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Speaker 1: You're listening to a Muma Mia podcast.

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Speaker 2: Mom and Maya acknowledges the traditional owners of land and

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Speaker 2: waters that this podcast is recorded on. I am pregnanty.

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Speaker 1: Welcome to Hello Bump. We're making pregnancy less overwhelming and

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Speaker 1: we hopefully have made it more manageable for you. I'm

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Speaker 1: Grace Reebray, I'm pregnant for the first time, and we're

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Speaker 1: all about to become a parent.

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Speaker 2: I'm young A Pittman. I'm a former Olympian mother of six.

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Speaker 2: I'm definitely not about to become a parent. I am

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Speaker 2: now training to be an obstetric and Guiney registrar.

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Speaker 1: Hopefully. Each week we have been holding your hand through

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Speaker 1: the mysterious, perplexing and wonderful miracle that is pregnancy, all

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Speaker 1: the way from a poppy seed to a pumpkin.

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Speaker 3: Oh week forty.

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Speaker 1: What size are we? Can you get bigger than a melon?

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Speaker 3: Well, babies could be up to five and a half kilos.

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Speaker 3: I don't know. If you've looked up the Guinness Book

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Speaker 3: of Records. They could be bog You remember that when

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Speaker 3: you're a kid's gna?

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Speaker 2: Yes?

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Speaker 1: Yes.

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Speaker 2: The biggest baby I've ever birth, though, is only four

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Speaker 2: point nine so I've still got a bit of a

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Speaker 2: way to go. A couple of my friends have had

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Speaker 2: bigger baby.

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Speaker 1: What's that one pounds?

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Speaker 3: Twelvesh lots?

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Speaker 2: Yeah, okay, okay, okay, But most babies Grace will be

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Speaker 2: between three point four and three point six kilos at

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Speaker 2: full term. Now, remember there is still two weeks before

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Speaker 2: we consider a baby beyond post dates, so it still postdates. Now,

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Speaker 2: even anytime after forty weeks is postdates. But the normal

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Speaker 2: as in term baby pregnancy is thirty seven to forty two.

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Speaker 2: So even though we're finished with this podcast, there is

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Speaker 2: still women who'll be pregnant for at least another two weeks.

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Speaker 1: What's the maximum cutoff you would ever let a woman

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Speaker 1: get to.

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Speaker 2: I think that's an interesting number because or interesting word, because,

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Speaker 2: of course, our recommendation is to have a baby by

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Speaker 2: forty two weeks, again because of that personal insufficiency we've

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Speaker 2: talked about, but there are lots of women that decline.

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Speaker 2: Now you know, I personally wouldn't, but there's definitely women

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Speaker 2: who feel very strongly about natural labor and they wait

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Speaker 2: beyond forty three weeks. But I think, if this is you,

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Speaker 2: I just really want you to have a conversation with

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Speaker 2: your midwife, be really open minded. And again I come

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Speaker 2: back to it again, we don't do things to you

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Speaker 2: because we want to hurt you. We do things because

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Speaker 2: we want to see a good outcome. So for both

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Speaker 2: of you, it just needs to be very well monitored,

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Speaker 2: lots of lots of CTG monitoring and things like that.

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Speaker 2: And if it's your choice, it's always always the woman's choice.

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Speaker 1: Now I'm guessing there's no updates to what the baby

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Speaker 1: is doing this week.

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Speaker 2: It's getting fatter, like quite a bit fatter and quite

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Speaker 2: a bit bigger. So I think that is where we

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Speaker 2: start thinking about babies. That if you know, at thirty

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Speaker 2: six weeks you had a big, little chunky monkey on

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Speaker 2: board who was already on the ninety fifth centile, for example,

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Speaker 2: I'd be thinking now about having a baby and doing

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Speaker 2: all those things to bring this little one on naturally,

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Speaker 2: and you know, and just being really open to the

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Speaker 2: idea of what it would look like to have a

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Speaker 2: four and a half kilo baby, because it is a

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Speaker 2: it's a little unit.

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Speaker 3: It's in like know, double low sized.

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Speaker 1: Clothes, yeah, oh when they come out double over big

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Speaker 1: about and quadruploths, I'm excited to learn those sizes because

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Speaker 1: I've got a bunch of stuff, but I just don't

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Speaker 1: know what she's going to come out at to know

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Speaker 1: what I need more of or what I don't even

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Speaker 1: need at all.

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Speaker 2: Well, even even big babies are still little babies, Like

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Speaker 2: even like a big four and a half is still tiny,

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Speaker 2: Like they're still inter blows. They're little guys, but they're

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Speaker 2: just certainly a lot bigger than your premier babies that

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Speaker 2: come out at you know, two kilos and one kilo

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Speaker 2: and five hundred grams. So a mixture of everything would

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Speaker 2: be my answer to that.

