1
00:00:03,720 --> 00:00:06,800
Speaker 1: Welcome to the kick your Expert led podcast, helping you

2
00:00:06,880 --> 00:00:10,879
Speaker 1: explore and learn everything about getting pregnant, pregnancy, birth, and

3
00:00:10,920 --> 00:00:11,680
Speaker 1: becoming a parent.

4
00:00:12,039 --> 00:00:15,840
Speaker 2: On the podcast and our online pregnancy program grow My Baby,

5
00:00:15,960 --> 00:00:18,960
Speaker 2: we share my experience of helping more than four thousand

6
00:00:19,000 --> 00:00:20,120
Speaker 2: babies to be born.

7
00:00:20,120 --> 00:00:22,800
Speaker 1: And our experience of running a women's health clinic and

8
00:00:22,880 --> 00:00:23,960
Speaker 1: parenting for boys.

9
00:00:24,160 --> 00:00:27,160
Speaker 2: We're here to help everyone to feel empowered in pregnancy

10
00:00:27,320 --> 00:00:30,120
Speaker 2: and birth with real life, practical information.

11
00:00:34,640 --> 00:00:38,280
Speaker 1: Well, welcome everyone. This is episode twenty six, and we're

12
00:00:38,320 --> 00:00:41,320
Speaker 1: going to be talking about just some hints on how

13
00:00:41,360 --> 00:00:43,600
Speaker 1: to get pregnant, which is really important.

14
00:00:44,040 --> 00:00:48,879
Speaker 2: Yeah, stuff you have to do to get in the space.

15
00:00:48,680 --> 00:00:50,680
Speaker 1: In the space. Yeah, So we're not really going to

16
00:00:50,720 --> 00:00:53,840
Speaker 1: cover you know, ovulation and things like that. That's going

17
00:00:53,920 --> 00:00:57,520
Speaker 1: to be That was episode two, our how to track

18
00:00:57,520 --> 00:00:59,920
Speaker 1: your ovulation like a ninja. So go back in a

19
00:01:00,160 --> 00:01:01,680
Speaker 1: little listen to that. But this is this is going

20
00:01:01,720 --> 00:01:04,840
Speaker 1: to be fun and you'll definitely have some mum tips

21
00:01:04,880 --> 00:01:07,760
Speaker 1: by the end of it. And Patty though, we wanted

22
00:01:07,760 --> 00:01:12,240
Speaker 1: to tell everyone we've had another family here who you've delivered.

23
00:01:12,280 --> 00:01:16,840
Speaker 1: Now there fourth fourth baby, guess what it was?

24
00:01:19,000 --> 00:01:22,399
Speaker 2: And fourth boy? Yes, So they're the same as us

25
00:01:22,440 --> 00:01:23,000
Speaker 2: for boys.

26
00:01:23,240 --> 00:01:26,800
Speaker 1: And she didn't find out the gender of the baby either.

27
00:01:26,600 --> 00:01:30,520
Speaker 3: Did she No, So it was just I shared the

28
00:01:30,600 --> 00:01:37,000
Speaker 3: story of when we took the kids to Disneyland and

29
00:01:37,319 --> 00:01:40,319
Speaker 3: one of our kids said, it's great us all being boys.

30
00:01:40,680 --> 00:01:43,080
Speaker 2: We don't have to go on any stupid girl.

31
00:01:42,959 --> 00:01:46,920
Speaker 1: Right, one big benefit.

32
00:01:47,000 --> 00:01:48,800
Speaker 2: I told her that story. There's lots of benefits to

33
00:01:49,040 --> 00:01:50,800
Speaker 2: single sex family.

34
00:01:51,040 --> 00:01:55,120
Speaker 1: Yes, hand down the clothes and the clothes. What are

35
00:01:55,160 --> 00:01:55,559
Speaker 1: the others?

36
00:01:56,560 --> 00:02:00,880
Speaker 2: I'm struggling, So anyway, it was, it was, it was

37
00:02:01,520 --> 00:02:02,200
Speaker 2: a happy day.

38
00:02:02,360 --> 00:02:04,440
Speaker 1: And did they have a name for that baby? Mick

39
00:02:04,960 --> 00:02:06,440
Speaker 1: meck O cute?

40
00:02:06,920 --> 00:02:09,919
Speaker 2: Isn't that nice? Mick? And so I ive got a

41
00:02:09,960 --> 00:02:13,839
Speaker 2: brother Mick. So it was it was great. And she's

42
00:02:13,880 --> 00:02:17,040
Speaker 2: one of the I think maybe the first or equal

43
00:02:17,080 --> 00:02:21,880
Speaker 2: first number of number of babies from one woman one

44
00:02:21,960 --> 00:02:25,960
Speaker 2: woman yet. But I've been involved in the couch or four.

45
00:02:26,200 --> 00:02:29,600
Speaker 1: We don't have many four child families anymore.

46
00:02:30,440 --> 00:02:32,280
Speaker 2: No, no, And I don't know if that record is

47
00:02:32,320 --> 00:02:34,200
Speaker 2: going to be broken anytime soon, because there's certainly out

48
00:02:34,200 --> 00:02:34,840
Speaker 2: many fives.

49
00:02:34,919 --> 00:02:38,200
Speaker 1: Yeah, yeah, no, All right, well, so we're going to

50
00:02:38,240 --> 00:02:42,560
Speaker 1: go on to how to get pregnant? So this has

51
00:02:42,560 --> 00:02:44,400
Speaker 1: all sort of stemmed from at the moment. This week,

52
00:02:44,440 --> 00:02:45,840
Speaker 1: we've sort of been covering off on a couple of

53
00:02:45,880 --> 00:02:48,760
Speaker 1: posts on our Instagram, which people, if you're not there,

54
00:02:49,040 --> 00:02:51,960
Speaker 1: please go over right now, drop your listening and get

55
00:02:52,000 --> 00:02:53,880
Speaker 1: onto your phone and just go to our Instagram. We

56
00:02:54,000 --> 00:02:56,880
Speaker 1: come and be one of our friends. And we've been

57
00:02:56,880 --> 00:03:00,440
Speaker 1: covering getting pregnant, and we've been talking a lot about

58
00:03:00,440 --> 00:03:03,600
Speaker 1: what a regular period is, and somebody asked the question,

59
00:03:03,600 --> 00:03:05,120
Speaker 1: I think it might be worth while sort of answering

60
00:03:05,160 --> 00:03:09,519
Speaker 1: it here. We'll answer it also on Instagram. But her question,

61
00:03:10,560 --> 00:03:14,440
Speaker 1: mel asks, does regular mean bang on the same number

62
00:03:14,440 --> 00:03:17,919
Speaker 1: of days each cycle or around about give or take

63
00:03:18,000 --> 00:03:19,360
Speaker 1: a few days for each cycle?

64
00:03:20,960 --> 00:03:23,840
Speaker 2: Well, bang On's nice that that kind of proves it.

65
00:03:24,200 --> 00:03:26,040
Speaker 2: If you have a twenty eight day cycle and it's

66
00:03:26,080 --> 00:03:29,640
Speaker 2: every twenty eight days without fail, that's an ovulatory cycle.

67
00:03:29,639 --> 00:03:34,720
Speaker 2: You're ovulating, and it really needs very little confirmation of that.

68
00:03:36,000 --> 00:03:41,880
Speaker 2: But if there's significant irregularity, that's probably not ovulating or

69
00:03:41,920 --> 00:03:44,960
Speaker 2: not ovulating when you think you are, or not ovulating every.

70
00:03:44,720 --> 00:03:45,440
Speaker 1: Month, right.

71
00:03:46,120 --> 00:03:49,640
Speaker 2: And then there are women who have some mild cycle irregularity,

72
00:03:49,640 --> 00:03:52,720
Speaker 2: perhaps a day or two out, and they're probably ovulating

73
00:03:52,760 --> 00:03:55,920
Speaker 2: as well, but if they're in trouble, checking for that

74
00:03:56,000 --> 00:03:58,400
Speaker 2: ovulation is easier, So a blood test done on day

75
00:03:58,440 --> 00:04:00,840
Speaker 2: twenty one of the cycle looking for pretty gesterone levels,

76
00:04:01,480 --> 00:04:03,880
Speaker 2: and if the ovary has already made an egg, the

77
00:04:03,920 --> 00:04:05,400
Speaker 2: progesterone level will be high.

78
00:04:05,800 --> 00:04:07,280
Speaker 1: And who does that blood test?

