1 00:00:11,149 --> 00:00:15,989 Speaker 1: You're listening to a MoMA Mia podcast. Mama Maya acknowledges 2 00:00:16,029 --> 00:00:19,229 Speaker 1: the traditional owners of land and waters that this podcast 3 00:00:19,309 --> 00:00:20,029 Speaker 1: is recorded on. 4 00:00:21,389 --> 00:00:23,229 Speaker 2: I am pregnant. 5 00:00:26,989 --> 00:00:29,469 Speaker 1: I'm Grace Rubray. I'm pregnant for the first time, and 6 00:00:29,629 --> 00:00:33,869 Speaker 1: just like you, we are officially halfway through. That's so exciting. 7 00:00:34,589 --> 00:00:36,589 Speaker 2: I'm out of Pittman. I'm a former Olympian, I'm a 8 00:00:36,629 --> 00:00:38,749 Speaker 2: mother of six little humans, and I'm now training to 9 00:00:38,789 --> 00:00:39,749 Speaker 2: be an obstetrician. 10 00:00:39,989 --> 00:00:42,269 Speaker 1: Each episode will be holding your hand week by week 11 00:00:42,309 --> 00:00:46,229 Speaker 1: through the mysterious, perplexing, and sometimes exciting miracle that is pregnancy. Yes, 12 00:00:46,269 --> 00:00:48,429 Speaker 1: I said exciting, and we'll get to why. Because it 13 00:00:48,509 --> 00:00:51,709 Speaker 1: is about morphology scan, it is about being halfway through. 14 00:00:51,829 --> 00:00:52,629 Speaker 1: It is very exciting. 15 00:00:52,989 --> 00:00:57,429 Speaker 2: Week twenty, your baby is about the size of a mango. 16 00:00:57,629 --> 00:01:01,349 Speaker 1: Now that that feels like I can feel the weight 17 00:01:01,389 --> 00:01:04,789 Speaker 1: of that. Yeah, big, it is big. I've put it 18 00:01:04,829 --> 00:01:06,309 Speaker 1: could be a top not hair bun. 19 00:01:06,309 --> 00:01:09,389 Speaker 2: And I'm not nice, Okay. An artichoke, I don't even 20 00:01:09,429 --> 00:01:11,229 Speaker 2: know what an arch choke, but that's. 21 00:01:11,189 --> 00:01:14,909 Speaker 1: I only know them as the canned version pizza. Yeah, 22 00:01:15,909 --> 00:01:17,869 Speaker 1: I don't know what they look like in the wild. 23 00:01:17,909 --> 00:01:20,949 Speaker 2: I hear, but for us to be visual sixteen point 24 00:01:20,949 --> 00:01:24,189 Speaker 2: five centimeters and approaching three hundred grams now, so it's 25 00:01:24,229 --> 00:01:24,629 Speaker 2: pretty cool. 26 00:01:24,909 --> 00:01:27,789 Speaker 1: Yeah, that is hefty. It is hefty, It is afty, 27 00:01:27,829 --> 00:01:31,109 Speaker 1: it's efty. And what are they developing? 28 00:01:31,509 --> 00:01:33,749 Speaker 2: So your little one's head now has some hair on it, 29 00:01:33,829 --> 00:01:36,829 Speaker 2: no color yet, so the pigmentation is still coming by 30 00:01:36,869 --> 00:01:39,469 Speaker 2: twenty weeks baby is. If the baby's a female, her 31 00:01:39,549 --> 00:01:41,789 Speaker 2: ovaries will carry all the eggs she'll ever have. Remember 32 00:01:41,789 --> 00:01:43,389 Speaker 2: how we talked about the fact you you're carrying your 33 00:01:43,429 --> 00:01:46,869 Speaker 2: grand babies already. Now they've splitten and they're actually considered 34 00:01:46,869 --> 00:01:48,629 Speaker 2: all sights and this is the most she'll ever have 35 00:01:48,749 --> 00:01:52,149 Speaker 2: in her whole life. She has several million eggs at 36 00:01:52,149 --> 00:01:54,309 Speaker 2: the moment, which is kind of nuts. And then she'll 37 00:01:54,349 --> 00:01:56,629 Speaker 2: basically every month you get less and less and less 38 00:01:56,629 --> 00:01:59,629 Speaker 2: and less. From this point onwards, she's got the highest 39 00:01:59,669 --> 00:02:01,469 Speaker 2: amount of eggs you'll ever have right now. 40 00:02:01,549 --> 00:02:05,989 