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Speaker 1: This is a Roague question. Do any patients who are

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Speaker 1: having an elective cesarean do you ever work with them

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Speaker 1: to wait for labor to come on naturally so they

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Speaker 1: can feel the body is ready and then have a cesarean.

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Speaker 2: And we like it when that happens, but it means

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Speaker 2: it's not an elective labor. It's actually considered an emergency

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Speaker 2: caesar because they'll come in laboring. So now regularly when

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Speaker 2: this happens, is a woman who'd love, love love a VBAC.

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Speaker 2: And because we many doctors won't do an induction because

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Speaker 2: that sintosin and increases the risk of that rupture of

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Speaker 2: the scar from the first pregnancy, so they won't start

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Speaker 2: that sintosin and drip. So we book the caesar date

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Speaker 2: as late as possible, like as in as late as possible,

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Speaker 2: with the hope you'll go into spontaneous labor. But I

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Speaker 2: reckon I wouldn't know the exact percent, but a lot

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Speaker 2: of women who with book cesarians come in with rupture

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Speaker 2: membranes or early labor, and all that means is we

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Speaker 2: do the season earlier. And in most cases, like you know,

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Speaker 2: I guess we have to be a bit honest. Here

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Speaker 2: in rural settings, maybe we can't open a theater as quickly,

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Speaker 2: but in Sydney and some of the major states around Australia,

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Speaker 2: there's a hospital pretty close and they can usually get

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Speaker 2: a labour team there to do the birth fairly, fairly swiftly.

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Speaker 2: So it's not a bad thing because it means your

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Speaker 2: baby's picked its judate and and you still had that

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Speaker 2: elective season that you've wanted.

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Speaker 1: What what's happening to me? What's happening to our bodies?

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Speaker 1: Apart from probably being really uncomfortable and angry at the world.

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Speaker 3: Because it's just not happy.

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Speaker 1: Maybe people have a lot of bliss. Maybe I'm looking

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Speaker 1: at this through a negative lens, but what is happening

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Speaker 1: to our bodies.

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Speaker 2: I don't know many women that haven't got to forty

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Speaker 2: weeks and think they've had enough. You know, even women

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Speaker 2: who are very very pro spontaneous vaginal birth and really

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Speaker 2: wanting minimal intervention and you know, a water birth at home,

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Speaker 2: are happy to have a baby at forty weeks.

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Speaker 3: They just want it to happen naturally.

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Speaker 2: Yeah, you're heavy, you're uncomfortable, everything hurts, you know, it's

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Speaker 2: not fun. No one, no one is happy at forty

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Speaker 2: weeks pregnant. So but you know, it happens a lot,

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Speaker 2: and so we just have to roll with those punches.

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Speaker 2: But babies just getting bigger at this point, they're fully developed.

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Speaker 2: And now again it is extremely important to watch those movements.

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Speaker 2: The highest risk of plus senal insufficiency is beyond forty weeks.

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Speaker 2: So if you go postates that's what we call it.

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Speaker 2: After forty weeks, we'll start seeing you a little more.

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Speaker 2: So you'll usually get what's called a postate's ultrasound providing

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Speaker 2: your low risk just to check the baby's growing still

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Speaker 2: well and that placenta is still fine. They'll check the

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Speaker 2: dopplers and things. They'll check the fluid around baby because

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Speaker 2: one of the signs of a bubby getting tired and

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Speaker 2: the placenta getting insufficient is that the fluid volume drops down.

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Speaker 2: That's the amniotic fluid around the baby. So there's all

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Speaker 2: those signs. They'll check in with you if everything goes well.

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Speaker 2: We just hope you go into spontaneous labor by forty

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Speaker 2: one and five days. Otherwise ninety percent of places will

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Speaker 2: say we think you should have an induction of labor.

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Speaker 1: And if the amniotic fluid is dropping down, is that

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Speaker 1: the only way for that to drop is to come

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Speaker 1: like out your vagina like you will notice or.

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Speaker 2: No, So it's the baby's absorption, so it actually is less.

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Speaker 2: So it's very good question because you're right that you

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Speaker 2: would assume it means you're leaking from the vagina. If

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Speaker 2: you're leaking from the vagina, that means your labor is

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Speaker 2: hopefully starting because your waters are broken, or we would

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Speaker 2: again offer an induction. We don't like someone sitting on

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Speaker 2: broken waters, particularly at term, for much longer than ideally

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Speaker 2: twenty four hours. Is the recommendation. We will wait three

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Speaker 2: days with raptured water, provided there's no signs of infection

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Speaker 2: and no gbs. You know, that's fine, that's a woman's decision.