79
00:04:07,600 --> 00:04:12,720
Speaker 2: Oh, JP can organize that without much trouble, and certainly

80
00:04:12,760 --> 00:04:14,920
Speaker 2: one of the ones we look at if someone's made

81
00:04:14,920 --> 00:04:19,359
Speaker 2: it all the way to a obstration, gynocologist or infertility specialist.

82
00:04:20,320 --> 00:04:23,640
Speaker 2: But it's a nice little place to start, especially if

83
00:04:23,640 --> 00:04:26,000
Speaker 2: someone thinks, well, my cycle is somewhere between twenty six

84
00:04:26,080 --> 00:04:29,359
Speaker 2: and twenty nine days, am I ovulating? Well, that's the

85
00:04:29,360 --> 00:04:30,120
Speaker 2: way to find out.

86
00:04:30,200 --> 00:04:33,080
Speaker 1: Yeah, right, okay? And you know how would they do

87
00:04:33,080 --> 00:04:35,200
Speaker 1: that straight away? Like, oh gosh, I loved it. One

88
00:04:35,200 --> 00:04:36,560
Speaker 1: person sort of said, I can't know. I don't have

89
00:04:36,560 --> 00:04:39,720
Speaker 1: it in front of me. But one person said out

90
00:04:39,720 --> 00:04:42,719
Speaker 1: one of our posts was there's the normal time. So

91
00:04:42,880 --> 00:04:45,920
Speaker 1: if you've got a regular period, you've been having well

92
00:04:45,960 --> 00:04:49,479
Speaker 1: time sex, your partner has no history or problems with

93
00:04:49,640 --> 00:04:53,200
Speaker 1: seaman quality, then it's twelve months is kind of like

94
00:04:53,240 --> 00:04:56,240
Speaker 1: an average time to get pregnant if you're under thirty five.

95
00:04:57,040 --> 00:04:59,560
Speaker 2: Yeah, Well that's how long you should try for before

96
00:04:59,600 --> 00:05:02,400
Speaker 2: seeking help if everything else is duck in herow yep.

97
00:05:02,839 --> 00:05:05,320
Speaker 1: And she said that she had an irregular period and

98
00:05:05,320 --> 00:05:07,640
Speaker 1: she sort of questioned whether she should have gone as

99
00:05:07,680 --> 00:05:09,400
Speaker 1: soon as she did, but she's so glad she did.

100
00:05:09,400 --> 00:05:11,640
Speaker 1: She went straight off to the GP before they sort

101
00:05:11,640 --> 00:05:14,479
Speaker 1: of started, because she realized that irregular periods is one

102
00:05:15,279 --> 00:05:17,760
Speaker 1: catalyst to go and see your GP. To go earlier, Yeah,

103
00:05:17,800 --> 00:05:19,200
Speaker 1: to go earlier, don't wait the twelve months.

104
00:05:19,440 --> 00:05:21,120
Speaker 2: And did she learn that from us?

105
00:05:21,480 --> 00:05:29,280
Speaker 1: No, but she confirmed that, what you know, that was

106
00:05:29,320 --> 00:05:30,240
Speaker 1: her story and that was good.

107
00:05:30,320 --> 00:05:32,080
Speaker 2: Yeah. Yeah. So it's a kind of a thing of

108
00:05:32,120 --> 00:05:34,120
Speaker 2: mine that there's no point trying for twelve months if

109
00:05:34,120 --> 00:05:35,080
Speaker 2: you don't have the ingredients.

110
00:05:35,160 --> 00:05:36,040
Speaker 1: Yeah.

111
00:05:36,080 --> 00:05:38,920
Speaker 2: And so what I hope some people get out of

112
00:05:38,920 --> 00:05:41,760
Speaker 2: our podcast is if you've got shock and pelvic pain,

113
00:05:42,040 --> 00:05:47,799
Speaker 2: irregular periods, a partner who's had momps and a varicas

114
00:05:47,960 --> 00:05:51,160
Speaker 2: or know a varicus fan in his scrotum, and you're

115
00:05:51,160 --> 00:05:53,720
Speaker 2: both in your late thirties, we do not wait a year.

116
00:05:53,760 --> 00:05:55,360
Speaker 1: People, Yeah, just get along.

117
00:05:55,200 --> 00:05:57,680
Speaker 2: We get along, get get stuff tested, make sure we've

118
00:05:57,680 --> 00:06:00,400
Speaker 2: got the right ingredients to start with to.

119
00:06:00,360 --> 00:06:02,640
Speaker 1: Be honest, most people, well not most, but there's so

120
00:06:02,680 --> 00:06:06,599
Speaker 1: many of us, us included, who you don't find their

121
00:06:06,640 --> 00:06:10,520
Speaker 1: partner in their thirties, and you know, then they sort

122
00:06:10,520 --> 00:06:13,000
Speaker 1: of wait until the right time in that relationship to

123
00:06:13,000 --> 00:06:16,320
Speaker 1: have a child. And that could be that they're thirty four,

124
00:06:16,400 --> 00:06:20,360
Speaker 1: thirty five, thirty six, thirty seven, or us of thirty nine.

125
00:06:21,320 --> 00:06:24,159
Speaker 2: So there's nothing wrong with that, but we want to

126
00:06:24,200 --> 00:06:27,039
Speaker 2: be just a little bit more scientific about it.

127
00:06:27,160 --> 00:06:30,800
Speaker 1: Yeah, we were perhaps too scientific. We thought we would

128
00:06:30,839 --> 00:06:35,880
Speaker 1: have struggled to get pregnant, and here we are good,

129
00:06:35,960 --> 00:06:39,840
Speaker 1: all right, So, Patty, we wanted to start off and

130
00:06:39,880 --> 00:06:44,600
Speaker 1: it's not something medical, you know, getting pregnant. We say,

131
00:06:44,760 --> 00:06:46,360
Speaker 1: the first thing that you need to do is just

132
00:06:46,480 --> 00:06:50,320
Speaker 1: take stock where are you in your life. Obviously, the

133
00:06:50,360 --> 00:06:52,840
Speaker 1: decision to become a parent is a big deal.

134
00:06:53,560 --> 00:06:55,279
Speaker 2: Yeah, so I think one of the things we do

135
00:06:55,320 --> 00:06:57,359
Speaker 2: is we all make great plans for the birth of

136
00:06:57,400 --> 00:07:00,560
Speaker 2: the baby. But yeah, ultimately, looking back, that's kind of

137
00:07:00,560 --> 00:07:05,280
Speaker 2: one day in a lifetime of parenting. And you know,

138
00:07:05,320 --> 00:07:07,520
Speaker 2: it doesn't stop that. They get they get big and

139
00:07:09,400 --> 00:07:11,200
Speaker 2: you know, all my brother and sister all in our

140
00:07:11,280 --> 00:07:13,600
Speaker 2: forties and my mum would say she's still parenting to

141
00:07:13,680 --> 00:07:14,640
Speaker 2: some degree.

142
00:07:14,400 --> 00:07:18,000
Speaker 1: You oh, wow, is she still parenting? And she needs to?

143
00:07:18,440 --> 00:07:21,840
Speaker 2: So, you know, in a lifetime of parenting, the birth

144
00:07:21,920 --> 00:07:24,000
Speaker 2: is one day. It's a big deal, but it's one day,

145
00:07:25,800 --> 00:07:29,200
Speaker 2: and I think, you know, during that time of trying,

146
00:07:29,240 --> 00:07:32,560
Speaker 2: it's the perfect time to think, well, what do we

147
00:07:32,680 --> 00:07:35,920
Speaker 2: what do we want to achieve here? Which of my

148
00:07:36,080 --> 00:07:39,960
Speaker 2: heart felt personal values do I most wish to foster

149
00:07:40,080 --> 00:07:44,560
Speaker 2: in my child? What sort of a parent am I

150
00:07:44,640 --> 00:07:45,000
Speaker 2: going to be?

151
00:07:45,880 --> 00:07:48,680
Speaker 1: And also sort of what what support have I got?

152
00:07:48,760 --> 00:07:51,560
Speaker 1: How do I how do I think I'll cope? How

153
00:07:51,600 --> 00:07:54,560
Speaker 1: do I think I'll be able to tap into you know,

154
00:07:55,440 --> 00:08:00,280
Speaker 1: family help, friends help, you know, because we say again

155
00:08:00,280 --> 00:08:03,400
Speaker 1: and again it really does take a village, and we

156
00:08:03,480 --> 00:08:05,800
Speaker 1: see it in our clinic because we're based in regional

157
00:08:05,920 --> 00:08:08,200
Speaker 1: Victoria and we have a lot of people that perhaps

158
00:08:08,240 --> 00:08:12,320
Speaker 1: move here and they don't have that support base and

159
00:08:12,400 --> 00:08:15,080
Speaker 1: it's a very hard road for some of them.