Speaker 1: That's wild nuts. So when you said about the hair, 41 00:02:06,509 --> 00:02:09,589 Speaker 1: there is the myth about a hairy baby giving you 42 00:02:09,589 --> 00:02:13,469 Speaker 1: more brief or more heartburn. Is there any truth to that? 43 00:02:13,749 --> 00:02:15,669 Speaker 2: It's again a bit of a old wife tale. But 44 00:02:15,789 --> 00:02:17,949 Speaker 2: we have done some there's been some good research in 45 00:02:17,949 --> 00:02:20,069 Speaker 2: this space, I think because of people talking about it 46 00:02:20,069 --> 00:02:22,269 Speaker 2: all the time, and they think the same sort of 47 00:02:22,309 --> 00:02:24,589 Speaker 2: hormones that cause think about it. We talked about it 48 00:02:24,589 --> 00:02:28,429 Speaker 2: with the progesterone and testosterone hormones that cause pregnancy accelerate 49 00:02:28,429 --> 00:02:31,069 Speaker 2: hair growth. Can also make the sophageal sphincter, which is 50 00:02:31,069 --> 00:02:34,149 Speaker 2: basically a muscle around where your stomach becomes your esophagus 51 00:02:34,149 --> 00:02:37,109 Speaker 2: where your food sits, and then loosen and become weaker, 52 00:02:37,389 --> 00:02:41,029 Speaker 2: and so you tend to reflux more food out of 53 00:02:41,069 --> 00:02:45,189 Speaker 2: your tummy. So whether it's directly related alum the sens 54 00:02:45,509 --> 00:02:47,509 Speaker 2: so some says yes and some says no. Doctor says 55 00:02:47,549 --> 00:02:50,629 Speaker 2: not sure. 56 00:02:49,309 --> 00:02:53,389 Speaker 1: What's happening to me and what is happening to our body? 57 00:02:53,789 --> 00:02:57,069 Speaker 2: You're now halfway Obviously you've already highlighted that the uterus 58 00:02:57,109 --> 00:03:00,189 Speaker 2: now takes up more room and is quite squishy inside 59 00:03:00,229 --> 00:03:02,709 Speaker 2: your organs. It actually reaches just where your belly button is, 60 00:03:02,749 --> 00:03:04,389 Speaker 2: So we actually think it's quite funny. This is the 61 00:03:04,389 --> 00:03:06,509 Speaker 2: time we start measuring your fundel heights. So when you 62 00:03:06,589 --> 00:03:08,149 Speaker 2: come to see us, you might have had earlier than this, 63 00:03:08,189 --> 00:03:09,909 Speaker 2: but we like to start it. And that's where we 64 00:03:09,949 --> 00:03:12,149 Speaker 2: take a tape measure from your pubic bone and measure 65 00:03:12,149 --> 00:03:13,069 Speaker 2: your belly, and people. 66 00:03:12,869 --> 00:03:13,989 Speaker 1: Are like, why are you doing that? 67 00:03:14,029 --> 00:03:17,589 Speaker 2: It's very weird. You match twenty weeks, twenty centimeters, twenty 68 00:03:17,589 --> 00:03:21,469 Speaker 2: one centimeters, twenty two centimeters, so your roughly gestational age 69 00:03:21,469 --> 00:03:23,829 Speaker 2: of your baby will match the weakes of pregnancy that 70 00:03:23,869 --> 00:03:25,709 Speaker 2: you are. Will they do that rather than weigh you, 71 00:03:27,069 --> 00:03:29,349 Speaker 2: we weigh more for BMI, so we weigh more to 72 00:03:29,349 --> 00:03:31,149 Speaker 2: has she put on too much weight or worse, has 73 00:03:31,189 --> 00:03:33,469 Speaker 2: she actually not put on enough weight because of hyperremisis 74 00:03:33,509 --> 00:03:36,909 Speaker 2: or nause'r and vomiting is adequate weight game being You 75 00:03:36,949 --> 00:03:39,189 Speaker 2: can also see some conditions. For example, if the woman 76 00:03:39,269 --> 00:03:41,429 Speaker 2: has a baby that's making too much amniotic fluid, she 77 00:03:41,509 --> 00:03:43,789 Speaker 2: might have a sudden