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Speaker 2: But if you're leaking, it's it's baby time. No, it's

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Speaker 2: actually because your baby is not getting as much volume

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Speaker 2: and nutrition from the placenta. Your bubby's not weaning as much,

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Speaker 2: so it's actually not swallowing and creating that much urine.

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Speaker 2: So it basically shows us that the fetus is distressed.

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Speaker 2: So not always it's a soft sign, but it's okay,

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Speaker 2: one of the only ones we have. So if your

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Speaker 2: post dates and your baby's not moving as much and

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Speaker 2: there's not as much fluid around, that's a really strong

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Speaker 2: indication to bring you to start your labor.

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Speaker 1: Is this normal?

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Speaker 3: Is normal?

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Speaker 1: Way? Is this normal? Questions are about when will all

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Speaker 1: the bad pregnancy stuff go away?

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Speaker 3: Well, do you mean like the big belly in the scene,

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Speaker 3: a big belly?

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Speaker 1: I feel like I'm quite I feel like I'm informed

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Speaker 1: that the bounce back is weeks. In terms of months, yeah, months,

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Speaker 1: in terms of your uterus shrinking, I'm talking about nausea reflux.

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Speaker 1: It's probably just the blood pressure yeah.

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Speaker 2: Blood yeah, blood pressure, yeah, exactly, and diabetes and things

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Speaker 2: like that. So look, in most cases, things happen fairly

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Speaker 2: quickly in the first few days after birth. Now, for

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Speaker 2: certain conditions like the nausea, it often goes away almost

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Speaker 2: as soon as you've had your baby. It's phenomenal. I know,

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Speaker 2: you breathe a sigh of relief. Things like blood pressure. Unfortunately,

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Speaker 2: when your baby comes out, it basically is like a

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Speaker 2: big boost of blood back to your system. So your

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Speaker 2: kind of output goes even up higher straight after birth

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Speaker 2: than it did in pregnancy. So the swelling gets worse

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Speaker 2: sometimes for a few days before it gets better. Your

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Speaker 2: body swelling, your blood pressure can actually be the worst

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Speaker 2: on day four and five postpartum. So there are a

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Speaker 2: few things to sort of watch out for in that space,

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Speaker 2: which is why if you do have pre plants yea,

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Speaker 2: we often ask you to stay longer in hospital for

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Speaker 2: four up to four or five days after and we

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Speaker 2: can really tyitrate your medications. For ladies with GDM, you

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Speaker 2: don't have to worry about it. The minute your baby

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Speaker 2: comes out, you can go back to it. Well, we

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Speaker 2: still want you to be careful because remember there is

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Speaker 2: a real risk with GDM that you will actually develop

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Speaker 2: type two diabetes within the next ten to fifteen years.

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Speaker 2: So we don't want you to go back to chocolates

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Speaker 2: and macers forever. But you are very welcome to have

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Speaker 2: any real.

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Speaker 3: And we don't have to watch your blood.

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Speaker 1: You'll the levels, they can have whatever they want.

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Speaker 2: Yea, that in those couple of days and things. But yeah,

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Speaker 2: so yeah, your body will bounce back. It's remarkable. We're

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Speaker 2: made to do this as women.

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Speaker 1: So what are the stats on how long it takes

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Speaker 1: for your uterus to shrink back to its original size.

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Speaker 2: Well, it happens quite quickly, so we monitor that afterwards.

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Speaker 2: We like your uterus to be under your umbilical so

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Speaker 2: under your belly button or ready by the next day.

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Speaker 2: And so you'll get someone who'll come and give this

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Speaker 2: nasty rub on your tummy and be like oh, you'd

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Speaker 2: be like, oh my god.

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Speaker 1: Al leave me alone.

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Speaker 2: I just did this thing exactly because we're going to

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Speaker 2: check that uterus has shrunk down and it's central. We

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Speaker 2: don't want it to be deviated because that can sometimes

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Speaker 2: mean there's a bit of percenter left or something like that.

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Speaker 2: So you will also check your pad. Now, remember there is

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Speaker 2: that chance of bleeding and pregnancy and certainly in birth,

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Speaker 2: and we check that pad afterwards to make sure that

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Speaker 2: the bleeding is not too excessive.

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Speaker 1: What are the stages of how much bleeding is normal?

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Speaker 1: And at what point do you call your midwife or

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Speaker 1: call the hospital and come back in.