160
00:08:15,440 --> 00:08:19,160
Speaker 2: Yeah, so you know in this you know, you know,

161
00:08:19,200 --> 00:08:22,880
Speaker 2: if we're fortunate enough to have a pregnancy where you know,

162
00:08:23,840 --> 00:08:28,840
Speaker 2: it's planned and we're getting all of those duco on

163
00:08:28,920 --> 00:08:31,720
Speaker 2: some fol Aid and off the contraception, charting the cycle,

164
00:08:32,080 --> 00:08:36,520
Speaker 2: then there's time right to think about some of those issues,

165
00:08:36,520 --> 00:08:37,920
Speaker 2: like why we're doing this and how we're going to

166
00:08:37,960 --> 00:08:38,400
Speaker 2: go about it.

167
00:08:38,440 --> 00:08:38,600
Speaker 3: Yeah.

168
00:08:38,640 --> 00:08:42,040
Speaker 1: Yeah, and this is by any means telling you not

169
00:08:42,080 --> 00:08:42,440
Speaker 1: to do it.

170
00:08:42,520 --> 00:08:42,800
Speaker 2: Do it.

171
00:08:42,840 --> 00:08:44,160
Speaker 1: We love babies.

172
00:08:44,120 --> 00:08:50,280
Speaker 2: Especially it's the first thing you'll ever do. But you know,

173
00:08:50,400 --> 00:08:53,480
Speaker 2: that's that's just something to think about exactly.

174
00:08:54,040 --> 00:08:57,720
Speaker 1: So we also think that it's just vital to get educated.

175
00:08:58,120 --> 00:08:59,360
Speaker 2: Yeah, that's what we're doing here. Yeah.

176
00:08:59,480 --> 00:09:02,200
Speaker 1: Yeah, So you know, big tick to you. You're already here,

177
00:09:02,240 --> 00:09:04,520
Speaker 1: You're already learning about things. Oh my gosh, there's so

178
00:09:04,559 --> 00:09:07,160
Speaker 1: many medical terms, isn't there. It's just like you've started

179
00:09:07,200 --> 00:09:11,120
Speaker 1: a whole new course that you don't have a platform

180
00:09:11,160 --> 00:09:15,480
Speaker 1: to learn from or do you. Yeah, that's why we're

181
00:09:15,480 --> 00:09:18,360
Speaker 1: building to grow my Baby program. But you know, you

182
00:09:18,360 --> 00:09:20,920
Speaker 1: you will get bombarded with terms and you'll think, my god,

183
00:09:20,960 --> 00:09:24,400
Speaker 1: this is just like a whole new world. So yeah, and.

184
00:09:24,360 --> 00:09:26,360
Speaker 2: There, you know, there's sometimes there are things that people

185
00:09:27,200 --> 00:09:28,839
Speaker 2: it's until a second with third baby, they think I

186
00:09:28,880 --> 00:09:29,800
Speaker 2: didn't realize that was an option.

187
00:09:30,000 --> 00:09:32,400
Speaker 1: Yes, oh yeah, and it's like, you.

188
00:09:32,320 --> 00:09:33,920
Speaker 2: Know, it was always an option, it's just you didn't

189
00:09:33,920 --> 00:09:42,360
Speaker 2: know about it. So there are things you know, delayed cord.

190
00:09:42,160 --> 00:09:44,960
Speaker 1: Clamping the journal assistances area.

191
00:09:45,120 --> 00:09:47,520
Speaker 2: Yeah, yeah, yeah, so something you know, it's laid cord

192
00:09:47,559 --> 00:09:50,560
Speaker 2: clamping has gone from very quickly from a sort of

193
00:09:50,600 --> 00:09:53,760
Speaker 2: a strange thing that people wanted to do for a

194
00:09:53,800 --> 00:09:57,880
Speaker 2: little bit fringe right up to absolutely standard in just

195
00:09:57,920 --> 00:10:01,120
Speaker 2: a few years because it that's good for you. Yeah,

196
00:10:02,000 --> 00:10:06,240
Speaker 2: and it turns out that it's reasonable to do at

197
00:10:06,920 --> 00:10:11,120
Speaker 2: most vaginal births and even at most caesarian sections. Yes,

198
00:10:11,880 --> 00:10:15,520
Speaker 2: and you know I've had I couldn't have that because

199
00:10:15,520 --> 00:10:17,600
Speaker 2: it was a section. Why not?

200
00:10:17,640 --> 00:10:17,960
Speaker 1: Why not?

201
00:10:18,120 --> 00:10:20,360
Speaker 2: That's that's fun. If you're not bleeding, of course we

202
00:10:20,480 --> 00:10:20,880
Speaker 2: can way.

203
00:10:20,920 --> 00:10:25,000
Speaker 1: Yeah, exactly. Skin to skin contact, you know, these are

204
00:10:25,080 --> 00:10:29,240
Speaker 1: things that sometimes it happens in a hospital, like even

205
00:10:29,240 --> 00:10:32,800
Speaker 1: between out my you know, the four boys. I think

206
00:10:32,840 --> 00:10:35,240
Speaker 1: the only real skin to skin contact that I had

207
00:10:35,400 --> 00:10:38,480
Speaker 1: was our third for Sally, and and they just you know,

208
00:10:38,520 --> 00:10:40,040
Speaker 1: it was I didn't even have to ask for it

209
00:10:40,080 --> 00:10:42,920
Speaker 1: was just sort of done. And then for Rex, so

210
00:10:43,000 --> 00:10:47,680
Speaker 1: he was our fourth, he was all wrapped up like

211
00:10:47,679 --> 00:10:49,160
Speaker 1: a burrito and give him back to me. So we

212
00:10:49,160 --> 00:10:52,000
Speaker 1: didn't really have that immediate skin to skin contact until

213
00:10:52,000 --> 00:10:54,600
Speaker 1: the next midwife came. I just forgot to ask and

214
00:10:54,640 --> 00:10:56,520
Speaker 1: the next midwife came and said, oh, well that's not good,

215
00:10:57,320 --> 00:10:58,480
Speaker 1: unwrapped him.

216
00:10:58,520 --> 00:11:00,960
Speaker 2: So there you go. That's that's a body example. Because

217
00:11:01,520 --> 00:11:06,040
Speaker 2: we can't always rely on the hospitals and caregivers to

218
00:11:06,679 --> 00:11:09,560
Speaker 2: magically give us what we want. We want to ask

219
00:11:09,640 --> 00:11:12,680
Speaker 2: for it, and you won't know to ask for it

220
00:11:12,760 --> 00:11:15,800
Speaker 2: unless you know what's available. What are the things you

221
00:11:15,840 --> 00:11:18,800
Speaker 2: get a choice in? Yes, and how do we go

222
00:11:18,840 --> 00:11:20,920
Speaker 2: about exercising that choice?

223
00:11:21,000 --> 00:11:23,280
Speaker 1: And that's you know, it just reminds me that we've

224
00:11:23,280 --> 00:11:28,800
Speaker 1: written this really good fillable birth plan template in our

225
00:11:28,800 --> 00:11:31,040
Speaker 1: grow my Baby program, So you know, all of those

226
00:11:31,080 --> 00:11:32,840
Speaker 1: things sort of covered and you get that, you know,

227
00:11:32,920 --> 00:11:35,480
Speaker 1: you get the trigger to even think about, well do

228
00:11:35,559 --> 00:11:38,520
Speaker 1: I want delayed core clamping? Do I want skin to

229
00:11:38,559 --> 00:11:41,920
Speaker 1: skin contact? We think yes should be the answer to

230
00:11:41,960 --> 00:11:45,000
Speaker 1: all those things. So the next ones we want to

231
00:11:45,000 --> 00:11:48,320
Speaker 1: talk about in terms of getting pregnant is you know,

232
00:11:48,360 --> 00:11:52,840
Speaker 1: getting you into good nick. So it's really vitally important,

233
00:11:52,880 --> 00:11:53,120
Speaker 1: isn't it.

234
00:11:53,600 --> 00:11:56,680
Speaker 2: Yeah, So we're talking about exercise and it doesn't matter

235
00:11:56,720 --> 00:11:58,880
Speaker 2: what you do, yeah, it is the bottom line. You

236
00:11:58,960 --> 00:12:02,760
Speaker 2: just you have to do something. So even if your

237
00:12:02,800 --> 00:12:04,719
Speaker 2: body weights normal, you still want to be doing some

238
00:12:05,400 --> 00:12:08,679
Speaker 2: exercise regularly, and come on, if you've got no kids yet,

239
00:12:08,840 --> 00:12:10,000
Speaker 2: what else you're doing with your time.

