WEBVTT - Week 20: Does My Heartburn Mean I Have A Hairy Baby?

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

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

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<v Speaker 1>is recorded on.

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<v Speaker 2>I am pregnant.

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<v Speaker 1>I'm Grace Rubray. I'm pregnant for the first time, and

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<v Speaker 1>just like you, we are officially halfway through. That's so exciting.

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<v Speaker 2>I'm out of Pittman. I'm a former Olympian, I'm a

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<v Speaker 2>mother of six little humans, and I'm now training to

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<v Speaker 2>be an obstetrician.

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<v Speaker 1>Each episode will be holding your hand week by week

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<v Speaker 1>through the mysterious, perplexing, and sometimes exciting miracle that is pregnancy. Yes,

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<v Speaker 1>I said exciting, and we'll get to why. Because it

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<v Speaker 1>is about morphology scan, it is about being halfway through.

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<v Speaker 1>It is very exciting.

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<v Speaker 2>Week twenty, your baby is about the size of a mango.

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<v Speaker 1>Now that that feels like I can feel the weight

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<v Speaker 1>of that. Yeah, big, it is big. I've put it

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<v Speaker 1>could be a top not hair bun.

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<v Speaker 2>And I'm not nice, Okay. An artichoke, I don't even

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<v Speaker 2>know what an arch choke, but that's.

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<v Speaker 1>I only know them as the canned version pizza. Yeah,

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<v Speaker 1>I don't know what they look like in the wild.

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<v Speaker 2>I hear, but for us to be visual sixteen point

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<v Speaker 2>five centimeters and approaching three hundred grams now, so it's

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<v Speaker 2>pretty cool.

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<v Speaker 1>Yeah, that is hefty. It is hefty, It is afty,

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<v Speaker 1>it's efty. And what are they developing?

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<v Speaker 2>So your little one's head now has some hair on it,

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<v Speaker 2>no color yet, so the pigmentation is still coming by

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<v Speaker 2>twenty weeks baby is. If the baby's a female, her

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<v Speaker 2>ovaries will carry all the eggs she'll ever have. Remember

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<v Speaker 2>how we talked about the fact you you're carrying your

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<v Speaker 2>grand babies already. Now they've splitten and they're actually considered

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<v Speaker 2>all sights and this is the most she'll ever have

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<v Speaker 2>in her whole life. She has several million eggs at

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<v Speaker 2>the moment, which is kind of nuts. And then she'll

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<v Speaker 2>basically every month you get less and less and less

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<v Speaker 2>and less. From this point onwards, she's got the highest

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<v Speaker 2>amount of eggs you'll ever have right now.

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<v Speaker 1>That's wild nuts. So when you said about the hair,

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<v Speaker 1>there is the myth about a hairy baby giving you

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<v Speaker 1>more brief or more heartburn. Is there any truth to that?

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<v Speaker 2>It's again a bit of a old wife tale. But

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<v Speaker 2>we have done some there's been some good research in

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<v Speaker 2>this space, I think because of people talking about it

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<v Speaker 2>all the time, and they think the same sort of

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<v Speaker 2>hormones that cause think about it. We talked about it

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<v Speaker 2>with the progesterone and testosterone hormones that cause pregnancy accelerate

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<v Speaker 2>hair growth. Can also make the sophageal sphincter, which is

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<v Speaker 2>basically a muscle around where your stomach becomes your esophagus

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<v Speaker 2>where your food sits, and then loosen and become weaker,

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<v Speaker 2>and so you tend to reflux more food out of

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<v Speaker 2>your tummy. So whether it's directly related alum the sens

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<v Speaker 2>so some says yes and some says no. Doctor says

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<v Speaker 2>not sure.

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<v Speaker 1>What's happening to me and what is happening to our body?

