1 00:00:11,149 --> 00:00:15,989 Speaker 1: You're listening to a Muma Mia podcast. Mama Maya acknowledges 2 00:00:16,029 --> 00:00:19,229 Speaker 1: the traditional owners of land and waters that this podcast 3 00:00:19,309 --> 00:00:20,069 Speaker 1: is recorded on. 4 00:00:21,389 --> 00:00:26,789 Speaker 2: I am pregnanty. 5 00:00:27,549 --> 00:00:30,549 Speaker 1: Welcome to Hello Bump. We're making pregnancy less overwhelming and 6 00:00:30,669 --> 00:00:33,669 Speaker 1: more manageable. I'm Grace Ruprey. I'm pregnant for the first 7 00:00:33,669 --> 00:00:35,709 Speaker 1: time and it's probably at the point to start making 8 00:00:35,709 --> 00:00:37,589 Speaker 1: bets on the day that your baby will come. 9 00:00:37,749 --> 00:00:40,189 Speaker 2: I'm Jana Pittman. I'm a former Olympian, mother of six 10 00:00:40,189 --> 00:00:42,869 Speaker 2: little humans, and I'm a training obstetrician and gynocologist. 11 00:00:43,069 --> 00:00:45,109 Speaker 1: Each week, we'll be holding your hand, week by week 12 00:00:45,149 --> 00:00:47,949 Speaker 1: through the mysterious, perplexing, and sometimes very silly miracle that 13 00:00:48,109 --> 00:00:50,549 Speaker 1: is pregnancy, all the way from a poppy seed to 14 00:00:50,629 --> 00:00:51,149 Speaker 1: a pumpkin. 15 00:00:52,989 --> 00:00:55,589 Speaker 2: Week Oh, get this thing out of me. 16 00:00:55,869 --> 00:00:58,949 Speaker 1: Thirty nine? What size is our baby? 17 00:00:58,989 --> 00:01:00,589 Speaker 2: I don't know what a jack fruit is, but apparently 18 00:01:00,589 --> 00:01:02,829 Speaker 2: that's what Google says a baby is at this size. 19 00:01:03,149 --> 00:01:05,669 Speaker 1: I wrote, just big, just big. 20 00:01:06,109 --> 00:01:08,389 Speaker 2: Yes baby, Well, we hope babies just big at this point, 21 00:01:08,429 --> 00:01:11,429 Speaker 2: but yes, most babies are nice grown between around the 22 00:01:11,429 --> 00:01:13,429 Speaker 2: three point four to three point five kilos by now. 23 00:01:14,749 --> 00:01:17,349 Speaker 1: And what have they developed or they're just ready. They're ready. 24 00:01:17,589 --> 00:01:20,349 Speaker 2: Thirty nine weeks is that milestone. So a lot of 25 00:01:20,389 --> 00:01:22,549 Speaker 2: obstetricians are sort of saying, okay, anytime now, all right, 26 00:01:22,629 --> 00:01:24,669 Speaker 2: let's come baby, let's go, let's go, because we know 27 00:01:24,869 --> 00:01:27,269 Speaker 2: that at this point you have done a wonderful job. 28 00:01:27,309 --> 00:01:30,229 Speaker 2: The baby's fully grown. There's very little benefit. I mean, 29 00:01:30,229 --> 00:01:32,069 Speaker 2: don't get me wrong, there's still the growth of fat, 30 00:01:32,109 --> 00:01:33,789 Speaker 2: the nutrition and all that kind of stuff that mummy 31 00:01:33,829 --> 00:01:36,429 Speaker 2: can provide, and we certainly do not do in most 32 00:01:36,429 --> 00:01:39,549 Speaker 2: public hospitals won't do an induction before forty one weeks 33 00:01:39,629 --> 00:01:42,229 Speaker 2: for a well healthy mummy. We wait for the spontaneous 34 00:01:42,269 --> 00:01:44,109 Speaker 2: lay because we know that's better for baby's lungs, it's 35 00:01:44,109 --> 00:01:47,229 Speaker 2: better for mum's overall experience, and it's better because baby 36 00:01:47,229 --> 00:01:49,349 Speaker 2: will get into a good position to come, hopefully in 37 00:01:49,629 --> 00:01:51,749 Speaker 2: the birth space. But you know that, we do know 38 00:01:51,829 --> 00:01:54,949 Speaker 2: that if Bubby needs to come, it is very very safe. Now, 39 00:01:55,629 --> 00:01:57,549 Speaker 2: even if it's just mum's choice to have a baby 40 00:01:57,589 --> 00:01:58,349 Speaker 2: to be birthed. 