increase in weight. And unfortunately, things 78 00:03:43,789 --> 00:03:46,029 Speaker 2: like preaclampsy you can do the same. So it's just 79 00:03:46,029 --> 00:03:47,909 Speaker 2: a sort of a tool that we use to look 80 00:03:47,909 --> 00:03:50,829 Speaker 2: at lots of things, weight gain issues in pregnancy, red 81 00:03:50,829 --> 00:03:53,229 Speaker 2: flags that we might need to look at. The size 82 00:03:53,229 --> 00:03:54,909 Speaker 2: of that fundus is the thing we look at most 83 00:03:54,949 --> 00:03:57,949 Speaker 2: for the baby's growth. So say you're theoretically I mean 84 00:03:57,989 --> 00:03:59,349 Speaker 2: twenty weeks, we don't worry about it too much. 85 00:03:59,349 --> 00:03:59,749 Speaker 1: We just do it. 86 00:03:59,789 --> 00:04:01,749 Speaker 2: Almost as a routine. But say you're thirty weeks and 87 00:04:01,749 --> 00:04:03,469 Speaker 2: your baby's only measuring twenty six weeks, we get a 88 00:04:03,509 --> 00:04:06,029 Speaker 2: little nervous that the baby might be small. Most of 89 00:04:06,029 --> 00:04:07,629 Speaker 2: the time, it's just the baby's like in a transverse 90 00:04:07,669 --> 00:04:09,589 Speaker 2: position or in a position that means it looks smaller 91 00:04:09,629 --> 00:04:11,989 Speaker 2: because all bits of going sideways instead of up and down. 92 00:04:12,669 --> 00:04:14,629 Speaker 2: But it's an interesting What will happen is you get 93 00:04:14,629 --> 00:04:16,549 Speaker 2: a notch sound so we can look more formally at 94 00:04:16,589 --> 00:04:19,509 Speaker 2: your baby's size. And obviously if it's big, big, big, 95 00:04:19,509 --> 00:04:22,069 Speaker 2: and you're measuring forty weeks and you're only thirty weeks, 96 00:04:22,269 --> 00:04:23,789 Speaker 2: the same thing. We just want to know what's going 97 00:04:23,829 --> 00:04:25,509 Speaker 2: on inside? 98 00:04:30,789 --> 00:04:32,829 Speaker 1: Is this normal? Is it normal? So this week I 99 00:04:32,829 --> 00:04:35,189 Speaker 1: want to talk about the big twenty week morphology scan. 100 00:04:36,029 --> 00:04:38,989 Speaker 1: And I'm sure I'm not alone that when I was 101 00:04:39,789 --> 00:04:43,389 Speaker 1: watching the sonographer do their work, I was staring at 102 00:04:43,429 --> 00:04:47,509 Speaker 1: their face for any sign of good news bad news. 103 00:04:48,229 --> 00:04:52,069 Speaker 1: But they any news. But they don't give anything away. 104 00:04:52,269 --> 00:04:55,389 Speaker 2: No, they're amazing, are they? They have like the most 105 00:04:55,429 --> 00:04:58,109 Speaker 2: incredible clown face. You have no idea what's going on. 106 00:04:58,069 --> 00:05:00,029 Speaker 1: And there's all these different shapes and then when they 107 00:05:00,309 --> 00:05:03,709 Speaker 1: switch on the like showing like the blood flow. Yeah, yeah, 108 00:05:03,749 --> 00:05:06,029 Speaker 1: and you're like, well, that big red thing and the 109 00:05:06,269 --> 00:05:09,909 Speaker 1: big red and blue thing, is that normal because we 110 00:05:09,949 --> 00:05:11,669 Speaker 1: have no idea what we're looking at. 111 00:05:11,989 --> 00:05:14,069 Speaker 2: Yeah, Well, I'm really lucky I've had I did several 112 00:05:14,109 --> 00:05:15,469 Speaker 2: weeks in the Elks Sound apartment with some of the 113 00:05:15,469 --> 00:05:17,469 Speaker 2: best scenographers in the world in the last few weeks, 114 00:05:17,469 --> 00:05:19,349 Speaker 2: and they taught that they don't want to give away 115 00:05:19,429 --> 00:05:21,949 Speaker 2: because they're there to do the scans and find anything. 