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<v Speaker 2>You're now halfway Obviously you've already highlighted that the uterus

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<v Speaker 2>now takes up more room and is quite squishy inside

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<v Speaker 2>your organs. It actually reaches just where your belly button is,

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<v Speaker 2>So we actually think it's quite funny. This is the

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<v Speaker 2>time we start measuring your fundel heights. So when you

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<v Speaker 2>come to see us, you might have had earlier than this,

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<v Speaker 2>but we like to start it. And that's where we

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<v Speaker 2>take a tape measure from your pubic bone and measure

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<v Speaker 2>your belly, and people.

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<v Speaker 1>Are like, why are you doing that?

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<v Speaker 2>It's very weird. You match twenty weeks, twenty centimeters, twenty

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<v Speaker 2>one centimeters, twenty two centimeters, so your roughly gestational age

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<v Speaker 2>of your baby will match the weakes of pregnancy that

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<v Speaker 2>you are. Will they do that rather than weigh you,

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<v Speaker 2>we weigh more for BMI, so we weigh more to

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<v Speaker 2>has she put on too much weight or worse, has

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<v Speaker 2>she actually not put on enough weight because of hyperremisis

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<v Speaker 2>or nause'r and vomiting is adequate weight game being You

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<v Speaker 2>can also see some conditions. For example, if the woman

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<v Speaker 2>has a baby that's making too much amniotic fluid, she

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<v Speaker 2>might have a sudden increase in weight. And unfortunately, things

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<v Speaker 2>like preaclampsy you can do the same. So it's just

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<v Speaker 2>a sort of a tool that we use to look

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<v Speaker 2>at lots of things, weight gain issues in pregnancy, red

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<v Speaker 2>flags that we might need to look at. The size

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<v Speaker 2>of that fundus is the thing we look at most

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<v Speaker 2>for the baby's growth. So say you're theoretically I mean

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<v Speaker 2>twenty weeks, we don't worry about it too much.

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<v Speaker 1>We just do it.

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<v Speaker 2>Almost as a routine. But say you're thirty weeks and

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<v Speaker 2>your baby's only measuring twenty six weeks, we get a

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<v Speaker 2>little nervous that the baby might be small. Most of

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<v Speaker 2>the time, it's just the baby's like in a transverse

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<v Speaker 2>position or in a position that means it looks smaller

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<v Speaker 2>because all bits of going sideways instead of up and down.

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<v Speaker 2>But it's an interesting What will happen is you get

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<v Speaker 2>a notch sound so we can look more formally at

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<v Speaker 2>your baby's size. And obviously if it's big, big, big,

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<v Speaker 2>and you're measuring forty weeks and you're only thirty weeks,

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<v Speaker 2>the same thing. We just want to know what's going

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<v Speaker 2>on inside?

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<v Speaker 1>Is this normal? Is it normal? So this week I

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<v Speaker 1>want to talk about the big twenty week morphology scan.

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<v Speaker 1>And I'm sure I'm not alone that when I was

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<v Speaker 1>watching the sonographer do their work, I was staring at

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<v Speaker 1>their face for any sign of good news bad news.

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<v Speaker 1>But they any news. But they don't give anything away.

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<v Speaker 2>No, they're amazing, are they? They have like the most

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<v Speaker 2>incredible clown face. You have no idea what's going on.

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<v Speaker 1>And there's all these different shapes and then when they

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<v Speaker 1>switch on the like showing like the blood flow. Yeah, yeah,

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<v Speaker 1>and you're like, well, that big red thing and the

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<v Speaker 1>big red and blue thing, is that normal because we

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<v Speaker 1>have no idea what we're looking at.

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<v Speaker 2>Yeah, Well, I'm really lucky I've had I did several

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<v Speaker 2>weeks in the Elks Sound apartment with some of the

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<v Speaker 2>best scenographers in the world in the last few weeks,

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<v Speaker 2>and they taught that they don't want to give away

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<v Speaker 2>because they're there to do the scans and find anything.

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<v Speaker 2>And then what you don't realize is after that they

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<v Speaker 2>send the images to the doctor who sits down and

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<v Speaker 2>that doctor has strong knowledge about what is normal and

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<v Speaker 2>what is not. So they're measuring compartments of the brain.