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Speaker 2: Yeah, great question, And in birth vaginal birth normals up

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Speaker 2: to five hundred mils. It sounds like a lot, but

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Speaker 2: remember you've got that extra two to three liters on

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Speaker 2: board anyway up in a cesara and it's up to

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Speaker 2: a litera still considered a big bleed, but we tolerate

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Speaker 2: it and we often repeat your bloods the next day

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Speaker 2: if you've bled a bit too much in labor. So

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Speaker 2: things to look out for in that postpart and period

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Speaker 2: is if you're passing clots, unless you've been lying down

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Speaker 2: for a long time. Therefore it's just like coagulated and

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Speaker 2: you stand up and it comes straight out. There's never

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Speaker 2: really a good time that clots should be happening. Abnormal discharge.

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Speaker 2: So if it smells funny, if you've got pain, we

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Speaker 2: can get endometritis, which is an infection inside the uterus.

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Speaker 2: That's a concern if you're bleeding stops and then it

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Speaker 2: comes back heavy. That's a concern. So you will bleed

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Speaker 2: like a heavy period for two or three weeks can

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Speaker 2: be quite normal. Beyond that, we need to investigate, and

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Speaker 2: any kind of weird pain and discharge is something we

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Speaker 2: need to just review and check because, look, it's not common,

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Speaker 2: but there sometimes can be a little bit of placenta,

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Speaker 2: a little bit of the membrane still inside, and in

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Speaker 2: most cases your body will pass it out naturally, but

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Speaker 2: we need to do an ultracent and check that there's

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Speaker 2: nothing large, because placentas is something we didn't talk about before.

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Speaker 2: Actually percentas can usually be round, but sometimes there are

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Speaker 2: actually this two percenters there's an extra lobe of the placenta,

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Speaker 2: and we just need to make sure the whole things

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Speaker 2: come out.

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Speaker 1: Why wouldn't they do an ultrasound of your uterus to

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Speaker 1: make sure there's nothing of the placenta when you're still

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Speaker 1: in the hospital.

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Speaker 2: There's a lot of blood in there, and it's quite

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Speaker 2: hard to differentiate between tissue and blood associated and the

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Speaker 2: uterine lining coming away, So it's initially quite hard. I

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Speaker 2: mean you can I certainly there's a big bees oft plercenta,

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Speaker 2: you'll see it. And so certainly if someone has a

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Speaker 2: retained placenter, which we haven't talked about, but that's when

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Speaker 2: after birth, between thirty and forty five minutes afterwards, despite

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Speaker 2: having the injection in your leg to help it birth,

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Speaker 2: it's still inside and.

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Speaker 1: That injection is to help eat up percenter delivery.

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Speaker 2: Yeah, it makes the uterus contract to hopefully then let

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Speaker 2: it release off the wall. But unfortunately, some placentas do

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Speaker 2: get stuck, particularly if you've had a previous arian section.

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Speaker 2: It could be around that front of that womb. But

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Speaker 2: again that's when we worry about placenta cretors and things

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Speaker 2: that's gone. If you've had your baby vaginally, you don't

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Speaker 2: have to worry that, but we just need to make

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Speaker 2: sure that whole ples center comes out. And they do

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Speaker 2: get stuck. It's not an uncommon thing to see. I'd see,

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Speaker 2: you know, once or twice a week we get a

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Speaker 2: stuck a placenter at my hospital. And so that is

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Speaker 2: a time unfortunately, even if you've had a beautiful vaginal birth,

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Speaker 2: that you may end up going to the operating theater

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Speaker 2: because it's the safest place to remove it.

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Speaker 1: And what can we expect hospital stay wise. Best case

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Speaker 1: scenario for both a cesarean and a vaginal birth.

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Speaker 2: Sure, So I mean we have an I did with

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Speaker 2: my fourth women who leave five hours after vaginal birth

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Speaker 2: from the birth un it, I mean we have people

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Speaker 2: at birth at home. Remember like women are very, very amazing.

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Speaker 2: It'll depend so if you've had risk factors, you'll have

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Speaker 2: to say a few days. But I'd say most women

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Speaker 2: go home. They say, one night in hospital in a

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Speaker 2: public hospital and go home the next day. In private

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Speaker 2: hospitals you get five nights of free accommodation, lactation consultants,

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Speaker 2: peroneal care, and most places even let you leave your

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Speaker 2: baby for an evening to go out for a dinner meal.

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Speaker 2: So it very much depends on what model of care

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Speaker 2: you've had, and so therefore it ranges from sort of

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Speaker 2: one to five. And I think it's probably at this

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Speaker 2: point when we should talk about a little bit of

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Speaker 2: the postpartum stuff. So you need to see your GP

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Speaker 2: in about two weeks after earth just to check on things.