41 00:01:58,829 --> 00:02:03,109 Speaker 1: What's happening. What's happening to me and what is happening 42 00:02:03,109 --> 00:02:03,989 Speaker 1: to our bodies? 43 00:02:04,229 --> 00:02:06,509 Speaker 2: Your stretch marks are getting more if they're going to 44 00:02:06,509 --> 00:02:08,789 Speaker 2: be there your cervix is hopefully thinning out and getting 45 00:02:08,869 --> 00:02:11,589 Speaker 2: very ready for birth lot more discharged. So it's very 46 00:02:11,629 --> 00:02:13,509 Speaker 2: similar to the last two to three weeks. It's just 47 00:02:13,589 --> 00:02:18,389 Speaker 2: that now it's real. So now tightenings are probably contractions. 48 00:02:18,509 --> 00:02:22,149 Speaker 2: Your leaking is probably amniotic fluid. So all the things 49 00:02:22,149 --> 00:02:25,229 Speaker 2: that we query as to whether it might be labor 50 00:02:25,469 --> 00:02:27,189 Speaker 2: are very likely now labor. 51 00:02:27,669 --> 00:02:30,029 Speaker 1: Well, look, I'm not a doctor. When your placenta gets 52 00:02:30,109 --> 00:02:35,229 Speaker 1: tired or old, when it comes out, does that does 53 00:02:35,269 --> 00:02:38,229 Speaker 1: it look like it's organ that has gotten tired and old? 54 00:02:38,269 --> 00:02:40,949 Speaker 2: Occasionally, Yeah, so we call all placcea insufficiency. When when 55 00:02:41,389 --> 00:02:43,509 Speaker 2: I like to say calls tired and placenta gets tired. 56 00:02:43,669 --> 00:02:46,589 Speaker 2: You can sometimes see it smaller in size. You know, 57 00:02:46,669 --> 00:02:50,149 Speaker 2: it's got everything, and it's just particular like it's just little. 58 00:02:50,309 --> 00:02:53,149 Speaker 2: Sometimes the vessels. It's got this quartz called Warburton jelly 59 00:02:53,189 --> 00:02:55,789 Speaker 2: around the cord. Sometimes it's just a really skinny, I'm sorry, 60 00:02:55,789 --> 00:02:58,549 Speaker 2: but pathetic looking little cord. Sometimes it's got the li 61 00:02:58,549 --> 00:03:01,869 Speaker 2: infunctions all over it. So little areas where it's obviously blown, 62 00:03:01,949 --> 00:03:05,109 Speaker 2: like little parts where the placenta's actually died. It's sometimes 63 00:03:05,109 --> 00:03:07,269 Speaker 2: you can even see blood clots or it's abrupted, and 64 00:03:07,269 --> 00:03:10,789 Speaker 2: sometimes you can just see calcifications. Now, calcifications percenter after 65 00:03:10,829 --> 00:03:13,069 Speaker 2: forty weeks is actually some are quite common, so it's 66 00:03:13,069 --> 00:03:14,909 Speaker 2: not a sign of placentlence efficiency. It's just a sign 67 00:03:14,949 --> 00:03:17,429 Speaker 2: that it's been working really hard for forty plus weeks. 68 00:03:17,429 --> 00:03:20,549 Speaker 2: But it's amazing. I love placenters, just say ye, so 69 00:03:20,589 --> 00:03:22,829 Speaker 2: I inspect all the placenters afterwards because I just I 70 00:03:22,829 --> 00:03:25,029 Speaker 2: don't know. I find them so incredible that we grow 71 00:03:25,069 --> 00:03:27,949 Speaker 2: a whole organ to support our baby and then it's done. 72 00:03:28,189 --> 00:03:30,909 Speaker 1: How many women want to see their placenta? 