, we need

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<v Speaker 3>to give you an anti d So it's basically a

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<v Speaker 3>medication that stops that from happening, and we consider that

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<v Speaker 3>after sort of twelve weeks. So you just basically talk

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<v Speaker 3>to your doctor about it and I'll make a plan.

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<v Speaker 3>But it's important to know it so you can at

0:10:07.330 --> 0:10:09.770
<v Speaker 3>least raise the question, Hey, I'm RGE negative, do I

0:10:09.810 --> 0:10:12.570
<v Speaker 3>need to do anything different from an RH positive mum?

0:10:12.690 --> 0:10:14.850
<v Speaker 5>Which leads me into the important things that we should

0:10:14.850 --> 0:10:17.450
<v Speaker 5>be doing at this stage you mentioned fall a. A

0:10:17.490 --> 0:10:19.370
<v Speaker 5>lot of people say folic acid and that you should

0:10:19.370 --> 0:10:20.570
<v Speaker 5>be on it if you're trying.

0:10:20.290 --> 0:10:23.810
<v Speaker 4>To ideally, what does that? What are you actually trying

0:10:23.850 --> 0:10:26.450
<v Speaker 4>to do? And is it bad if you haven't been.

0:10:26.370 --> 0:10:28.330
<v Speaker 3>Taking again, A lot of us don't know we're pregnant,

0:10:28.370 --> 0:10:30.890
<v Speaker 3>but ideally you start taking you know, a women's multi

0:10:30.970 --> 0:10:34.250
<v Speaker 3>item about three months before pregnancy starts, or as soon

0:10:34.290 --> 0:10:36.010
<v Speaker 3>as you find out you are pregnant, because so FOLLO

0:10:36.170 --> 0:10:38.530
<v Speaker 3>is actually to do with neural tube defects. So it's

0:10:38.570 --> 0:10:41.570
<v Speaker 3>the way your baby's brain and spinal cord form prevents

0:10:41.570 --> 0:10:44.010
<v Speaker 3>things like spiner befitter from occurring. So you know, many

0:10:44.090 --> 0:10:46.370
<v Speaker 3>many years ago, so our mums and grandma's had much

0:10:46.410 --> 0:10:48.170
<v Speaker 3>higher rates of that before they found out that FOLLA

0:10:48.250 --> 0:10:50.370
<v Speaker 3>can make a difference. So for most of it, you know,

0:10:50.730 --> 0:10:53.490
<v Speaker 3>between four hundred and eight hundred milligrams is enough, but

0:10:53.650 --> 0:10:55.650
<v Speaker 3>you need to triple check if you're at higher risks.

0:10:55.690 --> 0:10:57.930
<v Speaker 3>So people with a high BMI, people who have are

0:10:57.970 --> 0:11:01.490
<v Speaker 3>on antiepolectic medication, people have had previous miscarriages or spliner

0:11:01.530 --> 0:11:03.570
<v Speaker 3>befitter may need a high dose. So I think it's

0:11:03.610 --> 0:11:05.890
<v Speaker 3>a conversation to have but the best thing you can

0:11:05.930 --> 0:11:07.530
<v Speaker 3>do is just get started as soon as you find.

0:11:07.330 --> 0:11:09.690
<v Speaker 4>Out so your plan. It's never too late, never too

0:11:09.730 --> 0:11:11.050
<v Speaker 4>absolutely no correct.

0:11:10.810 --> 0:11:11.370
<v Speaker 3>Never too late.

0:11:11.810 --> 0:11:15.250
<v Speaker 5>And what are some like nice to do things, things

0:11:15.250 --> 0:11:17.970
<v Speaker 5>to think about, maybe not necessarily about our body, but

0:11:18.010 --> 0:11:20.090
<v Speaker 5>things to start having to think about in the future.

0:11:20.690 --> 0:11:23.530
<v Speaker 3>Great, Ay, look, it's very early, but I would actually

0:11:23.530 --> 0:11:25.410
<v Speaker 3>say start thinking about what model of care you want

0:11:25.450 --> 0:11:29.010
<v Speaker 3>to do, because you have obstetric which is what I'm

0:11:29.050 --> 0:11:31.610
<v Speaker 3>training to be, so coming with the doctor's program. You

0:11:31.650 --> 0:11:33.690
<v Speaker 3>have what I love and I went with my last pregnancy,

0:11:33.730 --> 0:11:36.530
<v Speaker 3>which was actually my second last pregnancy MGP. So whether

0:11:36.530 --> 0:11:39.250
<v Speaker 3>you want to be MIDW free group practice, low risk

0:11:39.290 --> 0:11:42.250
<v Speaker 3>pregnancies lovely holistic care, and I know my midwives out