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Speaker 2: Paraneal care is really important. If you've had some stitches,

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Speaker 2: Let's be honest, most people have, it's important to clear

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Speaker 2: them really clean and dry, Please don't put any soap

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Speaker 2: on them, keep them just you know, change your pad regularly.

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Speaker 2: Every time you open your boughs. Wash with warm water,

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Speaker 2: no soap, just salty your warm water. If you're concerned,

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Speaker 2: call up monitor your cesarean wound. The dressings come off

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Speaker 2: usually day five to seven. There's no stitches, are all internal.

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Speaker 2: There's nothing to do there. But things to sort of

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Speaker 2: keep an eye on are infections, paining your tummy, pain

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Speaker 2: in your wounds, feeling sick, feeling hot and bothered, all

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Speaker 2: of those sort of things. You need to go back

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Speaker 2: to the birth unit, even if you went home on

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Speaker 2: the same day.

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Speaker 1: What about those who feel quite a lot of anxiety

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Speaker 1: around the first pooh.

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Speaker 2: Yes, your boughs get very particularly with cesarean sections, because

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Speaker 2: it's sort of being moved around in that cason space.

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Speaker 2: It feels weird having done it multiple times, it just

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Speaker 2: feels uncomfortable. You can sometimes have and it's very normal

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Speaker 2: to have a bit of flatus in continents. In other words,

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Speaker 2: you fight and you can't hold it in.

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Speaker 3: Very normal.

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Speaker 2: It comes back to usually comes back providing your hat

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Speaker 2: haven't had a big fourth degree tere in a couple

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Speaker 2: of in a couple of days, if not a week.

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Speaker 2: I think the big thing to highlight there is if

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Speaker 2: your urinary contents is the same, you're not going to

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Speaker 2: make it to the toilet half the time. You're going

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Speaker 2: to be sort of waddling to the toilet.

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Speaker 3: You're going to leak. Again.

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Speaker 2: That's very it's just been stunned during the birth. It

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Speaker 2: comes back over a week or two. I am a

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Speaker 2: big believer no matter what birth, you have to book

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Speaker 2: in with a pelvic physiotherapist. It's really strongly believe in it,

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Speaker 2: no matter what birth you've had. Women as a approach

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Speaker 2: perimenopause and menopause are going to have problems within continents

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Speaker 2: and bladder issues. So preparing yourself to retrain after birth,

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Speaker 2: to me is a no brainer. So if you're having

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Speaker 2: excessive concerns, see it earlier. Otherwise start looking at that

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Speaker 2: process in about six weeks. I'm also a big believer

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Speaker 2: if you choose to breastfeed, to get a breastfeeding consultant

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Speaker 2: because they can just sort of nullify some of the

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Speaker 2: issues that are flying around in your head.

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Speaker 1: For my toolkit, again, it's just questions. I'm just I've

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Speaker 1: got you here at the end I cut you here,

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Speaker 1: so I'm just gonna mind you for knowledge. I want

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Speaker 1: to talk about two things. If you have a birth

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Speaker 1: plan that you don't get and the mental health around that.

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Speaker 1: That's the first one. So what are the risk factors

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Speaker 1: when someone does have a plan and it doesn't plan

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Speaker 1: go to plan? And I mean risk factors for their

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Speaker 1: mental health? Certainly, obviously some people are going to be

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Speaker 1: like who cares? But there are some people who are

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Speaker 1: going to be very traumatized, very traumatized, and well really

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Speaker 1: held onto an idea of how they wanted it to go.

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Speaker 2: I think that's a huge thing to unpack. But I

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Speaker 2: think most people don't get the birth they thought they

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Speaker 2: were going to have. And I think if we go

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Speaker 2: in with that attitude of with a really open mind

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Speaker 2: of this is what I would love to happen, but

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Speaker 2: I accept that it may or may not be that way. Again,

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Speaker 2: a bit like the breastfeeding consultant and the pelvic physiotherapist,

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Speaker 2: I think booking in a psychology appointment after birth, no

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Speaker 2: matter how your birth is, is a great idea. We

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Speaker 2: know that women are going to get postan or blues

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Speaker 2: on day three to four. Anyway, it's as your milk

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Speaker 2: comes in and your hormones change and everybody cries. The

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Speaker 2: strongest woman will have a good cry and it's appropriate

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Speaker 2: and normal, and we see is reassuring, but that can

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Speaker 2: sometimes last longer than that having an identifiable or someone

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Speaker 2: in your world that can actually identify that you're out

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Speaker 2: of character and knowing where those resources are to go

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Speaker 2: and get help, so you know there are lots of