240
00:12:11,440 --> 00:12:13,560
Speaker 1: Touching Netflix? Oh my god, what did we do with

241
00:12:13,600 --> 00:12:14,439
Speaker 1: our kids?

242
00:12:14,640 --> 00:12:20,520
Speaker 2: So you gotta just just do something and commit to

243
00:12:20,520 --> 00:12:26,199
Speaker 2: it so that cardiovascular health and body weight are under

244
00:12:26,200 --> 00:12:28,080
Speaker 2: control when the pregnancy starts.

245
00:12:28,320 --> 00:12:29,319
Speaker 1: It's a habit, you know.

246
00:12:30,280 --> 00:12:32,880
Speaker 2: And that you're in exactly that you're in the habit

247
00:12:32,920 --> 00:12:35,760
Speaker 2: of exercising because you've gotta keep going into pregnancy. You're

248
00:12:35,760 --> 00:12:36,959
Speaker 2: a little bit of a few weeks off at the

249
00:12:37,000 --> 00:12:39,600
Speaker 2: start when you're feel really bad and with the nausea

250
00:12:39,720 --> 00:12:42,800
Speaker 2: and vomiting, and then you've got to keep exercising so

251
00:12:42,880 --> 00:12:49,600
Speaker 2: that we can manage the manageable risks of hypertension, preclamps,

252
00:12:49,640 --> 00:12:53,760
Speaker 2: your diabetes by keeping body weight under control. So you

253
00:12:53,800 --> 00:12:56,520
Speaker 2: want to be doing something in early pregnancy, and that

254
00:12:56,600 --> 00:12:58,480
Speaker 2: might be the thing you're already doing if it's something

255
00:12:58,520 --> 00:13:02,720
Speaker 2: that's suitable for pregnancy, which most things are. I just say,

256
00:13:02,760 --> 00:13:05,240
Speaker 2: do people contact sports out from once you're from when

257
00:13:05,280 --> 00:13:08,400
Speaker 2: you're pregnant. It's about it. And then in the third

258
00:13:08,400 --> 00:13:11,840
Speaker 2: trime mystery, you move on to something pregnancy specific like

259
00:13:12,160 --> 00:13:17,840
Speaker 2: pilates or yoga or water arabics but it's about a

260
00:13:17,920 --> 00:13:19,960
Speaker 2: philosophy of being active.

261
00:13:19,920 --> 00:13:22,800
Speaker 1: And I think I mean, gosh, it's about one hundred

262
00:13:22,800 --> 00:13:26,560
Speaker 1: and fifty minutes of moderate exercise in a week, or

263
00:13:27,040 --> 00:13:29,840
Speaker 1: is it sixty or ninety minutes of strenuous exercise?

264
00:13:30,320 --> 00:13:33,559
Speaker 2: So it's not much, Yes, spread over a few goes.

265
00:13:34,160 --> 00:13:34,800
Speaker 2: It's doable.

266
00:13:34,920 --> 00:13:41,679
Speaker 1: Yeah, yeah, excellent smoking. There's Australia. Sorry, folks who are

267
00:13:41,679 --> 00:13:44,439
Speaker 1: listening from the U. Well we know that you're listening

268
00:13:44,440 --> 00:13:47,480
Speaker 1: from the US, from Brazil. We've had comments from people

269
00:13:47,520 --> 00:13:51,120
Speaker 1: from Ireland. I don't know your rates of smoking, but

270
00:13:51,160 --> 00:13:55,959
Speaker 1: in Australia we're about fourteen percent. I've all of Australian

271
00:13:56,040 --> 00:13:58,800
Speaker 1: still smoke, which you know is good. It's way down

272
00:13:58,840 --> 00:14:03,040
Speaker 1: from what it was you know in the eighties. Yep, seventies, yeah, seventies,

273
00:14:03,080 --> 00:14:07,040
Speaker 1: but it's still four eight percent. And in our hometown

274
00:14:07,280 --> 00:14:09,559
Speaker 1: pat we're still up at around twenty to thirty percent.

275
00:14:10,080 --> 00:14:12,800
Speaker 1: Too many people. But it's a good time to stop,

276
00:14:12,800 --> 00:14:13,160
Speaker 1: isn't it.

277
00:14:13,240 --> 00:14:15,160
Speaker 2: Well that's a motivated time to stop, is that it.

278
00:14:15,200 --> 00:14:17,600
Speaker 2: So it's a time when you can really think, well,

279
00:14:17,600 --> 00:14:21,360
Speaker 2: this is not just me got a baby, and it's

280
00:14:21,400 --> 00:14:24,600
Speaker 2: either going to help me get pregnant, or help me

281
00:14:24,600 --> 00:14:27,800
Speaker 2: have a healthy pregnancy if we're already pregnant, if we

282
00:14:28,080 --> 00:14:30,480
Speaker 2: if we stop the smokes. And then it's been shown

283
00:14:30,520 --> 00:14:34,000
Speaker 2: time again that if your partner stops as well and

284
00:14:34,120 --> 00:14:40,360
Speaker 2: you motivate each other, yep, that the the quit rates

285
00:14:40,520 --> 00:14:41,440
Speaker 2: it's more sustained.

286
00:14:41,960 --> 00:14:44,960
Speaker 1: And yeah, for your partner, there is some studies that

287
00:14:45,000 --> 00:14:48,200
Speaker 1: sort of suggest that it does impact on salmon quality smoking.

288
00:14:48,280 --> 00:14:50,160
Speaker 1: And what about for the woman though, why do we

289
00:14:50,200 --> 00:14:51,200
Speaker 1: want them to stop smoking?

290
00:14:52,120 --> 00:14:54,760
Speaker 2: Look, there's a number of reasons. So overall fertility rates

291
00:14:55,240 --> 00:14:57,600
Speaker 2: are lower. There's a number of ways in which smoking

292
00:14:57,800 --> 00:15:05,920
Speaker 2: decreases fertility. But then once you're pregnant, smokers, heavy smokers,

293
00:15:06,280 --> 00:15:09,120
Speaker 2: you can make up, you can make a problematic placenter. Right,

294
00:15:09,680 --> 00:15:15,240
Speaker 2: So just like you know when you're if you're a

295
00:15:15,240 --> 00:15:18,640
Speaker 2: smoke car, it can affect the quality of small blood

296
00:15:18,720 --> 00:15:20,760
Speaker 2: vessels in our body. So that's why it can give

297
00:15:20,760 --> 00:15:22,280
Speaker 2: you a heart attack. That's why I can give you

298
00:15:22,320 --> 00:15:24,840
Speaker 2: a stroke because it can block small blood vessels. Well,

299
00:15:24,840 --> 00:15:28,280
Speaker 2: the heavy smoke car it's pregnant. The placenta is nothing

300
00:15:28,280 --> 00:15:32,280
Speaker 2: but blood vessels, yep, So it affects it in you know,

301
00:15:32,320 --> 00:15:35,240
Speaker 2: in broad terms, in the same way. So if in

302
00:15:35,280 --> 00:15:38,720
Speaker 2: those early months the placenta hasn't hasn't formed properly, then

303
00:15:38,760 --> 00:15:41,200
Speaker 2: in the later months of the pregnancyre and you just

304
00:15:41,200 --> 00:15:47,320
Speaker 2: start to see significant problems with growth, restriction and and

305
00:15:47,600 --> 00:15:49,400
Speaker 2: higher rates of major complications.

306
00:15:49,520 --> 00:15:53,440
Speaker 1: Okay, And if that little talk about smoking is at

307
00:15:53,440 --> 00:15:58,320
Speaker 1: all motivated you, the quit Organization has some really great

308
00:15:58,320 --> 00:16:00,600
Speaker 1: tools to help you. So that's quit dot org dot

309
00:16:00,600 --> 00:16:01,960
Speaker 1: are you, and they've.

310
00:16:01,720 --> 00:16:03,400
Speaker 2: Got some pregnancy specific stuff.

311
00:16:03,480 --> 00:16:03,680
Speaker 1: Yeah.

312
00:16:04,120 --> 00:16:04,320
Speaker 2: Good.

313
00:16:05,720 --> 00:16:07,280
Speaker 1: The next thing we want you to do is to

314
00:16:07,320 --> 00:16:10,160
Speaker 1: go to your dentist. You're trying to get pregnant, now's

315
00:16:10,200 --> 00:16:10,560
Speaker 1: the time.