116 00:05:22,029 --> 00:05:24,429 Speaker 2: And then what you don't realize is after that they 117 00:05:24,469 --> 00:05:26,829 Speaker 2: send the images to the doctor who sits down and 118 00:05:26,869 --> 00:05:29,469 Speaker 2: that doctor has strong knowledge about what is normal and 119 00:05:29,509 --> 00:05:31,909 Speaker 2: what is not. So they're measuring compartments of the brain. 120 00:05:31,949 --> 00:05:34,189 Speaker 2: They're looking at the size of the ventricles, they're actually 121 00:05:34,229 --> 00:05:36,509 Speaker 2: looking at the whole anatomy of the brain. Is is 122 00:05:36,509 --> 00:05:39,069 Speaker 2: there something there that's unusual? All the bits that should 123 00:05:39,109 --> 00:05:42,629 Speaker 2: be there present, what could be absent? And so they 124 00:05:42,709 --> 00:05:45,269 Speaker 2: methodically go through each of the major organ systems and 125 00:05:45,349 --> 00:05:48,109 Speaker 2: look for anything that could highlight either a structural abnormality. 126 00:05:48,109 --> 00:05:51,069 Speaker 2: In other words, sometimes it's sad to say, but sometimes 127 00:05:51,109 --> 00:05:54,189 Speaker 2: something like an infection in pregnancy early in pregnancy can 128 00:05:54,229 --> 00:05:56,309 Speaker 2: cause fetal growth restriction, and it can be quite obvious 129 00:05:56,309 --> 00:05:59,029 Speaker 2: in the features. Sometimes it is a chromosomal abnormality that 130 00:05:59,069 --> 00:06:01,669 Speaker 2: wasn't put picked up earlier, and there'll be those soft signs. 131 00:06:01,909 --> 00:06:04,349 Speaker 2: Sometimes it's a genetic condition, like polycystic ovaries. There'll be 132 00:06:04,349 --> 00:06:06,869 Speaker 2: a little ovaries that covered in little cysts, so they'll 133 00:06:06,869 --> 00:06:07,589 Speaker 2: pick up all those. 134 00:06:07,629 --> 00:06:09,869 Speaker 1: They can picks on the feeder. 135 00:06:10,829 --> 00:06:13,629 Speaker 2: Polycystic kidney, sorry, could take. 136 00:06:13,269 --> 00:06:14,909 Speaker 1: You for correcting me. Polsistic kidney. 137 00:06:14,949 --> 00:06:16,749 Speaker 2: So they look at the kidneys and they could see 138 00:06:17,109 --> 00:06:20,829 Speaker 2: similar not followicles. Little babies actually see the little cysts 139 00:06:20,829 --> 00:06:24,549 Speaker 2: that shouldn't be there on the kidneys, so it's tumors 140 00:06:24,549 --> 00:06:27,629 Speaker 2: even like little babies develop unusual tymbers, brain tumors and 141 00:06:27,709 --> 00:06:29,229 Speaker 2: hydromas and things that shouldn't be there. 142 00:06:29,709 --> 00:06:31,069 Speaker 1: One thing that I did want to bring up, just 143 00:06:31,109 --> 00:06:33,549 Speaker 1: in case this has happened or if someone is listening 144 00:06:33,629 --> 00:06:37,629 Speaker 1: before their twenty weeks scan is I was called back, Yes, 145 00:06:37,829 --> 00:06:41,909 Speaker 1: good point, because well they actually didn't tell me why so, yeah, 146 00:06:42,029 --> 00:06:45,469 Speaker 1: because it was a receptionist who I am. But then 147 00:06:45,469 --> 00:06:47,989 Speaker 1: when I started this conversation with a lot of other women, 148 00:06:48,469 --> 00:06:52,069 Speaker 1: common common Yeah, and it's to do mainly with and 149 00:06:52,149 --> 00:06:53,669 Speaker 1: this is just the comms of not the doctor, so 150 00:06:53,669 --> 00:06:55,429 Speaker 1: I will throw at you in a moment. Is it 151 00:06:55,509 --> 00:06:57,349 Speaker 1: is done by a snographer, but it is looked at 152 00:06:57,349 --> 00:07:00,029 Speaker 1: by a doctor who goes, I want