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Speaker 2: good online and good resources to try and look at

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Speaker 2: from a postcanner depression perspective, but birth trauma definitely can

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Speaker 2: make it a lot worse because if you're going there

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Speaker 2: wanting and desperately hoping this is what your birth's going

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Speaker 2: to be, and then it doesn't go to how you plan,

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Speaker 2: it's a really hard language to say to yourself, well,

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Speaker 2: I did everything humanly possible for it to plan, it

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Speaker 2: didn't go that way, and I'm proud of myself. Most

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Speaker 2: women just feel defeated by it. And I think it's

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Speaker 2: actually our responsibility, particularly people like you and I who

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Speaker 2: get on social media and talk about this, to be

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Speaker 2: able to really highlight that it doesn't regularly go to

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Speaker 2: plan and therefore you have done brilliantly. Even if you

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Speaker 2: end up with a really bad case scenario, because there's

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Speaker 2: no person that goes into that situation with that idea

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Speaker 2: in mind. You go in with the best intentions and

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Speaker 2: no matter if as long as you come out knowing

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Speaker 2: that you tried the best you can and even if

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Speaker 2: you didn't, even if you went in there with a

390
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Speaker 2: whole plan and then bailed the first time you had

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Speaker 2: a contraction, that's okay too, because there are no heroes

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Speaker 2: in the birth environment. There's just a happy, well mum

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Speaker 2: and a beautiful baby at the end of it.

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Speaker 1: I really like this clip that you actually played just

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Speaker 1: before we started recording, which is I don't know if

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Speaker 1: they're obstectric. Yeah, I'm saying that this sentence is so

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Speaker 1: problematic of you were given a baby you were meant

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Speaker 1: to birth.

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Speaker 2: Yeah, and you can't grow a baby that you weren't

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00:16:30,149 --> 00:16:31,629
Speaker 2: meant to birth, or your body is made to have

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Speaker 2: this baby.

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Speaker 1: Can you talk about why that makes you so angry

403
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Speaker 1: that statement?

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Speaker 2: Well, I think it's just more it doesn't make me angry,

405
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Speaker 2: it makes me sad, because yes, most of our bodies

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Speaker 2: are you know, we create a baby that fits the

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Speaker 2: size of our body, but some of us are five

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Speaker 2: foot tall and marry six foot five husbands, and those

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Speaker 2: babies are naturally going to be bigger. There are also

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Speaker 2: babies that get themselves in the craziest positions and what

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Speaker 2: we call a synclintic, which means their little head's getting

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Speaker 2: completely stuck in the wrong part of the pels and

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Speaker 2: it doesn't matter how well she pushes, it's not coming out.

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Speaker 2: And she can try, and she can try, and she

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Speaker 2: can try it, bubby won't come. There are also babies

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Speaker 2: that will get stressed as soon as they get hugged

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Speaker 2: by a contraction.

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Speaker 3: And that's what I think. Can you imagine if I

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Speaker 3: came over to your.

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Speaker 2: Grace and hugged you and hugged you and hugged you

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Speaker 2: and hugged you and hugged you for four or five hours,

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Speaker 2: over and over and over again. It's tiring, and sometimes

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Speaker 2: these little babies can't make it, and it's hard to

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Speaker 2: say that. There are also some disorders like diabetes that

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00:17:16,789 --> 00:17:19,109
Speaker 2: me and your babies are much bigger than your body

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00:17:19,669 --> 00:17:23,109
Speaker 2: would normally create your baby, And so there are circumstances when,

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Speaker 2: no matter how hard we try, our bodies aren't made

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Speaker 2: to have the baby that's inside us. And that's where

429
00:17:28,069 --> 00:17:30,669
Speaker 2: women three four hundred years ago would die in labor.

430
00:17:30,669 --> 00:17:33,389
Speaker 2: All those babies would pass away, And so we need

431
00:17:33,429 --> 00:17:36,389
Speaker 2: to be aware that in most cases, we hope your

432
00:17:36,389 --> 00:17:38,909
Speaker 2: body can do this, but if it can't, it's okay.

433
00:17:39,269 --> 00:17:41,269
Speaker 2: And that's where the medical world comes in to make

434
00:17:41,269 --> 00:17:43,269
Speaker 2: sure that your baby meets this world and you have

435
00:17:43,389 --> 00:17:45,709
Speaker 2: hopefully the best experience out of what your birth can offer.

436
00:17:46,029 --> 00:17:47,469
Speaker 2: And we just want women to know that they have

437
00:17:47,509 --> 00:17:49,749
Speaker 2: not failed, they have done everything right, and that we're

438
00:17:49,749 --> 00:17:51,269
Speaker 2: there to support them in that process.