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<v Speaker 2>They're looking at the size of the ventricles, they're actually

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<v Speaker 2>looking at the whole anatomy of the brain. Is is

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<v Speaker 2>there something there that's unusual? All the bits that should

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<v Speaker 2>be there present, what could be absent? And so they

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<v Speaker 2>methodically go through each of the major organ systems and

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<v Speaker 2>look for anything that could highlight either a structural abnormality.

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<v Speaker 2>In other words, sometimes it's sad to say, but sometimes

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<v Speaker 2>something like an infection in pregnancy early in pregnancy can

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<v Speaker 2>cause fetal growth restriction, and it can be quite obvious

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<v Speaker 2>in the features. Sometimes it is a chromosomal abnormality that

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<v Speaker 2>wasn't put picked up earlier, and there'll be those soft signs.

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<v Speaker 2>Sometimes it's a genetic condition, like polycystic ovaries. There'll be

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<v Speaker 2>a little ovaries that covered in little cysts, so they'll

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<v Speaker 2>pick up all those.

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<v Speaker 1>They can picks on the feeder.

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<v Speaker 2>Polycystic kidney, sorry, could take.

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<v Speaker 1>You for correcting me. Polsistic kidney.

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<v Speaker 2>So they look at the kidneys and they could see

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<v Speaker 2>similar not followicles. Little babies actually see the little cysts

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<v Speaker 2>that shouldn't be there on the kidneys, so it's tumors

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<v Speaker 2>even like little babies develop unusual tymbers, brain tumors and

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<v Speaker 2>hydromas and things that shouldn't be there.

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<v Speaker 1>One thing that I did want to bring up, just

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<v Speaker 1>in case this has happened or if someone is listening

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<v Speaker 1>before their twenty weeks scan is I was called back, Yes,

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<v Speaker 1>good point, because well they actually didn't tell me why so, yeah,

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<v Speaker 1>because it was a receptionist who I am. But then

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<v Speaker 1>when I started this conversation with a lot of other women,

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<v Speaker 1>common common Yeah, and it's to do mainly with and

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<v Speaker 1>this is just the comms of not the doctor, so

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<v Speaker 1>I will throw at you in a moment. Is it

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<v Speaker 1>is done by a snographer, but it is looked at

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<v Speaker 1>by a doctor who goes, I want another angle exactly, and.

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<v Speaker 2>So it's your baby's fault. They've been on the wrong

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<v Speaker 2>side of the of the ultrasound way and they're basically

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<v Speaker 2>not cooperating. You might even find during your morphology the

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<v Speaker 2>doctor gets gets you off and just go for a walk.

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<v Speaker 2>Your babies positions not right. We can't see what we

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<v Speaker 2>need to see. We haven't got the fortune, you know,

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<v Speaker 2>for heart chamber of view. We need to get more.

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<v Speaker 2>That's fine, So that's really common. Sometimes it might also

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<v Speaker 2>be that they do see something that is a little

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<v Speaker 2>bit unusual that the sonographer didn't quite see, and they

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<v Speaker 2>want to get more imaging. So don't be alarmed with that.

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<v Speaker 2>You know, it's obviously not an enormous.

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<v Speaker 1>Rip roaring abnormality.

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<v Speaker 2>Otherwise they would have seen it straight away. Because that's

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<v Speaker 2>when I got talked to ultrasound, because it's part of

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<v Speaker 2>my training is to be solid at ultrasound. It's one

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<v Speaker 2>of those I need to see this severely severe abnormalities.

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<v Speaker 2>So the smaller ones will be picked up by the doctors,

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<v Speaker 2>but the one that the trained obstetric doctors or the

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<v Speaker 2>MFM specialists who do this even more, they're the ones

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<v Speaker 2>who are the pretty much the krem little creme of

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<v Speaker 2>obstetricians in high risk pregnancies. But at this point you

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<v Speaker 2>need to see what is grossly abnormal versus what is normal,

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<v Speaker 2>and then you know you've got your images, but you're

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<v Speaker 2>not always going to get them. They're still going to

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<v Speaker 2>be sometimes where things just need a little bit.