0:11:42.290 --> 0:11:43.890
<v Speaker 3>there will love me for saying this day. I'm much

0:11:43.890 --> 0:11:46.730
<v Speaker 3>better at counseling around birth and making it normal, you know,

0:11:46.770 --> 0:11:49.970
<v Speaker 3>making normalizing what birth and pregnancy is. But you do

0:11:50.010 --> 0:11:53.010
<v Speaker 3>an unfortunately to be relatively low risk in that program,

0:11:53.210 --> 0:11:55.850
<v Speaker 3>and they fill up so fast. So they're the ones

0:11:55.850 --> 0:11:57.530
<v Speaker 3>that you get a positive pregnancy test and you're like,

0:11:57.690 --> 0:11:59.810
<v Speaker 3>contact your local hospital and say, I'd love to go

0:11:59.850 --> 0:12:03.410
<v Speaker 3>on the MIDWI free group practice program and get in early.

0:12:03.450 --> 0:12:06.210
<v Speaker 3>So that's why it's important now, even this early in gestation,

0:12:06.330 --> 0:12:07.570
<v Speaker 3>to have a think about what you want to do.

0:12:09.090 --> 0:12:11.010
<v Speaker 5>Okay, we're going to need a lot of help along

0:12:11.090 --> 0:12:13.850
<v Speaker 5>this pregnancy. It's only week four, so what can we

0:12:13.890 --> 0:12:15.290
<v Speaker 5>put in our toolkit for this week?

0:12:15.530 --> 0:12:17.330
<v Speaker 3>Did you pick an app? Because I think having an app,

0:12:17.330 --> 0:12:19.610
<v Speaker 3>particularly for first time mums, can be really helpful to

0:12:19.650 --> 0:12:22.210
<v Speaker 3>sort of track babies development and some of the things

0:12:22.210 --> 0:12:23.130
<v Speaker 3>you might be experiencing.

0:12:23.170 --> 0:12:25.290
<v Speaker 4>Have you, Oh, yes, I have the flow out.

0:12:25.370 --> 0:12:27.010
<v Speaker 5>Yes I like it, but I was using it to

0:12:27.210 --> 0:12:29.050
<v Speaker 5>track my period, so I sort of had it already

0:12:29.050 --> 0:12:31.450
<v Speaker 5>and then once you log that you're pregnant, it switches

0:12:31.490 --> 0:12:32.850
<v Speaker 5>into this whole new mode.

0:12:32.770 --> 0:12:32.850
<v Speaker 3>Ye.

0:12:33.130 --> 0:12:34.250
<v Speaker 4>What I like about this is it.

0:12:34.210 --> 0:12:36.370
<v Speaker 5>Gives you, like the stats, Yes, what week you are,

0:12:36.530 --> 0:12:39.090
<v Speaker 5>here's the size of your baby, Here's what's happening to them,

0:12:39.130 --> 0:12:41.130
<v Speaker 5>and then here's what's happening to your body. So you're

0:12:41.210 --> 0:12:43.570
<v Speaker 5>kind of covering these sort of major things which I like.

0:12:43.730 --> 0:12:44.930
<v Speaker 3>Yeah, And I mean you can also use it in

0:12:44.930 --> 0:12:46.930
<v Speaker 3>pregnancy too, and as you're trying to get pregnant. That's

0:12:46.930 --> 0:12:49.810
<v Speaker 3>what I liked about flow Pregnancy plus is another really

0:12:49.810 --> 0:12:51.330
<v Speaker 3>good one. I have both. I have to say I

0:12:51.410 --> 0:12:53.050
<v Speaker 3>liked both and I checked between them to see if

0:12:53.050 --> 0:12:55.690
<v Speaker 3>there was differences. And Baby Centers another good one as well.

0:12:57.090 --> 0:12:59.250
<v Speaker 5>We hope you enjoyed this episode of Hello bum. We

0:12:59.370 --> 0:13:02.410
<v Speaker 5>have so many episodes of this series filled with tips

0:13:02.450 --> 0:13:05.250
<v Speaker 5>and stories from women and experts who've been through it

0:13:05.290 --> 0:13:05.890
<v Speaker 5>all before.

0:13:06.090 --> 0:13:07.930
<v Speaker 3>You can go back and listen to everything else Hello

0:13:07.970 --> 0:13:09.690
<v Speaker 3>bumb related in this podcast.

0:13:09.210 --> 0:13:11.290
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0:13:13.090 --> 0:13:15.530
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0:13:15.690 --> 0:13:18.850
<v Speaker 3>This episode was produced by Courtney Ammenhauser with audio production

0:13:18.930 --> 0:13:20.570
<v Speaker 3>by Tom Lyon. We'll catch you next time.

0:13:20.690 --> 0:13:23.010
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