73 00:03:30,909 --> 00:03:32,349 Speaker 2: Oh that's okay, I thought the don's how many people 74 00:03:32,349 --> 00:03:33,829 Speaker 2: want to eat their whole center? But okay, I do. 75 00:03:35,869 --> 00:03:37,909 Speaker 1: Have that question as well, because I know that they 76 00:03:37,989 --> 00:03:40,029 Speaker 1: can become a pill of some sort encapsulate them. 77 00:03:40,109 --> 00:03:42,629 Speaker 2: Yeah, right, most people want to see their placenter, so 78 00:03:43,189 --> 00:03:44,829 Speaker 2: there's lots of well, I think it's more that they 79 00:03:44,829 --> 00:03:46,909 Speaker 2: want to have a little look and gross. I just 80 00:03:47,269 --> 00:03:49,429 Speaker 2: it's just very do you want to see your placenta 81 00:03:49,429 --> 00:03:51,069 Speaker 2: when That's why I laughed. 82 00:03:51,869 --> 00:03:52,629 Speaker 1: They're so beautiful. 83 00:03:52,629 --> 00:03:54,829 Speaker 2: They've got one side is obviously it's all covered in 84 00:03:54,829 --> 00:03:56,829 Speaker 2: the beautiful veins as well, so you can actually see 85 00:03:57,109 --> 00:03:59,629 Speaker 2: how the blood flow actually flowed into the placenta there. 86 00:03:59,949 --> 00:04:01,269 Speaker 2: I mean, you don't have to You can always get 87 00:04:01,269 --> 00:04:02,389 Speaker 2: someone to take a photo of it and have a 88 00:04:02,429 --> 00:04:02,869 Speaker 2: look later. 89 00:04:02,989 --> 00:04:05,069 Speaker 1: If you have a cesarean, do you have the same 90 00:04:05,109 --> 00:04:06,269 Speaker 1: option of being shown it? 91 00:04:06,349 --> 00:04:09,269 Speaker 2: Yeah? Absolutely, Okay, yeah, we exactly the same thing. So 92 00:04:09,309 --> 00:04:10,989 Speaker 2: the same process is that gets put in a little 93 00:04:10,989 --> 00:04:13,269 Speaker 2: white bucket and then they ask mum afterwards, would you 94 00:04:13,309 --> 00:04:15,309 Speaker 2: like to see it now. The caveat there is if 95 00:04:15,309 --> 00:04:17,029 Speaker 2: there's something wrong with your placenta and we need to 96 00:04:17,069 --> 00:04:19,309 Speaker 2: send it for pathology, so we can still usually show 97 00:04:19,349 --> 00:04:21,789 Speaker 2: you pretty quickly, but occasionally there might be a reason 98 00:04:21,829 --> 00:04:24,709 Speaker 2: we send your placenta for histopathology, which means we look 99 00:04:24,709 --> 00:04:26,349 Speaker 2: at it to see if there's anything abnormal with it, 100 00:04:26,629 --> 00:04:28,669 Speaker 2: or it might get used you know for like, you know, 101 00:04:28,709 --> 00:04:30,189 Speaker 2: if there's something wrong with your baby, to check if 102 00:04:30,189 --> 00:04:31,749 Speaker 2: there's a genetic issue and things like that. So we 103 00:04:31,909 --> 00:04:34,229 Speaker 2: use the placenta sometimes for a diagnostic reason. 104 00:04:34,589 --> 00:04:36,229 Speaker 1: Interesting, but otherwise. 105 00:04:35,909 --> 00:04:37,869 Speaker 2: You can usually get thrown out. When I say ninety 106 00:04:37,909 --> 00:04:39,589 Speaker 2: to nine persent of the time we get thrown out. 107 00:04:39,909 --> 00:04:41,829 Speaker 2: Some people take it home and bury it under trees 108 00:04:41,869 --> 00:04:43,709 Speaker 2: and things like that certain religious groups and things that 109 00:04:43,789 --> 00:04:46,309 Speaker 2: do that, and there's definitely some people encapsulate it. 110 00:04:46,429 --> 00:04:49,029 Speaker 1: When do they put that request in to keep their placenta. 