another angle exactly, and. 153 00:06:59,989 --> 00:07:02,509 Speaker 2: So it's your baby's fault. They've been on the wrong 154 00:07:02,589 --> 00:07:04,789 Speaker 2: side of the of the ultrasound way and they're basically 155 00:07:04,789 --> 00:07:07,669 Speaker 2: not cooperating. You might even find during your morphology the 156 00:07:07,669 --> 00:07:09,429 Speaker 2: doctor gets gets you off and just go for a walk. 157 00:07:09,589 --> 00:07:11,629 Speaker 2: Your babies positions not right. We can't see what we 158 00:07:11,669 --> 00:07:13,229 Speaker 2: need to see. We haven't got the fortune, you know, 159 00:07:13,309 --> 00:07:14,909 Speaker 2: for heart chamber of view. We need to get more. 160 00:07:15,309 --> 00:07:18,549 Speaker 2: That's fine, So that's really common. Sometimes it might also 161 00:07:18,549 --> 00:07:20,109 Speaker 2: be that they do see something that is a little 162 00:07:20,149 --> 00:07:22,709 Speaker 2: bit unusual that the sonographer didn't quite see, and they 163 00:07:22,709 --> 00:07:25,229 Speaker 2: want to get more imaging. So don't be alarmed with that. 164 00:07:25,269 --> 00:07:27,269 Speaker 2: You know, it's obviously not an enormous. 165 00:07:26,909 --> 00:07:28,109 Speaker 1: Rip roaring abnormality. 166 00:07:28,109 --> 00:07:29,909 Speaker 2: Otherwise they would have seen it straight away. Because that's 167 00:07:29,989 --> 00:07:32,109 Speaker 2: when I got talked to ultrasound, because it's part of 168 00:07:32,109 --> 00:07:35,509 Speaker 2: my training is to be solid at ultrasound. It's one 169 00:07:35,509 --> 00:07:38,789 Speaker 2: of those I need to see this severely severe abnormalities. 170 00:07:38,949 --> 00:07:42,069 Speaker 2: So the smaller ones will be picked up by the doctors, 171 00:07:42,069 --> 00:07:44,669 Speaker 2: but the one that the trained obstetric doctors or the 172 00:07:44,749 --> 00:07:46,749 Speaker 2: MFM specialists who do this even more, they're the ones 173 00:07:46,789 --> 00:07:48,669 Speaker 2: who are the pretty much the krem little creme of 174 00:07:48,949 --> 00:07:51,909 Speaker 2: obstetricians in high risk pregnancies. But at this point you 175 00:07:51,949 --> 00:07:54,389 Speaker 2: need to see what is grossly abnormal versus what is normal, 176 00:07:54,429 --> 00:07:56,069 Speaker 2: and then you know you've got your images, but you're 177 00:07:56,069 --> 00:07:57,549 Speaker 2: not always going to get them. They're still going to 178 00:07:57,549 --> 00:07:59,229 Speaker 2: be sometimes where things just need a little bit. 179 00:07:59,149 --> 00:08:01,469 Speaker 1: Of extra I was laying there and she wouldn't move, 180 00:08:02,349 --> 00:08:05,269 Speaker 1: and they made me raise my ships like a bridge 181 00:08:05,309 --> 00:08:09,149 Speaker 1: and wigg a come on, bubba, and then like, I 182 00:08:09,149 --> 00:08:11,629 Speaker 1: don't know if other people have animals who maybe have 183 00:08:11,709 --> 00:08:14,789 Speaker 1: taken an interest to a bump, I've always been like, oh, 184 00:08:14,869 --> 00:08:17,589 Speaker 1: is that my cat? Are they pushing too hard? No, 185 00:08:18,349 --> 00:08:21,189 Speaker 1: how hard those snographers were pushing to kind of get 186 00:08:21,229 --> 00:08:23,909 Speaker 1: them into the right recision or even you've just touched 187 00:08:23,949 --> 00:08:27,429 Speaker 1: me in this recording before, there's a lot of They 188 00:08:27,429 --> 00:08:29,149 Speaker 1: can take a lot of pressure, is that correct? Correct? 