316
00:16:11,040 --> 00:16:15,040
Speaker 2: Yeah, ideally beforehand and and certainly once you're pregnant if

317
00:16:15,040 --> 00:16:18,040
Speaker 2: you haven't been yet. So people I get a lot

318
00:16:18,080 --> 00:16:20,000
Speaker 2: of phone calls from people saying I've got some toothy

319
00:16:20,080 --> 00:16:22,800
Speaker 2: going together the dentist. Is it's safe to go in pregnancy?

320
00:16:23,160 --> 00:16:26,440
Speaker 2: And I always say, for God's say, yes, go, because

321
00:16:26,480 --> 00:16:30,120
Speaker 2: it's actually much more dangerous to not go. Yeah. So

322
00:16:31,320 --> 00:16:35,200
Speaker 2: infections that get in through holes in your teeth are

323
00:16:35,240 --> 00:16:40,400
Speaker 2: an important cause of premature labor. Yeah, right, And so

324
00:16:41,120 --> 00:16:44,800
Speaker 2: ideally go before you're pregnant, yeah, and get the teeth

325
00:16:44,840 --> 00:16:47,480
Speaker 2: as good as we can. And if you need dental

326
00:16:47,520 --> 00:16:51,160
Speaker 2: work in the pregnancy. It's safe. If the dentist is

327
00:16:51,200 --> 00:16:53,440
Speaker 2: ever worried about drugs they're using, or X rays they

328
00:16:53,520 --> 00:16:55,240
Speaker 2: might want to use or anything like that, they'll call.

329
00:16:55,520 --> 00:16:58,479
Speaker 1: Yeah, and you could tell them, you know, my obsteration

330
00:16:58,600 --> 00:17:02,040
Speaker 1: or my healthcare provider has said to call if you've

331
00:17:02,040 --> 00:17:03,360
Speaker 1: got any questions.

332
00:17:04,400 --> 00:17:08,760
Speaker 2: Because the Yeah, it's it's riskier to have bad teeth

333
00:17:09,080 --> 00:17:10,000
Speaker 2: than to have tender work.

334
00:17:10,000 --> 00:17:14,760
Speaker 1: The next thing that we wanted to talk about is weight.

335
00:17:14,920 --> 00:17:17,720
Speaker 1: And it can go either way, can't it. For your

336
00:17:17,800 --> 00:17:19,520
Speaker 1: optimal weight for fertility.

337
00:17:20,160 --> 00:17:23,200
Speaker 2: Yeah, so in our community to high is much more

338
00:17:23,200 --> 00:17:29,600
Speaker 2: common than to but yeah, to ovulate, you want to

339
00:17:29,600 --> 00:17:32,680
Speaker 2: be in a healthy range, but not too low and

340
00:17:32,760 --> 00:17:33,359
Speaker 2: not too high.

341
00:17:33,560 --> 00:17:35,959
Speaker 1: Yeah, And we do talk about optimal b AM.

342
00:17:36,000 --> 00:17:41,040
Speaker 2: I so in my you know, when I'm looking after

343
00:17:41,160 --> 00:17:43,399
Speaker 2: pregnant women, I've got a set of scales there somewhere,

344
00:17:43,400 --> 00:17:46,040
Speaker 2: but I don't use them terribly often. In the old

345
00:17:46,119 --> 00:17:47,800
Speaker 2: days they used to actually they used to weigh the

346
00:17:47,800 --> 00:17:50,320
Speaker 2: pregnant women to see where the baby was crying.

347
00:17:51,040 --> 00:17:54,840
Speaker 1: And it didn't know my tummy was growing, I think,

348
00:17:54,880 --> 00:17:56,960
Speaker 1: but that was the magniums in the first previous yes,

349
00:17:58,400 --> 00:17:59,440
Speaker 1: with the baby it was.

350
00:17:59,359 --> 00:18:01,479
Speaker 2: One of those old one of those old things that

351
00:18:01,600 --> 00:18:04,159
Speaker 2: was just part of going to a Yeah, and the

352
00:18:04,240 --> 00:18:06,480
Speaker 2: only problem is it didn't work, So it actually was

353
00:18:06,520 --> 00:18:09,320
Speaker 2: a pretty bad indicator of whether the baby was growing on. Yeah,

354
00:18:09,359 --> 00:18:12,520
Speaker 2: but this is before ultra sam was invented. Yeah, so

355
00:18:12,520 --> 00:18:14,960
Speaker 2: there's still a role for weighing women in pregnancy, but

356
00:18:14,960 --> 00:18:16,400
Speaker 2: I must say I tend to any way the women

357
00:18:16,400 --> 00:18:18,840
Speaker 2: who are off the scale big or off the scale small, Right,

358
00:18:19,560 --> 00:18:22,000
Speaker 2: And it's not about using it as a test for

359
00:18:22,000 --> 00:18:24,000
Speaker 2: the baby growing because it doesn't work very well for

360
00:18:24,040 --> 00:18:27,480
Speaker 2: that at all. It's just about continue keeping an eye

361
00:18:27,520 --> 00:18:33,040
Speaker 2: on the development of possible complications related to weight problems.

362
00:18:33,080 --> 00:18:38,280
Speaker 1: Yeah. All right, So you know one thing that we

363
00:18:39,359 --> 00:18:43,000
Speaker 1: struggled with actually was names.

364
00:18:43,359 --> 00:18:43,560
Speaker 2: Yeah.

365
00:18:43,600 --> 00:18:46,080
Speaker 1: It's hard, isn't it. Yeah, I know this is a

366
00:18:46,119 --> 00:18:48,119
Speaker 1: bit lighthearted, but like you know, that's part of the

367
00:18:48,160 --> 00:18:50,359
Speaker 1: fun of getting pregnant, thinking about, well, one day I'm

368
00:18:50,359 --> 00:18:51,800
Speaker 1: going to have a baby, and what's that baby going

369
00:18:51,840 --> 00:18:55,280
Speaker 1: to be called? And then you think about it before

370
00:18:55,280 --> 00:18:57,680
Speaker 1: you get pregnant, then you think about it during pregnancy,

371
00:18:58,240 --> 00:19:00,200
Speaker 1: and then it comes closer to the time where you

372
00:19:00,320 --> 00:19:02,920
Speaker 1: are having the baby, and it's panic stations.

373
00:19:02,840 --> 00:19:04,760
Speaker 2: And they're out, Yeah, what am.

374
00:19:04,680 --> 00:19:06,480
Speaker 1: I going to call this baby? So there's a lot

375
00:19:06,480 --> 00:19:07,200
Speaker 1: of pressure.

376
00:19:06,880 --> 00:19:10,359
Speaker 2: On that, Yeah, there is. And and you know, if

377
00:19:10,359 --> 00:19:12,639
Speaker 2: you're going to give a nod to someone in the family,

378
00:19:12,680 --> 00:19:14,480
Speaker 2: there might be pressure to give a nod to somebody

379
00:19:14,520 --> 00:19:16,840
Speaker 2: else in the family. And so all those things have

380
00:19:16,880 --> 00:19:19,399
Speaker 2: to be thought through.

381
00:19:19,320 --> 00:19:22,720
Speaker 1: And you know you oh my gosh, I remember the

382
00:19:23,480 --> 00:19:26,080
Speaker 1: kids were watching a really great episode of Friends and

383
00:19:26,480 --> 00:19:31,680
Speaker 1: Rachel and Ross were vetoing each other, veto choices.

384
00:19:31,760 --> 00:19:34,560
Speaker 2: Yeah, no, that's I think I agree with your partner. Yeah, yeah, yeah,

385
00:19:34,600 --> 00:19:36,640
Speaker 2: So it has to be something. It might be neither

386
00:19:36,680 --> 00:19:38,320
Speaker 2: of you, neither of your first choice. It might be

387
00:19:38,320 --> 00:19:40,800
Speaker 2: a compromise of second choice that's agreeable to both.

388
00:19:41,119 --> 00:19:43,600
Speaker 1: That's a massive bonus actually of now having teenagers in

389
00:19:43,640 --> 00:19:46,159
Speaker 1: the house. Just to digress a little bit, is we

390
00:19:46,240 --> 00:19:48,560
Speaker 1: get to watch all those shows that we used to

391
00:19:48,600 --> 00:19:49,560
Speaker 1: watch in our twenties.

392
00:19:50,040 --> 00:19:50,760
Speaker 2: Are going back.

393
00:19:50,880 --> 00:19:53,280
Speaker 1: Yeah, Friends, Mother.