439
00:17:51,589 --> 00:17:54,349
Speaker 1: My other question is around recovery. I feel like we've

440
00:17:54,389 --> 00:17:56,389
Speaker 1: talked about the vaginal side of recovery in terms of

441
00:17:56,429 --> 00:17:59,349
Speaker 1: stitches and things like that, but for a sea section

442
00:17:59,469 --> 00:18:02,989
Speaker 1: scar one, how long is it and when can you

443
00:18:03,029 --> 00:18:06,629
Speaker 1: start applying oil to try and reduce that?

444
00:18:07,109 --> 00:18:08,909
Speaker 2: So sea section scars they look a lot bigger when

445
00:18:09,149 --> 00:18:10,789
Speaker 2: when it first happens, because I've see you can imagine

446
00:18:10,789 --> 00:18:12,229
Speaker 2: if you had a tattoo, it all stretched it up

447
00:18:12,229 --> 00:18:13,949
Speaker 2: when it goes back down and saying about ten centimeters

448
00:18:13,949 --> 00:18:16,749
Speaker 2: and it usually hides below your undies. Caesarean section wounds

449
00:18:16,749 --> 00:18:18,909
Speaker 2: are they get their heal on their own. We just

450
00:18:18,909 --> 00:18:20,669
Speaker 2: want you to leave it alone. There are you can

451
00:18:20,669 --> 00:18:22,709
Speaker 2: go and put a little silicon gel patches. People could put

452
00:18:22,709 --> 00:18:25,589
Speaker 2: botox in them, bi oil. Not for the first six weeks.

453
00:18:25,629 --> 00:18:28,109
Speaker 2: Just let your body heal and knit really nicely back together.

454
00:18:28,189 --> 00:18:30,309
Speaker 2: You'll probably be too busy with your baby anyway, but

455
00:18:31,069 --> 00:18:33,629
Speaker 2: realistically it'll hide under your rundies and hopefully you know

456
00:18:33,709 --> 00:18:36,309
Speaker 2: it just becomes part of your beautiful wound that is

457
00:18:36,349 --> 00:18:38,549
Speaker 2: a representative of the fact that you birth the baby.

458
00:18:38,749 --> 00:18:41,269
Speaker 1: I want to end by the moment, Oh my god,

459
00:18:41,269 --> 00:18:46,549
Speaker 1: I'm gonna cry it so silly. I want to end

460
00:18:46,589 --> 00:18:49,029
Speaker 1: on the moment you actually become a parent. Joanna, can

461
00:18:49,069 --> 00:18:52,309
Speaker 1: you talk me through the moment the baby is plumped

462
00:18:52,349 --> 00:18:55,429
Speaker 1: on your chest. I've been told this is just so magical,

463
00:18:56,229 --> 00:18:58,709
Speaker 1: But is it as whimsical and wonderful as everyone says

464
00:18:58,709 --> 00:18:58,989
Speaker 1: it is?

465
00:18:59,789 --> 00:19:01,909
Speaker 2: For me, it was I felt that such a beautiful

466
00:19:01,909 --> 00:19:04,109
Speaker 2: connection when that little one was placed on my chest,

467
00:19:04,149 --> 00:19:06,509
Speaker 2: and it was all the efforts, all the heartache, all

468
00:19:06,549 --> 00:19:08,869
Speaker 2: the things that have gone through that pregnancy, the hyperomises,

469
00:19:08,909 --> 00:19:12,109
Speaker 2: the sick anything that you've been through. Every reason as

470
00:19:12,109 --> 00:19:14,269
Speaker 2: to why that happened is lying in front of you now.

471
00:19:14,589 --> 00:19:16,829
Speaker 2: And remember, we've always got to be positive. But some

472
00:19:16,909 --> 00:19:18,309
Speaker 2: women don't have that automatic connection.

473
00:19:18,389 --> 00:19:19,629
Speaker 3: It will come and that's okay.

474
00:19:19,669 --> 00:19:22,869
Speaker 2: It takes time sometimes, but you know, capture those moments

475
00:19:22,869 --> 00:19:25,149
Speaker 2: because and even those that do take a few days,

476
00:19:25,149 --> 00:19:26,829
Speaker 2: I know, I expected lots of women that later they

477
00:19:26,869 --> 00:19:29,149
Speaker 2: say I still remember. I still remember vividly the smell

478
00:19:29,189 --> 00:19:31,109
Speaker 2: of the baby and the fact they often like try

479
00:19:31,149 --> 00:19:34,429
Speaker 2: and find the nipple and have that really beautiful bonding moment.