189 00:08:29,349 --> 00:08:31,949 Speaker 2: That's why they're cushioned inside. Like people have car accidents 190 00:08:31,989 --> 00:08:34,829 Speaker 2: and babies are fine, Like not always you always always, guys, 191 00:08:34,829 --> 00:08:36,029 Speaker 2: if you have a car acident, even if it's a 192 00:08:36,029 --> 00:08:37,869 Speaker 2: small bump, need to go and get checked. Or a 193 00:08:37,909 --> 00:08:39,429 Speaker 2: fall on your bottom, or a fall on your tummy 194 00:08:39,469 --> 00:08:40,429 Speaker 2: or all of that, you need to go to the 195 00:08:40,589 --> 00:08:42,389 Speaker 2: to the berth unit and get an assessment. Particularly in 196 00:08:42,389 --> 00:08:44,029 Speaker 2: our twenty weeks, that means you don't have to go 197 00:08:44,029 --> 00:08:46,069 Speaker 2: to your GP. Now it is birth unit, not d 198 00:08:46,269 --> 00:08:48,189 Speaker 2: It's straight to where you're going to birth your baby. 199 00:08:48,829 --> 00:08:50,909 Speaker 2: All of those things needs investigating. But yes, you're very 200 00:08:51,029 --> 00:08:53,389 Speaker 2: robust in there, like very robust toddlers. 201 00:08:53,429 --> 00:08:53,869 Speaker 1: Think about it. 202 00:08:53,869 --> 00:08:55,629 Speaker 2: You're not yet on your second but I have had 203 00:08:55,709 --> 00:08:57,589 Speaker 2: two or three children jump on my tummy at the 204 00:08:57,629 --> 00:08:58,109 Speaker 2: same time. 205 00:08:58,989 --> 00:09:02,029 Speaker 1: They're very very safe. Okay, what are some other things 206 00:09:02,029 --> 00:09:03,949 Speaker 1: that we might need to think about it? Twenty weeks 207 00:09:04,909 --> 00:09:05,629 Speaker 1: tough discussion. 208 00:09:05,789 --> 00:09:08,949 Speaker 2: So twenty weeks mark's viability, not viability for the baby 209 00:09:08,989 --> 00:09:11,109 Speaker 2: to live. That's twenty three weeks, but it marks the 210 00:09:11,109 --> 00:09:14,509 Speaker 2: time when Medicare and the government, let's be honest, recognizes 211 00:09:14,589 --> 00:09:17,429 Speaker 2: that your baby is a baby and not a miscarriage. 212 00:09:17,589 --> 00:09:19,589 Speaker 2: So I really hope that no one listening to this 213 00:09:19,629 --> 00:09:22,069 Speaker 2: goes into pre term labor at nineteen weeks and six days, 214 00:09:22,109 --> 00:09:24,509 Speaker 2: which is literally that custody time as you turn twenty weeks. 215 00:09:25,109 --> 00:09:27,149 Speaker 2: But I've already had the privilege of sitting with three 216 00:09:27,149 --> 00:09:29,229 Speaker 2: women that have had to make that decision where we did. 217 00:09:29,549 --> 00:09:31,629 Speaker 2: We knew she was going to pass the baby unfortunately 218 00:09:31,629 --> 00:09:33,749 Speaker 2: and birth her little one. So it is a discussion 219 00:09:33,749 --> 00:09:35,829 Speaker 2: to think about how what you would do in this case, 220 00:09:36,269 --> 00:09:38,869 Speaker 2: but also to recognize that now your baby is a baby. 221 00:09:38,909 --> 00:09:41,749 Speaker 2: So from this point forward, if you were one of 222 00:09:41,789 --> 00:09:45,509 Speaker 2: the incredibly horribly unlucky person people to go into labor 223 00:09:45,509 --> 00:09:47,509 Speaker 2: in the next couple of weeks before your baby was 224 00:09:47,749 --> 00:09:51,469 Speaker 2: fully formed and able to be resuscitated, that your baby 225 00:09:51,509 --> 00:09:54,509 Speaker 2: is considered it's our fetal loss. So it's a fetal 226 00:09:54,509 --> 00:09:55,629 Speaker 2: death from this point onwards. 