394
00:19:53,440 --> 00:19:57,639
Speaker 2: Yeah. So if you're struggling to come up with a

395
00:19:57,720 --> 00:19:59,960
Speaker 2: name for a boy, Patrick, it's a timeless quay.

396
00:20:00,119 --> 00:20:01,199
Speaker 1: It is a timeless classic.

397
00:20:01,280 --> 00:20:03,720
Speaker 2: I totally agree to knock yourselves out and enjoy it.

398
00:20:03,760 --> 00:20:05,159
Speaker 2: And it feel free to use.

399
00:20:05,359 --> 00:20:08,840
Speaker 1: Yeah, and Bridgid. Although can I say, don't call your

400
00:20:08,880 --> 00:20:10,720
Speaker 1: child bridget now, I call your child bridget if that's

401
00:20:10,720 --> 00:20:12,640
Speaker 1: what you want to do, but the amount of times

402
00:20:12,680 --> 00:20:17,880
Speaker 1: I have to spell my name now. The next one

403
00:20:18,000 --> 00:20:20,520
Speaker 1: you know in this getting pregnant phase is to really

404
00:20:20,760 --> 00:20:23,719
Speaker 1: talk about your choices around where you want to have

405
00:20:23,760 --> 00:20:28,639
Speaker 1: the baby. So in Australia we are absolutely spoiled for choice.

406
00:20:28,680 --> 00:20:33,160
Speaker 1: So we can have a private obstrition in a private hospital,

407
00:20:33,480 --> 00:20:37,639
Speaker 1: private obstrition in a public hospital. We can have a

408
00:20:37,680 --> 00:20:40,720
Speaker 1: private obstration and you just pay your cold hard cash.

409
00:20:40,760 --> 00:20:47,000
Speaker 1: We have we have midwi free care in a public hospital.

410
00:20:47,240 --> 00:20:51,800
Speaker 1: We have obstetric care in a public hospital, private midwife,

411
00:20:52,480 --> 00:20:56,760
Speaker 1: dueller home birth. There's a massive, big gamut and it's

412
00:20:56,760 --> 00:20:57,480
Speaker 1: really confusing.

413
00:20:58,520 --> 00:21:04,480
Speaker 2: So out what is right for you and have a

414
00:21:04,520 --> 00:21:09,920
Speaker 2: think about that, Maybe discuss that with people who already

415
00:21:09,960 --> 00:21:14,359
Speaker 2: know you, like your family doctor, and work out what

416
00:21:14,400 --> 00:21:17,920
Speaker 2: you think the model that is right for you. And

417
00:21:18,520 --> 00:21:21,760
Speaker 2: the things that I feel very strongly about as an

418
00:21:21,760 --> 00:21:26,560
Speaker 2: obstetrician is that regardless of which model we go in for,

419
00:21:27,880 --> 00:21:32,639
Speaker 2: there should be at least one visit with a doctor

420
00:21:32,680 --> 00:21:36,320
Speaker 2: who's an expert in obstetrics in your pregnancy, even if

421
00:21:36,359 --> 00:21:39,080
Speaker 2: it's only one to take a detailed history and to

422
00:21:39,119 --> 00:21:42,400
Speaker 2: say yep, you genuinely are low risk, and you might

423
00:21:42,480 --> 00:21:46,400
Speaker 2: see a midwife from that on right through. And in fact,

424
00:21:46,400 --> 00:21:50,000
Speaker 2: that's a very popular model of care here in our hospital.

425
00:21:51,400 --> 00:21:53,640
Speaker 2: No problem that to to all. But there's very good

426
00:21:53,720 --> 00:21:59,680
Speaker 2: data that suggests that a single appointment with a doctor

427
00:21:59,680 --> 00:22:02,800
Speaker 2: who's an expending obstetrics during your pregnancy is a really

428
00:22:02,840 --> 00:22:04,280
Speaker 2: good idea, and that happens.

429
00:22:04,040 --> 00:22:07,199
Speaker 1: At about twenty weeks in the public system, does it so?

430
00:22:07,320 --> 00:22:09,480
Speaker 2: Ideally, Ideally, if we're having someone coming to the public

431
00:22:09,520 --> 00:22:14,240
Speaker 2: system and they're having a booking visit, that we cast

432
00:22:14,240 --> 00:22:18,080
Speaker 2: an expert I over them at that first visit, I identify

433
00:22:17,960 --> 00:22:21,119
Speaker 2: the people who are super low risk and suitable for

434
00:22:21,160 --> 00:22:25,920
Speaker 2: a very low intervention model of care. And then from

435
00:22:25,920 --> 00:22:27,560
Speaker 2: that point onwards that people are going to have all

436
00:22:27,560 --> 00:22:30,720
Speaker 2: their care through the hospital might go to a clinic

437
00:22:30,800 --> 00:22:34,119
Speaker 2: run chiefly by midwives, They might go to a clinic

438
00:22:34,320 --> 00:22:39,760
Speaker 2: run by junior medical people. Or perhaps perhaps a great

439
00:22:39,800 --> 00:22:44,560
Speaker 2: option as well is they just see their GP forgot.

440
00:22:44,560 --> 00:22:46,720
Speaker 2: That is a you know it or called shared care.

441
00:22:47,480 --> 00:22:49,879
Speaker 2: So you've got a family doctor with an interest in obstetrics.

442
00:22:50,520 --> 00:22:54,840
Speaker 2: Maybe in their medical past they were a hospital doctor

443
00:22:54,880 --> 00:22:57,680
Speaker 2: at some point developed some expertise in obstetrics, and continue

444
00:22:57,720 --> 00:23:00,800
Speaker 2: to provide inchinatal care out in the community without actually

445
00:23:01,080 --> 00:23:04,960
Speaker 2: doing deliveries. And then so you see the family doc.

446
00:23:05,000 --> 00:23:07,240
Speaker 2: They do the blood pressure, they check the baby's growth,

447
00:23:07,560 --> 00:23:11,680
Speaker 2: they check the diabetes and make sure that if pretc

448
00:23:11,680 --> 00:23:14,480
Speaker 2: clamcy of babies growing properly. And then there's a few

449
00:23:14,600 --> 00:23:19,320
Speaker 2: key visits with the hospital and that helps keep healthy

450
00:23:19,359 --> 00:23:23,680
Speaker 2: people progressing normally out in the community and people with

451
00:23:23,800 --> 00:23:25,240
Speaker 2: people with problems in the.

452
00:23:25,200 --> 00:23:29,600
Speaker 1: Hospital and look out whether you've got a shared bedroom

453
00:23:29,800 --> 00:23:32,200
Speaker 1: or a there are also decisions that you have to make.

454
00:23:32,720 --> 00:23:32,800
Speaker 2: It.

455
00:23:33,000 --> 00:23:36,119
Speaker 1: Yeah, so I just don't know whether I remember when

456
00:23:36,160 --> 00:23:38,639
Speaker 1: I was looking around it. They were big in my

457
00:23:38,720 --> 00:23:41,680
Speaker 1: decision making before I met Pat, so first time listeners.

458
00:23:43,160 --> 00:23:46,720
Speaker 1: I met Pat when I already had two boys, and

459
00:23:46,800 --> 00:23:50,920
Speaker 1: so for me to make decisions without having my handy

460
00:23:51,240 --> 00:23:55,840
Speaker 1: obstetrician partner to help me along the way was quite confusing.

461
00:23:55,880 --> 00:23:57,679
Speaker 1: And so I get that, I get where women are

462
00:23:57,680 --> 00:23:59,919
Speaker 1: when they're making these choices. But I definitely looked at

463
00:24:00,040 --> 00:24:02,040
Speaker 1: hospitals where I sort of looked at how many people

464
00:24:02,119 --> 00:24:05,080
Speaker 1: in the ward and you know those were important with it.

465
00:24:05,560 --> 00:24:09,840
Speaker 1: In hindsight, they weren't the important parameters I should have

466
00:24:09,880 --> 00:24:11,240
Speaker 1: been using to help make my decision.

467
00:24:12,119 --> 00:24:13,160
Speaker 2: Well, no, but it's something.

468
00:24:13,400 --> 00:24:14,600
Speaker 1: It is something, yeah, right.