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<v Speaker 1>Of extra I was laying there and she wouldn't move,

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<v Speaker 1>and they made me raise my ships like a bridge

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<v Speaker 1>and wigg a come on, bubba, and then like, I

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<v Speaker 1>don't know if other people have animals who maybe have

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<v Speaker 1>taken an interest to a bump, I've always been like, oh,

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<v Speaker 1>is that my cat? Are they pushing too hard? No,

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<v Speaker 1>how hard those snographers were pushing to kind of get

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<v Speaker 1>them into the right recision or even you've just touched

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<v Speaker 1>me in this recording before, there's a lot of They

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<v Speaker 1>can take a lot of pressure, is that correct? Correct?

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<v Speaker 2>That's why they're cushioned inside. Like people have car accidents

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<v Speaker 2>and babies are fine, Like not always you always always, guys,

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<v Speaker 2>if you have a car acident, even if it's a

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<v Speaker 2>small bump, need to go and get checked. Or a

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<v Speaker 2>fall on your bottom, or a fall on your tummy

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<v Speaker 2>or all of that, you need to go to the

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<v Speaker 2>to the berth unit and get an assessment. Particularly in

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<v Speaker 2>our twenty weeks, that means you don't have to go

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<v Speaker 2>to your GP. Now it is birth unit, not d

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<v Speaker 2>It's straight to where you're going to birth your baby.

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<v Speaker 2>All of those things needs investigating. But yes, you're very

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<v Speaker 2>robust in there, like very robust toddlers.

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<v Speaker 1>Think about it.

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<v Speaker 2>You're not yet on your second but I have had

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<v Speaker 2>two or three children jump on my tummy at the

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<v Speaker 2>same time.

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<v Speaker 1>They're very very safe. Okay, what are some other things

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<v Speaker 1>that we might need to think about it? Twenty weeks

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<v Speaker 1>tough discussion.

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<v Speaker 2>So twenty weeks mark's viability, not viability for the baby

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<v Speaker 2>to live. That's twenty three weeks, but it marks the

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<v Speaker 2>time when Medicare and the government, let's be honest, recognizes

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<v Speaker 2>that your baby is a baby and not a miscarriage.

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<v Speaker 2>So I really hope that no one listening to this

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<v Speaker 2>goes into pre term labor at nineteen weeks and six days,

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<v Speaker 2>which is literally that custody time as you turn twenty weeks.

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<v Speaker 2>But I've already had the privilege of sitting with three

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<v Speaker 2>women that have had to make that decision where we did.

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<v Speaker 2>We knew she was going to pass the baby unfortunately

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<v Speaker 2>and birth her little one. So it is a discussion

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<v Speaker 2>to think about how what you would do in this case,

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<v Speaker 2>but also to recognize that now your baby is a baby.

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<v Speaker 2>So from this point forward, if you were one of

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<v Speaker 2>the incredibly horribly unlucky person people to go into labor

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<v Speaker 2>in the next couple of weeks before your baby was

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<v Speaker 2>fully formed and able to be resuscitated, that your baby

0:09:51.509 --> 0:09:54.509
<v Speaker 2>is considered it's our fetal loss. So it's a fetal

0:09:54.509 --> 0:09:55.629
<v Speaker 2>death from this point onwards.

0:09:56.149 --> 0:09:57.709
<v Speaker 1>And what does that mean in terms of how the

0:09:57.749 --> 0:09:59.389
<v Speaker 1>government seems that, like, what are the steps that you

0:09:59.429 --> 0:10:02.589
<v Speaker 1>would need to take or that you can take. Is

0:10:02.589 --> 0:10:05.269
<v Speaker 1>it elective? What the next steps.