227 00:09:56,149 --> 00:09:57,709 Speaker 1: And what does that mean in terms of how the 228 00:09:57,749 --> 00:09:59,389 Speaker 1: government seems that, like, what are the steps that you 229 00:09:59,429 --> 00:10:02,589 Speaker 1: would need to take or that you can take. Is 230 00:10:02,589 --> 00:10:05,269 Speaker 1: it elective? What the next steps. 231 00:10:05,029 --> 00:10:07,069 Speaker 2: Or partially partially not You can elect for the hospital 232 00:10:07,109 --> 00:10:08,749 Speaker 2: do the burial in the cremation, but it is still 233 00:10:08,789 --> 00:10:11,149 Speaker 2: something that happens. They get birth certificate, they get a 234 00:10:11,189 --> 00:10:14,029 Speaker 2: death certificate. There's a bereavement package that can be given 235 00:10:14,069 --> 00:10:16,589 Speaker 2: to the family for for example, time off work, because 236 00:10:16,709 --> 00:10:17,789 Speaker 2: I mean, don't get me wrong, I think and this 237 00:10:17,829 --> 00:10:19,269 Speaker 2: is why I think it's such an arbitrary number. And 238 00:10:19,309 --> 00:10:21,269 Speaker 2: it's really hard because you get I know that if 239 00:10:21,269 --> 00:10:22,789 Speaker 2: I had lost a baby at eighteen weeks, to me, 240 00:10:22,869 --> 00:10:24,389 Speaker 2: that was a baby. There is no part of it 241 00:10:24,429 --> 00:10:26,269 Speaker 2: being a miscarriage to me. I mean, we label it 242 00:10:26,349 --> 00:10:28,549 Speaker 2: medically it's a miscarriage, it's a late miscarriage in the 243 00:10:28,549 --> 00:10:33,709 Speaker 2: second trimester, but it's not clinically called a baby until 244 00:10:33,709 --> 00:10:35,429 Speaker 2: that point. So there's a lot more paperwork for the 245 00:10:35,469 --> 00:10:37,989 Speaker 2: medical team to do. They offer a lot more investigation, 246 00:10:38,109 --> 00:10:39,909 Speaker 2: so they same baby off, a post mortem and things 247 00:10:39,949 --> 00:10:41,469 Speaker 2: like that. If you want to know what the cause is, 248 00:10:41,469 --> 00:10:43,389 Speaker 2: often it's just pre term labor. But if there's something 249 00:10:43,389 --> 00:10:45,229 Speaker 2: that happens, like for example, you go fore ultras ount 250 00:10:45,229 --> 00:10:47,789 Speaker 2: and there's no heartbeat, I think they can give you 251 00:10:47,789 --> 00:10:49,669 Speaker 2: more information around that space. But the good thing is 252 00:10:49,709 --> 00:10:51,909 Speaker 2: all of these major hospitals where you would birth your 253 00:10:51,949 --> 00:10:54,189 Speaker 2: little one, or if you don't and it's a rural hospital, 254 00:10:54,229 --> 00:10:56,949 Speaker 2: they can organize it. ADDI tertiary center is to have 255 00:10:57,029 --> 00:11:00,029 Speaker 2: that counseling and that discussion around what the next steps 256 00:11:00,069 --> 00:11:02,789 Speaker 2: are so you will be really well supported through this, 257 00:11:02,869 --> 00:11:03,069 Speaker 2: you and. 258 00:11:03,069 --> 00:11:05,189 Speaker 1: Your partner and your family. If that's what you choose. 259 00:11:05,349 --> 00:11:08,749 Speaker 1: What are some companies or organizations that you know of 260 00:11:08,829 --> 00:11:12,549 Speaker 1: that can provide supporting If someone's listening and that this 261 00:11:12,669 --> 00:11:14,309 Speaker 1: does happen to them in the next few weeks, or 262 00:11:14,309 --> 00:11:15,749 Speaker 1: if they've got a friend that goes through this, is 263 00:11:15,749 --> 00:11:16,949 Speaker 1: there somewhere we can point them to. 264 00:11:17,629 --> 00:11:19,229 Speaker 2: Well, I mean, this one's hard because of the gestation 265 00:11:19,309 --> 00:11:21,469 Speaker 2: it's happened, But there's Pink Elephants