111 00:04:49,469 --> 00:04:52,709 Speaker 2: Well, look, we ideally have it before you arrive because 112 00:04:52,709 --> 00:04:55,909 Speaker 2: often hospitals don't have fridges, and it's obviously human. It's 113 00:04:55,909 --> 00:04:57,989 Speaker 2: a human product, so they don't love them just sitting 114 00:04:57,989 --> 00:05:01,029 Speaker 2: around unrefrigerated and whatnot. So it normally needs to be 115 00:05:01,029 --> 00:05:03,109 Speaker 2: something where we sign a document like a release of 116 00:05:03,149 --> 00:05:05,789 Speaker 2: tissue document, and the plasenta needs to be picked up 117 00:05:05,869 --> 00:05:08,109 Speaker 2: quickly by a friend or family member. 118 00:05:08,109 --> 00:05:08,709 Speaker 1: In an esque. 119 00:05:08,789 --> 00:05:10,309 Speaker 2: It's in a little white to little like a little 120 00:05:10,309 --> 00:05:14,309 Speaker 2: white almost looks like a paint tin, interesting with your 121 00:05:14,349 --> 00:05:16,149 Speaker 2: with your MRN and your logo and your name on it, 122 00:05:16,149 --> 00:05:16,989 Speaker 2: so it doesn't get mex up. 123 00:05:16,989 --> 00:05:19,269 Speaker 1: So people who do put it in a capsule or 124 00:05:19,269 --> 00:05:20,909 Speaker 1: get it in a capsule one. I have no idea 125 00:05:21,349 --> 00:05:23,829 Speaker 1: where these services exist. But what are the perceived benefits 126 00:05:23,869 --> 00:05:25,709 Speaker 1: of it? Yeah, I think perceived is a great way. 127 00:05:25,749 --> 00:05:28,109 Speaker 1: And look, I have lots and lots of people who've 128 00:05:28,109 --> 00:05:30,669 Speaker 1: done it. I've certainly looked into it myself because you know, 129 00:05:30,709 --> 00:05:32,349 Speaker 1: animals in the wild do it. So I think one 130 00:05:32,349 --> 00:05:35,069 Speaker 1: of the arguments is that animals eat their own placentas, 131 00:05:35,189 --> 00:05:36,829 Speaker 1: whether it's for a huge boost in iron. You know, 132 00:05:36,869 --> 00:05:39,349 Speaker 1: we eat animals livers and things for the same iron 133 00:05:39,389 --> 00:05:41,749 Speaker 1: increase and things like that, because it's a very dense source. 134 00:05:42,149 --> 00:05:44,029 Speaker 1: The flip side of that argument is the animals eat 135 00:05:44,069 --> 00:05:45,909 Speaker 1: it so that predators don't come, so we don't know. 136 00:05:45,949 --> 00:05:48,869 Speaker 1: We can't ask, you know, a kangaroo why things happen 137 00:05:48,949 --> 00:05:50,389 Speaker 1: that way? Or sheep is the one I've seen most. 138 00:05:50,669 --> 00:05:53,589 Speaker 1: They eat their percenters very quickly. The positives I guess 139 00:05:53,589 --> 00:05:55,869 Speaker 1: may be that it helps with breast milk and when 140 00:05:55,909 --> 00:05:57,909 Speaker 1: you've lost blood during birth. That's the main argument. 