469
00:24:14,920 --> 00:24:18,000
Speaker 2: So when you know, one of the things that you're

470
00:24:18,000 --> 00:24:20,880
Speaker 2: getting Australia you've got private health insurance and go through

471
00:24:20,880 --> 00:24:22,920
Speaker 2: a private system is a single is a single room

472
00:24:22,920 --> 00:24:29,520
Speaker 2: in hospital. And when we ask patients what value do

473
00:24:29,600 --> 00:24:32,320
Speaker 2: they see in their private health care, we as the doctors,

474
00:24:32,359 --> 00:24:33,919
Speaker 2: like to think it's because they get one to one

475
00:24:34,000 --> 00:24:35,800
Speaker 2: contact with us and we're wonderful and that's why they

476
00:24:35,880 --> 00:24:37,400
Speaker 2: that's why they like it. But one of the things

477
00:24:37,400 --> 00:24:40,120
Speaker 2: that always scores pretty highly is a guaranteed private room

478
00:24:40,119 --> 00:24:40,840
Speaker 2: with your own bathroom.

479
00:24:40,920 --> 00:24:44,720
Speaker 1: Yeap oh yeah. And food yeah, although the food anywhere,

480
00:24:44,760 --> 00:24:46,879
Speaker 1: you know, that's my big bugbear. I wish that we

481
00:24:46,920 --> 00:24:49,640
Speaker 1: would have really fabulous food in hospital because it's such

482
00:24:49,640 --> 00:24:50,679
Speaker 1: a big part of healing.

483
00:24:52,000 --> 00:24:54,440
Speaker 2: Healthier healthier food. Yeah yeah, right.

484
00:24:54,480 --> 00:24:59,800
Speaker 1: So if you choose to have a private obstetrician and

485
00:24:59,840 --> 00:25:02,520
Speaker 1: you you are and they're getting pregnant phase, so you

486
00:25:02,600 --> 00:25:06,000
Speaker 1: need to have your insurance for at least twelve months.

487
00:25:06,000 --> 00:25:08,719
Speaker 1: You need to up your insurance firstly to cover obstetrics,

488
00:25:09,720 --> 00:25:11,840
Speaker 1: but you need to have it for twelve months before

489
00:25:11,880 --> 00:25:12,760
Speaker 1: the birth of the baby.

490
00:25:12,840 --> 00:25:14,919
Speaker 2: So yeah, so the nine months of the pregnancy might

491
00:25:15,200 --> 00:25:17,760
Speaker 2: would count would county because the claim is for the

492
00:25:17,800 --> 00:25:23,600
Speaker 2: birth and delivery the the hospital bit. But because we

493
00:25:23,640 --> 00:25:26,080
Speaker 2: don't know exactly how long pregnancy is going to go full,

494
00:25:26,080 --> 00:25:27,800
Speaker 2: you might go a bit early. Yeah, it's a good

495
00:25:27,840 --> 00:25:32,800
Speaker 2: idea to up your cover to cover obstetrics six months

496
00:25:32,840 --> 00:25:37,000
Speaker 2: before you get pregnant, so that you're very safe fully

497
00:25:37,000 --> 00:25:40,119
Speaker 2: covered when the time of the birth comes around. And

498
00:25:40,160 --> 00:25:42,040
Speaker 2: we do see this a bit unfortunately, people think I'll

499
00:25:42,040 --> 00:25:43,200
Speaker 2: get around to it because it's going to take me

500
00:25:43,240 --> 00:25:45,320
Speaker 2: ages to get pregnant, and then they go off the

501
00:25:45,320 --> 00:25:48,520
Speaker 2: peril conceiving the first cycle, yes, and accord out with

502
00:25:49,080 --> 00:25:54,119
Speaker 2: no cover before when the birth comes.

503
00:25:54,400 --> 00:25:56,280
Speaker 1: And then you know, if it is that they want

504
00:25:56,480 --> 00:25:59,200
Speaker 1: a private obstration or whatever, then then they just make

505
00:25:59,240 --> 00:26:01,320
Speaker 1: that decision whether they will go just to the well

506
00:26:01,400 --> 00:26:03,600
Speaker 1: not just to but go to the public hospital, or

507
00:26:03,600 --> 00:26:05,600
Speaker 1: whether they'll pay their cold hard cash.

508
00:26:06,080 --> 00:26:08,560
Speaker 2: Yeah, which is tough, isn't it, because you know, ideally

509
00:26:08,600 --> 00:26:13,560
Speaker 2: we'd have the insurance cover and it helps. It's still expensive,

510
00:26:13,560 --> 00:26:16,880
Speaker 2: but it helps. Put it helps just to take money

511
00:26:16,880 --> 00:26:17,560
Speaker 2: out of the decision.

512
00:26:18,359 --> 00:26:21,960
Speaker 1: Yep. Other things that you need to be doing before

513
00:26:22,000 --> 00:26:23,880
Speaker 1: you get pregnant. You need to be on.

514
00:26:23,840 --> 00:26:28,960
Speaker 2: Folate, so filate the vitamin. And it's a good idea

515
00:26:29,040 --> 00:26:32,399
Speaker 2: to start filate supplementation when you first start trying. So

516
00:26:32,560 --> 00:26:33,840
Speaker 2: to say to people, if from the pill and you

517
00:26:33,840 --> 00:26:35,679
Speaker 2: stop the day you stop the pill, you start to foilate,

518
00:26:36,240 --> 00:26:40,800
Speaker 2: so just change one pill for another. And some people

519
00:26:40,800 --> 00:26:43,200
Speaker 2: start taking a pregnancy style multi vitam and I guess

520
00:26:43,200 --> 00:26:45,320
Speaker 2: if you've got a healthy diet and an all body weight,

521
00:26:46,119 --> 00:26:48,240
Speaker 2: that might be overdoing it a little bit. All you

522
00:26:48,400 --> 00:26:52,400
Speaker 2: really need in the preconception phase is follow and that's

523
00:26:52,440 --> 00:26:54,119
Speaker 2: just so that there's plenty of followed in your system

524
00:26:54,160 --> 00:26:59,400
Speaker 2: right when you conceive, and then and then change over

525
00:26:59,440 --> 00:27:02,920
Speaker 2: to the mulivite and once you're actually pregnant and folate's

526
00:27:03,280 --> 00:27:06,800
Speaker 2: follow it's important. It helps prevent what's called your tube defects,

527
00:27:06,800 --> 00:27:13,520
Speaker 2: which is abnormalities of the baby's spinal cord, serious things.

528
00:27:14,520 --> 00:27:19,040
Speaker 2: And and we know that it's basically not really possible

529
00:27:19,080 --> 00:27:21,399
Speaker 2: to get the high levels of followed that we need

530
00:27:22,359 --> 00:27:26,240
Speaker 2: to prevent those things from your diet, you pretty much

531
00:27:26,240 --> 00:27:33,160
Speaker 2: got to be supplemented. And so whilst a perfect diet

532
00:27:33,200 --> 00:27:35,600
Speaker 2: will give you just about everything else, you need the

533
00:27:35,600 --> 00:27:36,760
Speaker 2: appeal to get enough foil aid.

534
00:27:39,280 --> 00:27:43,119
Speaker 1: We will talk about charting your cycle like that is

535
00:27:43,320 --> 00:27:45,359
Speaker 1: definitely part of getting pregnant, isn't it.

536
00:27:45,760 --> 00:27:47,760
Speaker 2: Yeah, so we've got to listen to episode two about

537
00:27:48,040 --> 00:27:54,280
Speaker 2: population ninja because that's the thing that we see people

538
00:27:54,320 --> 00:27:59,560
Speaker 2: have got wrong all the time and not knowing enough

539
00:27:59,680 --> 00:28:02,840
Speaker 2: about the fertile time in their cycle. So when they

540
00:28:02,880 --> 00:28:05,320
Speaker 2: come to see us after a year of trying, a

541
00:28:05,359 --> 00:28:08,520
Speaker 2: lot of that year hasn't counted they've had that they've

542
00:28:08,520 --> 00:28:09,720
Speaker 2: had the days wrong.

543
00:28:09,720 --> 00:28:12,080
Speaker 1: And how sort of soul destroying, you know, they think

544
00:28:12,080 --> 00:28:14,639
Speaker 1: that they've been doing the right thing, they've waited their

545
00:28:14,640 --> 00:28:17,000
Speaker 1: twelve months or whatever, and we find out that they

546
00:28:17,040 --> 00:28:18,359
Speaker 1: haven't been having well timed sex.

547
00:28:18,600 --> 00:28:21,720
Speaker 2: Yeah for one of a little bit of pregnancy literacy. Yeah, yeah,

548
00:28:21,760 --> 00:28:23,600
Speaker 2: so super important.

549
00:28:25,080 --> 00:28:28,000
Speaker 1: And the last thing, I'm sure there's much more we

550
00:28:28,000 --> 00:28:30,639
Speaker 1: could be talking about, but the last thing on our

551
00:28:30,680 --> 00:28:33,240
Speaker 1: list today is to see your local doctor.