0:10:05.029 --> 0:10:07.069
<v Speaker 2>Or partially partially not You can elect for the hospital

0:10:07.109 --> 0:10:08.749
<v Speaker 2>do the burial in the cremation, but it is still

0:10:08.789 --> 0:10:11.149
<v Speaker 2>something that happens. They get birth certificate, they get a

0:10:11.189 --> 0:10:14.029
<v Speaker 2>death certificate. There's a bereavement package that can be given

0:10:14.069 --> 0:10:16.589
<v Speaker 2>to the family for for example, time off work, because

0:10:16.709 --> 0:10:17.789
<v Speaker 2>I mean, don't get me wrong, I think and this

0:10:17.829 --> 0:10:19.269
<v Speaker 2>is why I think it's such an arbitrary number. And

0:10:19.309 --> 0:10:21.269
<v Speaker 2>it's really hard because you get I know that if

0:10:21.269 --> 0:10:22.789
<v Speaker 2>I had lost a baby at eighteen weeks, to me,

0:10:22.869 --> 0:10:24.389
<v Speaker 2>that was a baby. There is no part of it

0:10:24.429 --> 0:10:26.269
<v Speaker 2>being a miscarriage to me. I mean, we label it

0:10:26.349 --> 0:10:28.549
<v Speaker 2>medically it's a miscarriage, it's a late miscarriage in the

0:10:28.549 --> 0:10:33.709
<v Speaker 2>second trimester, but it's not clinically called a baby until

0:10:33.709 --> 0:10:35.429
<v Speaker 2>that point. So there's a lot more paperwork for the

0:10:35.469 --> 0:10:37.989
<v Speaker 2>medical team to do. They offer a lot more investigation,

0:10:38.109 --> 0:10:39.909
<v Speaker 2>so they same baby off, a post mortem and things

0:10:39.949 --> 0:10:41.469
<v Speaker 2>like that. If you want to know what the cause is,

0:10:41.469 --> 0:10:43.389
<v Speaker 2>often it's just pre term labor. But if there's something

0:10:43.389 --> 0:10:45.229
<v Speaker 2>that happens, like for example, you go fore ultras ount

0:10:45.229 --> 0:10:47.789
<v Speaker 2>and there's no heartbeat, I think they can give you

0:10:47.789 --> 0:10:49.669
<v Speaker 2>more information around that space. But the good thing is

0:10:49.709 --> 0:10:51.909
<v Speaker 2>all of these major hospitals where you would birth your

0:10:51.949 --> 0:10:54.189
<v Speaker 2>little one, or if you don't and it's a rural hospital,

0:10:54.229 --> 0:10:56.949
<v Speaker 2>they can organize it. ADDI tertiary center is to have

0:10:57.029 --> 0:11:00.029
<v Speaker 2>that counseling and that discussion around what the next steps

0:11:00.069 --> 0:11:02.789
<v Speaker 2>are so you will be really well supported through this,

0:11:02.869 --> 0:11:03.069
<v Speaker 2>you and.

0:11:03.069 --> 0:11:05.189
<v Speaker 1>Your partner and your family. If that's what you choose.

0:11:05.349 --> 0:11:08.749
<v Speaker 1>What are some companies or organizations that you know of

0:11:08.829 --> 0:11:12.549
<v Speaker 1>that can provide supporting If someone's listening and that this

0:11:12.669 --> 0:11:14.309
<v Speaker 1>does happen to them in the next few weeks, or

0:11:14.309 --> 0:11:15.749
<v Speaker 1>if they've got a friend that goes through this, is

0:11:15.749 --> 0:11:16.949
<v Speaker 1>there somewhere we can point them to.