141 00:05:58,349 --> 00:06:00,029 Speaker 2: The flip side of it in Australia is it's not 142 00:06:00,069 --> 00:06:03,669 Speaker 2: TGA approved yet, so you don't know who is encapsulating, 143 00:06:03,829 --> 00:06:06,469 Speaker 2: what storage messogs they're using, what type of preservation methods 144 00:06:06,469 --> 00:06:09,829 Speaker 2: they're using for that. So again, guys, it's a personal 145 00:06:09,869 --> 00:06:12,149 Speaker 2: just ye you know, I think if you want to 146 00:06:12,509 --> 00:06:14,469 Speaker 2: eat it raw, fine, that's your choice. As long as 147 00:06:14,469 --> 00:06:17,989 Speaker 2: you're aware that there could be something infectious that may 148 00:06:18,029 --> 00:06:20,109 Speaker 2: make you sick, then it's a discussion. You have to 149 00:06:20,109 --> 00:06:21,749 Speaker 2: have these for yourself, and I know where I sit 150 00:06:21,789 --> 00:06:23,389 Speaker 2: on it, but As a medical person, I'd keep very 151 00:06:23,469 --> 00:06:26,389 Speaker 2: neutral in this space, but it's one to have a 152 00:06:26,389 --> 00:06:28,509 Speaker 2: discussion with your midwife about. There's plenty of duelers that 153 00:06:28,589 --> 00:06:31,269 Speaker 2: do it. It's definitely in other countries something that's un 154 00:06:31,269 --> 00:06:33,509 Speaker 2: more commonly, but here you just gotta be really careful 155 00:06:33,549 --> 00:06:36,069 Speaker 2: and find out very strictly how they preserve and how 156 00:06:36,069 --> 00:06:39,229 Speaker 2: they encapsulate them. Is this normal? Is normal? 157 00:06:39,789 --> 00:06:42,669 Speaker 1: I've got it? Is this normal question around? You can 158 00:06:42,709 --> 00:06:45,949 Speaker 1: be one to two centiment is dilated for potentially days 159 00:06:46,029 --> 00:06:49,469 Speaker 1: or weeks correct one not even know or be having 160 00:06:49,549 --> 00:06:52,549 Speaker 1: like contractions and just be living life for and not 161 00:06:52,789 --> 00:06:53,669 Speaker 1: technically in labor. 162 00:06:53,949 --> 00:06:57,109 Speaker 2: That's right. You service could be very dynamic and look 163 00:06:57,149 --> 00:06:59,349 Speaker 2: after after thirty seven weeks. We don't really mind. If 164 00:06:59,389 --> 00:07:01,869 Speaker 2: your service is open, it'll eventually either open up and 165 00:07:01,869 --> 00:07:04,189 Speaker 2: have a baby or it won't. But it's definitely a 166 00:07:04,229 --> 00:07:05,629 Speaker 2: fear that people have, is that am I just going 167 00:07:05,669 --> 00:07:07,589 Speaker 2: to drop a baby in the street? Most of the 168 00:07:07,629 --> 00:07:09,589 Speaker 2: time not. There are definitely women though, that have what 169 00:07:09,629 --> 00:07:12,549 Speaker 2: we call soolent labors and feel nothing and they come 170 00:07:12,549 --> 00:07:13,789 Speaker 2: in for a review and they're found to. 171 00:07:13,749 --> 00:07:14,589 Speaker 1: Be fully dilated. 172 00:07:14,589 --> 00:07:17,549 Speaker 2: But it is rare, It's very rare. It's not actually 173 00:07:17,549 --> 00:07:19,389 Speaker 2: something you want, so people go, oh gosh, I wish 174 00:07:19,389 --> 00:07:21,829 Speaker 2: that was me. The problem is they can't feel their 175 00:07:21,869 --> 00:07:24,389 Speaker 2: contractions to push, and so it becomes hard in that 176 00:07:24,429 --> 00:07:26,869 Speaker 2: second stage of labor because you actually need to push 177 00:07:26,869 --> 00:07:28,749 Speaker 2: your baby out, and if you've got no contractions or 178 00:07:28,749 --> 00:07:31,429 Speaker 2: no idea when they're happening, you don't have that extra 179 00:07:31,629 --> 