480
00:19:34,549 --> 00:19:36,909
Speaker 2: So you know, ultimately, pregnancy can be.

481
00:19:36,869 --> 00:19:38,589
Speaker 3: Tough, but it is. It is the best thing I've

482
00:19:38,589 --> 00:19:38,909
Speaker 3: ever done.

483
00:19:38,909 --> 00:19:40,869
Speaker 2: Hence I've done it six times or five times and

484
00:19:40,909 --> 00:19:43,749
Speaker 2: six babies, and you know, we can only encourage women

485
00:19:43,749 --> 00:19:46,549
Speaker 2: that they're incredibly strong. You know, they're very powerful, and

486
00:19:46,549 --> 00:19:48,629
Speaker 2: we're so lucky that we have the opportunity to be

487
00:19:48,709 --> 00:19:51,029
Speaker 2: able to carry babies, and you know, supporting women who

488
00:19:51,069 --> 00:19:52,989
Speaker 2: are going through that fertility challenge and who are in

489
00:19:53,029 --> 00:19:55,509
Speaker 2: early pregnancy at the moment and being fair for them

490
00:19:55,509 --> 00:19:56,829
Speaker 2: for their journey going forward.

491
00:19:57,069 --> 00:19:59,869
Speaker 1: What is your favorite part about your job of watching women.

492
00:20:00,629 --> 00:20:02,429
Speaker 3: I have to say that the favorite part of my

493
00:20:02,509 --> 00:20:03,349
Speaker 3: job is birth.

494
00:20:03,509 --> 00:20:06,829
Speaker 2: I absolutely love being in the birth unit, being with

495
00:20:06,909 --> 00:20:09,629
Speaker 2: that woman and seeing the expression on her face when

496
00:20:09,629 --> 00:20:12,309
Speaker 2: the little one comes out that very first look and

497
00:20:12,349 --> 00:20:14,829
Speaker 2: that shock and that joy and those tears and that excitement.

498
00:20:14,989 --> 00:20:16,869
Speaker 2: You can just see in their face that everything they've

499
00:20:16,909 --> 00:20:19,429
Speaker 2: been through is worth it. And I particularly love the

500
00:20:19,509 --> 00:20:21,829
Speaker 2: dads too, when they start crying and they just realize

501
00:20:21,829 --> 00:20:24,149
Speaker 2: that this enormous thing has just come into their life,

502
00:20:24,189 --> 00:20:26,509
Speaker 2: and this change and this opportunity, and how incredible their

503
00:20:26,549 --> 00:20:29,429
Speaker 2: partner is. It's a pretty special job and I feel

504
00:20:29,429 --> 00:20:32,549
Speaker 2: so incredibly privileged to be in that sacred space.

505
00:20:32,909 --> 00:20:34,949
Speaker 1: I think that's the perfect place to end it. Good

506
00:20:34,989 --> 00:20:36,789
Speaker 1: luck to all of our listeners who are awaiting their

507
00:20:36,829 --> 00:20:38,949
Speaker 1: baby and are about to become parents for the first time.

508
00:20:39,069 --> 00:20:42,109
Speaker 1: I hope you have found this useful and enjoyed the

509
00:20:42,149 --> 00:20:47,789
Speaker 1: newborn bubble. We hope you enjoyed this episode of Hello Bump.

510
00:20:47,909 --> 00:20:50,709
Speaker 1: We have so many episodes of this series filled with

511
00:20:50,789 --> 00:20:53,869
Speaker 1: tips and stories from women and experts who've been through

512
00:20:53,869 --> 00:20:54,589
Speaker 1: it all before.

513
00:20:54,949 --> 00:20:56,789
Speaker 2: You can go back and listen to everything else Hello

514
00:20:56,789 --> 00:20:58,549
Speaker 2: Bump related in this podcast feed.

515
00:20:58,469 --> 00:21:00,269
Speaker 1: And while you're there, we'd love if you could give

516
00:21:00,309 --> 00:21:02,309
Speaker 1: us a flying star rating and maybe APIs a review

517
00:21:02,429 --> 00:21:04,389
Speaker 1: or even shared this episode with a friend.

518
00:21:04,549 --> 00:21:07,709
Speaker 2: This episode was produced by Courtney Ammenhauser, with audio production

519
00:21:07,789 --> 00:21:08,469
Speaker 2: by Tom Lyon.

520
00:21:08,509 --> 00:21:09,469
Speaker 3: We'll catch you next time.

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00:21:09,509 --> 00:21:12,389
Speaker 1: This episode of Hello Bump was made in partnership with Huggies.

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00:21:12,589 --> 00:21:19,389
Speaker 3: Bye Bye, m