0:11:17.629 --> 0:11:19.229
<v Speaker 2>Well, I mean, this one's hard because of the gestation

0:11:19.309 --> 0:11:21.469
<v Speaker 2>it's happened, But there's Pink Elephants is a really good

0:11:21.469 --> 0:11:23.349
<v Speaker 2>one and I actually met the founder just recently. Her

0:11:23.389 --> 0:11:26.229
<v Speaker 2>name is Sophie Smith. She's extraordinary and she runs running

0:11:26.269 --> 0:11:29.749
<v Speaker 2>for premature babies. So she lost her triplets at her

0:11:29.949 --> 0:11:32.269
<v Speaker 2>first little one came just after twenty one weeks, lived

0:11:32.269 --> 0:11:35.189
<v Speaker 2>for an hour. Her second little boy came and lived

0:11:35.229 --> 0:11:37.389
<v Speaker 2>for several hours, and the first one lived for several

0:11:37.469 --> 0:11:39.349
<v Speaker 2>days or actually almost I think it's fifty eight days,

0:11:39.349 --> 0:11:41.509
<v Speaker 2>she told me. So she has now nineteen years ago.

0:11:41.549 --> 0:11:43.429
<v Speaker 2>Her triplets will be nineteen this year, and so she's

0:11:43.429 --> 0:11:46.389
<v Speaker 2>set up an incredible space where women who have premature

0:11:46.429 --> 0:11:48.789
<v Speaker 2>babies like this can bind together. And she's raised over

0:11:48.909 --> 0:11:51.669
<v Speaker 2>nine million dollars for premature babies and nic U support.

0:11:51.749 --> 0:11:55.029
<v Speaker 2>So pretty impressive woman, isn't she that she's through that loss.

0:11:55.789 --> 0:11:55.949
<v Speaker 1>Yeah.

0:11:55.989 --> 0:11:57.589
<v Speaker 2>I know it's a touching topic to talk about, guys,

0:11:57.589 --> 0:11:59.749
<v Speaker 2>but unfortunately everyone listening to this, not all of you

0:11:59.829 --> 0:12:01.389
<v Speaker 2>are going to go full term. So I think it's

0:12:01.389 --> 0:12:03.389
<v Speaker 2>really important to have those resources in place and just

0:12:03.429 --> 0:12:07.189
<v Speaker 2>recognize that it does happen very rarely, but it.

0:12:07.149 --> 0:12:13.429
<v Speaker 1>Does for the tool. This week, I don't have anything practical,

0:12:13.549 --> 0:12:16.069
<v Speaker 1>really or productive. I just said, take yourself out for

0:12:16.069 --> 0:12:17.829
<v Speaker 1>dinner because you're halfway. Halfway.

0:12:17.869 --> 0:12:21.789
<v Speaker 2>I think you celebrate with some apple sparkley, yeah, maake wine, yah.

0:12:21.749 --> 0:12:25.429
<v Speaker 1>Some fakey fake something and have to be with your people, booth,

0:12:25.469 --> 0:12:33.029
<v Speaker 1>your partner and congratulations. Yeah, perfectly said. We hope you

0:12:33.149 --> 0:12:35.749
<v Speaker 1>enjoyed this episode of Hello Bump. We have so many

0:12:35.789 --> 0:12:38.749
<v Speaker 1>episodes of this series filled with tips and stories from

0:12:39.069 --> 0:12:41.349
<v Speaker 1>women and experts who've been through it all before.

0:12:41.829 --> 0:12:43.669
<v Speaker 2>You can go back and listen to everything else Hello

0:12:43.669 --> 0:12:45.269
<v Speaker 2>Bumb related in this podcast.

0:12:44.949 --> 0:12:47.109
<v Speaker 1>Feed, and while you're there, we'd love if you could

0:12:47.109 --> 0:12:48.909
<v Speaker 1>give us a five star rating and maybe leave us

0:12:48.909 --> 0:12:51.349
<v Speaker 1>a review or even share this episode with a friend.

0:12:51.749 --> 0:12:54.949
<v Speaker 2>This episode was produced by Courtney Ammenhauser, with audio production

0:12:55.029 --> 0:12:57.469
<v Speaker 2>by Tom Lyon, we'll catch you next time. Bye.

0:12:57.829 --> 0:13:00.189
<v Speaker 1>This episode of Hello Bump was made in partnership with

0:13:00.269 --> 0:13:00.709
<v Speaker 1>Huggies