00:07:34,429 Speaker 2: support to help bear down and push baby down. So 180 00:07:34,749 --> 00:07:36,869 Speaker 2: there's pros and cons to both, and you know, I 181 00:07:36,909 --> 00:07:38,669 Speaker 2: sort of look at it and think, Okay, look, an 182 00:07:38,669 --> 00:07:40,989 Speaker 2: open service is always a good thing after thirty eight 183 00:07:40,989 --> 00:07:44,149 Speaker 2: weeks because it means that hopefully, if worse clam scenario 184 00:07:44,189 --> 00:07:45,869 Speaker 2: and we needed to do an induction, we at least 185 00:07:45,869 --> 00:07:47,629 Speaker 2: get that process started with minimal intervention. 186 00:07:51,469 --> 00:07:56,109 Speaker 1: My toolkit of this week is about preparing animals if 187 00:07:56,109 --> 00:07:58,589 Speaker 1: you have them. This is the only stuff that I've read, 188 00:07:58,709 --> 00:08:00,549 Speaker 1: and I want to know if you know more about this, 189 00:08:00,629 --> 00:08:02,789 Speaker 1: it's probably like you're not the expert. 190 00:08:02,869 --> 00:08:04,669 Speaker 2: No, No, I'm going to have a lot of animals. 191 00:08:04,749 --> 00:08:07,189 Speaker 1: Yes, but personally, this is where I'm asking for your 192 00:08:07,189 --> 00:08:08,909 Speaker 1: mother hats mother hat. I like it. I can put 193 00:08:08,949 --> 00:08:12,109 Speaker 1: that on. I've got two cats. One of the cats 194 00:08:12,149 --> 00:08:15,869 Speaker 1: is already sleeping in the cops. Yes, so we've tried 195 00:08:15,869 --> 00:08:17,909 Speaker 1: to put stuff in it. But one of the things 196 00:08:17,949 --> 00:08:20,189 Speaker 1: that I've read about is like bringing something home from 197 00:08:20,229 --> 00:08:22,749 Speaker 1: the hospital for them to smell before. I don't know 198 00:08:22,789 --> 00:08:24,069 Speaker 1: if that's more cats than dogs. 199 00:08:24,189 --> 00:08:25,709 Speaker 2: I think it's both from what we've heard. 200 00:08:25,989 --> 00:08:28,509 Speaker 1: And then anything to watch out for. What are the 201 00:08:28,549 --> 00:08:31,029 Speaker 1: things to watch out for when the baby does come home. 202 00:08:31,629 --> 00:08:33,509 Speaker 2: It's a really tricky one because they're your loved ones too, 203 00:08:33,549 --> 00:08:36,629 Speaker 2: aren't they, especially dogs and cats, And unfortunately it's not 204 00:08:36,669 --> 00:08:38,189 Speaker 2: safe to have them sleeping in the same room as 205 00:08:38,229 --> 00:08:40,309 Speaker 2: the baby. And I think it's a really hard one. 206 00:08:40,709 --> 00:08:42,309 Speaker 2: And I have woken up to my cats sitting on 207 00:08:42,349 --> 00:08:43,869 Speaker 2: top of my baby and I was like, oh god, 208 00:08:43,869 --> 00:08:45,549 Speaker 2: I forgot and it just it just did and I 209 00:08:45,589 --> 00:08:46,909 Speaker 2: was like, oh my god. Go And you think, oh, 210 00:08:46,909 --> 00:08:48,589 Speaker 2: it's so sweet. But they're doing it because the bubby 211 00:08:48,629 --> 00:08:51,389 Speaker 2: is warm, not because they're loving the baby. Okay, they 212 00:08:51,389 --> 00:08:54,069 Speaker 2: don't love that baby just yet. It's cries and it 213 00:08:54,109 --> 00:08:56,069 Speaker 2: makes noise and cats don't like that. So it is 214 00:08:56,109 --> 00:08:57,949 Speaker 2: the warmth of your bubby and it's not moving, and 215 00:08:57,989 --> 00:09:00,829 Speaker 