is a really good 266 00:11:21,469 --> 00:11:23,349 Speaker 2: one and I actually met the founder just recently. Her 267 00:11:23,389 --> 00:11:26,229 Speaker 2: name is Sophie Smith. She's extraordinary and she runs running 268 00:11:26,269 --> 00:11:29,749 Speaker 2: for premature babies. So she lost her triplets at her 269 00:11:29,949 --> 00:11:32,269 Speaker 2: first little one came just after twenty one weeks, lived 270 00:11:32,269 --> 00:11:35,189 Speaker 2: for an hour. Her second little boy came and lived 271 00:11:35,229 --> 00:11:37,389 Speaker 2: for several hours, and the first one lived for several 272 00:11:37,469 --> 00:11:39,349 Speaker 2: days or actually almost I think it's fifty eight days, 273 00:11:39,349 --> 00:11:41,509 Speaker 2: she told me. So she has now nineteen years ago. 274 00:11:41,549 --> 00:11:43,429 Speaker 2: Her triplets will be nineteen this year, and so she's 275 00:11:43,429 --> 00:11:46,389 Speaker 2: set up an incredible space where women who have premature 276 00:11:46,429 --> 00:11:48,789 Speaker 2: babies like this can bind together. And she's raised over 277 00:11:48,909 --> 00:11:51,669 Speaker 2: nine million dollars for premature babies and nic U support. 278 00:11:51,749 --> 00:11:55,029 Speaker 2: So pretty impressive woman, isn't she that she's through that loss. 279 00:11:55,789 --> 00:11:55,949 Speaker 1: Yeah. 280 00:11:55,989 --> 00:11:57,589 Speaker 2: I know it's a touching topic to talk about, guys, 281 00:11:57,589 --> 00:11:59,749 Speaker 2: but unfortunately everyone listening to this, not all of you 282 00:11:59,829 --> 00:12:01,389 Speaker 2: are going to go full term. So I think it's 283 00:12:01,389 --> 00:12:03,389 Speaker 2: really important to have those resources in place and just 284 00:12:03,429 --> 00:12:07,189 Speaker 2: recognize that it does happen very rarely, but it. 285 00:12:07,149 --> 00:12:13,429 Speaker 1: Does for the tool. This week, I don't have anything practical, 286 00:12:13,549 --> 00:12:16,069 Speaker 1: really or productive. I just said, take yourself out for 287 00:12:16,069 --> 00:12:17,829 Speaker 1: dinner because you're halfway. Halfway. 288 00:12:17,869 --> 00:12:21,789 Speaker 2: I think you celebrate with some apple sparkley, yeah, maake wine, yah. 289 00:12:21,749 --> 00:12:25,429 Speaker 1: Some fakey fake something and have to be with your people, booth, 290 00:12:25,469 --> 00:12:33,029 Speaker 1: your partner and congratulations. Yeah, perfectly said. We hope you 291 00:12:33,149 --> 00:12:35,749 Speaker 1: enjoyed this episode of Hello Bump. We have so many 292 00:12:35,789 --> 00:12:38,749 Speaker 1: episodes of this series filled with tips and stories from 293 00:12:39,069 --> 00:12:41,349 Speaker 1: women and experts who've been through it all before. 294 00:12:41,829 --> 00:12:43,669 Speaker 2: You can go back and listen to everything else Hello 295 00:12:43,669 --> 00:12:45,269 Speaker 2: Bumb related in this podcast. 296 00:12:44,949 --> 00:12:47,109 Speaker 1: Feed, and while you're there, we'd love if you could 297 00:12:47,109 --> 00:12:48,909 Speaker 1: give us a five star rating and maybe leave us 298 00:12:48,909 --> 00:12:51,349 Speaker 1: a review or even share this episode with a friend. 299 00:12:51,749 --> 00:12:54,949 Speaker 2: This episode was produced by Courtney Ammenhauser, with audio production 300 00:12:55,029 --> 00:12:57,469 Speaker 2: by Tom Lyon, we'll catch you next time. Bye. 301 00:12:57,829 --> 00:13:00,189 Speaker 1: This episode of Hello Bump was made in partnership with 302 00:13:00,269 --> 00:13:00,709 Speaker 1: Huggies