2: it just likes to sit in that space. So largely 216 00:09:00,869 --> 00:09:02,869 Speaker 2: things may not go wrong, but the last thing you 217 00:09:02,869 --> 00:09:04,029 Speaker 2: want to do is wake up and find the cat 218 00:09:04,069 --> 00:09:05,789 Speaker 2: sitting on the little one's face. It's the same thing 219 00:09:05,789 --> 00:09:08,349 Speaker 2: of removing things like, you know, the cords on your 220 00:09:08,949 --> 00:09:11,069 Speaker 2: blinds and just taking them of the way so toddlers 221 00:09:11,069 --> 00:09:13,269 Speaker 2: can't reach them, and things like that. So it's an 222 00:09:13,309 --> 00:09:15,509 Speaker 2: introduction space that, yes, maybe bringing something home is a 223 00:09:15,549 --> 00:09:18,629 Speaker 2: good idea, and then introducing them slowly during daylight hours 224 00:09:18,669 --> 00:09:21,269 Speaker 2: and you can leave baby unattended. The cat's not always 225 00:09:21,269 --> 00:09:22,629 Speaker 2: going to get in the way, but just being aware 226 00:09:22,629 --> 00:09:23,829 Speaker 2: that both are in the same space. 227 00:09:24,109 --> 00:09:26,109 Speaker 1: Is there any chance that they'll show an allergy to 228 00:09:26,149 --> 00:09:27,029 Speaker 1: them this early on? 229 00:09:27,549 --> 00:09:30,309 Speaker 2: Theoretically, I suppose they could. They build that the IgE 230 00:09:30,389 --> 00:09:31,909 Speaker 2: response in the first couple of months of life. So 231 00:09:31,909 --> 00:09:34,229 Speaker 2: I assume that theoretically, But you know, that's have to 232 00:09:34,269 --> 00:09:36,069 Speaker 2: be a question for a pediatrician, but it's worth asking 233 00:09:36,149 --> 00:09:37,549 Speaker 2: someone might be able to write into us and let 234 00:09:37,629 --> 00:09:39,229 Speaker 2: us say, yes, what the answer to that is if 235 00:09:39,269 --> 00:09:41,709 Speaker 2: they've had a child that's had allergies. I mean, if 236 00:09:41,749 --> 00:09:44,549 Speaker 2: you have allergies, the chances are there's an atopic picture 237 00:09:44,549 --> 00:09:46,669 Speaker 2: in the genetic composition of mum and dad, then babies 238 00:09:46,789 --> 00:09:48,309 Speaker 2: likely to have them, but it tends to be a 239 00:09:48,309 --> 00:09:49,829 Speaker 2: little bit more later than that, but they can get 240 00:09:49,829 --> 00:09:51,509 Speaker 2: food allergies, like if you think about babies can be 241 00:09:51,509 --> 00:09:54,869 Speaker 2: allergic to lactose and things. So that immune mediator response 242 00:09:54,949 --> 00:09:57,069 Speaker 2: is there. So I guess you have to be careful. 243 00:09:57,629 --> 00:10:00,269 Speaker 1: Do you have any checklists for week thirty nine? 244 00:10:00,829 --> 00:10:02,429 Speaker 2: If you have to have an induction? Now we've talked 245 00:10:02,429 --> 00:10:05,309 Speaker 2: about that plenty already, but it doesn't just mean coming 246 00:10:05,309 --> 00:10:07,149 Speaker 2: in and having a putting put in your arms. So 247 00:10:07,189 --> 00:10:09,149 Speaker 2: we want to optimize your cervix. So that is called 248 00:10:09,189 --> 00:10:12,389 Speaker 2: cervical ripening, ladies. It's not the nicest word. It's obviously 249 00:10:12,389 --> 00:10:13,829 Speaker 2: been as I by a man in the past. Anyway, 250 00:10:14,229 --> 00:10:16,589 Speaker 2: moving on, Basically, it means we need your servix to 251 00:10:16,589 --> 00:10:18,189 Speaker 2: be open enough for us to be able to break 252 00:10:18,189 --> 00:10:20,109 Speaker 2: your waters, because we know that if that's the case, 253 00:10:20,109 --> 00:10:21,829 Speaker 2: you have a much better chance of that medicine we 254 00:10:21,829 --> 00:10:24,829 Speaker 2: put in your arm, called sintocinin working nicely to continue 255 00:10:24,869 --> 00:10:26,829 Speaker 2: the labor in it in as most a natural way 256 00:10:26,829 --> 00:10:29,709 Speaker 2: as possible. And sometimes when your first time mum, your 257 00:10:29,709 --> 00:10:32,149 Speaker 2: cervix is going to be very long and closed, even 258 00:10:32,189 --> 00:10:34,629 Speaker 2: at thirty nine and forty weeks and so we have 259 00:10:34,749 --> 00:10:36,949 Speaker 2: to ripen it, which basically means make it soft. So 260 00:10:37,069 --> 00:10:38,589 Speaker 2: you have two options, which one is we put it 261 00:10:38,709 --> 00:10:41,669 Speaker 2: with a servidil, which is a progesterone medication that helps 262 00:10:41,869 --> 00:10:43,789 Speaker 2: soften and open it up. And the other one is 263 00:10:43,789 --> 00:10:45,669 Speaker 2: we put a folies which is actually a catholic just 264 00:10:45,669 --> 00:10:47,269 Speaker 2: like you put in the bladder inside the cervix and 265 00:10:47,309 --> 00:10:49,429 Speaker 2: it's a balloon. It's called a mechanical ripening, so we 266 00:10:49,469 --> 00:10:52,589 Speaker 2: actually open the cervix mechanically and that usually goes in 267 00:10:52,589 --> 00:10:54,629 Speaker 2: the day before. So if a doctor at thirty nine 268 00:10:54,669 --> 00:10:56,549 Speaker 2: weeks is starting to tell you, okay, guys, it's starting 269 00:10:56,549 --> 00:10:58,589 Speaker 2: to think about an induction, they'll have to do a 270 00:10:58,669 --> 00:11:01,709 Speaker 2: vaginal exam to assess your cervix. So my thing is 271 00:11:01,829 --> 00:11:04,789 Speaker 2: be prepared for that. If an induction is on the cards, 272 00:11:04,909 --> 00:11:07,909 Speaker 2: we have to do a vaginal exam, so I guess 273 00:11:07,989 --> 00:11:09,589 Speaker 2: just feel prepared and ready to have that. 274 00:11:12,269 --> 00:11:14,389 Speaker 1: We hope you enjoyed this episode of Hello Bump. We 275 00:11:14,509 --> 00:11:17,549 Speaker 1: have so many episodes of this series filled with tips 276 00:11:17,589 --> 00:11:20,389 Speaker 1: and stories from women and experts who've been through it 277 00:11:20,469 --> 00:11:21,029 Speaker 1: all before. 278 00:11:21,389 --> 00:11:23,229 Speaker 2: You can go back and listen to everything else Hello 279 00:11:23,229 --> 00:11:24,989 Speaker 2: Bump related in this podcast. 280 00:11:24,509 --> 00:11:26,589 Speaker 1: Feed and while you're there, we'd love if you could 281 00:11:26,589 --> 00:11:28,389 Speaker 1: give us a five star rating and maybe leave us 282 00:11:28,389 --> 00:11:30,829 Speaker 1: a review, or even share this episode with a friend. 283 00:11:30,989 --> 00:11:34,149 Speaker 2: This episode was produced by Courtney Ammenhauser with audio production 284 00:11:34,229 --> 00:11:34,909 Speaker 2: by Tom Lyon. 285 00:11:34,949 --> 00:11:37,189 Speaker 1: We'll catch you next time. This episode of Hello Bump 286 00:11:37,269 --> 00:11:42,109 Speaker 1: was made in partnership with Huggies Bye Bye