552
00:28:33,640 --> 00:28:37,359
Speaker 2: Yes, this is the other big, big thing passion of

553
00:28:37,359 --> 00:28:38,560
Speaker 2: mine about this issue.

554
00:28:38,600 --> 00:28:40,200
Speaker 1: Sure, if you've been listening to our podcast, for a

555
00:28:40,240 --> 00:28:42,080
Speaker 1: little while. Now you've heard Pat say this again, but

556
00:28:42,120 --> 00:28:42,480
Speaker 1: say it again.

557
00:28:42,880 --> 00:28:46,360
Speaker 2: Look, the local doc is such a terrific resource, and

558
00:28:47,080 --> 00:28:49,800
Speaker 2: I think I think probably globally we see the doctor

559
00:28:49,800 --> 00:28:53,800
Speaker 2: of someone you go to when you're sick. But there's

560
00:28:53,800 --> 00:28:55,880
Speaker 2: another way of looking at it, and this is doctor

561
00:28:55,880 --> 00:28:57,920
Speaker 2: is someone you go to help me stay well. So

562
00:28:57,960 --> 00:29:00,840
Speaker 2: I for trying for pregnancy, the local docks in a

563
00:29:00,840 --> 00:29:04,200
Speaker 2: really good position to do some teaching on how to

564
00:29:04,920 --> 00:29:08,440
Speaker 2: get where we want to go. So not only can

565
00:29:08,480 --> 00:29:10,280
Speaker 2: the local docks say, well, you know, did you know

566
00:29:10,320 --> 00:29:11,920
Speaker 2: that the ovulation happens in the middle of the cycle

567
00:29:11,920 --> 00:29:13,920
Speaker 2: and you should be timing into course around the middle

568
00:29:13,920 --> 00:29:16,000
Speaker 2: of the cycle, or you've got some to have tons

569
00:29:16,000 --> 00:29:19,080
Speaker 2: of perfect pain, shouldn't we look into that furthest But

570
00:29:20,840 --> 00:29:24,440
Speaker 2: the local docks also the expert on maximizing the state

571
00:29:24,480 --> 00:29:26,640
Speaker 2: of control of any other health problems that you've already got.

572
00:29:27,680 --> 00:29:31,760
Speaker 2: So if you've already got diabet insulin dependent diabetes since

573
00:29:31,800 --> 00:29:34,600
Speaker 2: you were a five year old, we want that to

574
00:29:34,720 --> 00:29:39,479
Speaker 2: be in the best nick possible when you conceive. Lots

575
00:29:39,480 --> 00:29:45,240
Speaker 2: of diseases get worse in pregnancy, and some of them

576
00:29:45,360 --> 00:29:48,640
Speaker 2: have a negative effect on the pregnancy, so we want

577
00:29:48,680 --> 00:29:49,920
Speaker 2: to be under control.

578
00:29:50,520 --> 00:29:53,080
Speaker 1: And if you're taking medication, all of that needs to

579
00:29:53,120 --> 00:29:53,680
Speaker 1: be reviewed.

580
00:29:55,160 --> 00:29:59,520
Speaker 2: So the local Dock is a terrific resource for that.

581
00:30:00,520 --> 00:30:04,560
Speaker 2: And I would say that anybody with an existing diagnosis

582
00:30:04,760 --> 00:30:09,680
Speaker 2: from your nose to your toes should have that reviewed

583
00:30:09,720 --> 00:30:10,640
Speaker 2: before getting pregnant.

584
00:30:10,720 --> 00:30:13,920
Speaker 1: Yep, we don't actually have it on our list, but

585
00:30:14,000 --> 00:30:17,000
Speaker 1: I'm just thinking about my first time getting pregnant. What

586
00:30:17,080 --> 00:30:19,760
Speaker 1: about alcohol? What if I'm trying to get pregnant, what

587
00:30:19,840 --> 00:30:20,840
Speaker 1: am I doing with alcohol?

588
00:30:21,240 --> 00:30:25,440
Speaker 2: Yeah, well we should be drinking less than we usually do. Yeah,

589
00:30:25,480 --> 00:30:31,000
Speaker 2: so absolutely, again, local doc great source of information. But yeah,

590
00:30:31,160 --> 00:30:36,200
Speaker 2: winding that back significantly. Some people in the warning a

591
00:30:36,320 --> 00:30:39,320
Speaker 2: baby is are also in the don't have any kids

592
00:30:39,400 --> 00:30:42,440
Speaker 2: yet years, so alcohol intake might behind.

593
00:30:42,640 --> 00:30:47,840
Speaker 1: Yeah, alcohol intake for some in the baby too.

594
00:30:48,160 --> 00:30:49,640
Speaker 2: Well, you know that's yeah, we laugh.

595
00:30:49,720 --> 00:30:52,920
Speaker 1: But I know that mummy wine o'clock thing. I don't

596
00:30:52,920 --> 00:30:54,400
Speaker 1: know how I feel about that, Like, you know, you

597
00:30:54,520 --> 00:30:56,719
Speaker 1: see so much on Instagram where it's like, is it

598
00:30:56,800 --> 00:30:57,600
Speaker 1: one o'clock yet?

599
00:30:57,880 --> 00:31:02,280
Speaker 2: Yeah, So I guess that's fine. But the message for

600
00:31:04,280 --> 00:31:05,760
Speaker 2: pregnancy itself, of course, still has.

601
00:31:05,680 --> 00:31:07,440
Speaker 1: To be zero zero as soon as you find out

602
00:31:07,480 --> 00:31:08,000
Speaker 1: you're pregnant.

603
00:31:08,080 --> 00:31:12,440
Speaker 2: Yeah, so if we reduce because we're trying, yeah, then

604
00:31:12,480 --> 00:31:13,840
Speaker 2: it's going to be easier to get to nothing.

605
00:31:14,000 --> 00:31:16,680
Speaker 1: Yeah. So when we say reduce, we sort of thinking

606
00:31:16,680 --> 00:31:19,080
Speaker 1: about one or two glasses a week or something like

607
00:31:19,120 --> 00:31:19,560
Speaker 1: that a week.

608
00:31:19,840 --> 00:31:23,560
Speaker 2: Yeah, yeah, much that might be significantly less than people

609
00:31:23,600 --> 00:31:25,040
Speaker 2: are usually having. Yeah.

610
00:31:25,080 --> 00:31:27,440
Speaker 1: And also I think there's some stats and we're going

611
00:31:27,480 --> 00:31:31,400
Speaker 1: to do a podcast soon on male fertility, but there

612
00:31:31,400 --> 00:31:34,040
Speaker 1: are stats around alcohol for males.

613
00:31:33,760 --> 00:31:37,760
Speaker 2: As well, and sperm motility and the quality of the

614
00:31:37,800 --> 00:31:38,640
Speaker 2: Seaman analysis.

615
00:31:38,720 --> 00:31:41,440
Speaker 1: Yeah. Yeah, So yeah, this is a bit more sort

616
00:31:41,440 --> 00:31:43,920
Speaker 1: of like an overview without sort of drilling down too

617
00:31:43,960 --> 00:31:47,360
Speaker 1: much into the particulars. But we hope that you've got

618
00:31:47,360 --> 00:31:52,560
Speaker 1: something from that and come over onto Instagram and when

619
00:31:52,800 --> 00:31:55,360
Speaker 1: this post comes up and just ask a few questions,

620
00:31:55,600 --> 00:31:56,440
Speaker 1: see what comes up.

621
00:31:56,640 --> 00:32:00,200
Speaker 2: We'd really appreciate anyone getting in touch from any where

622
00:32:00,200 --> 00:32:03,320
Speaker 2: were you're listening, and that's always a pleasure to you know,

623
00:32:03,440 --> 00:32:05,880
Speaker 2: to get back to you with some information or some

624
00:32:06,880 --> 00:32:10,840
Speaker 2: point you towards some quality resources and give.

625
00:32:10,720 --> 00:32:14,280
Speaker 1: Us a star review. Oh oh yeah, we like those.

626
00:32:14,320 --> 00:32:16,200
Speaker 1: We read them all the time and it's kind of

627
00:32:16,680 --> 00:32:22,040
Speaker 1: makes us enthused and motivated to keep going because just

628
00:32:22,120 --> 00:32:26,480
Speaker 1: get here today was a test in logistics, wasn't it.

629
00:32:26,480 --> 00:32:32,280
Speaker 2: Part Well, that's that's yeah, it was so anyway, thanks

630
00:32:32,320 --> 00:32:34,440
Speaker 2: for listening everybody. We'll see you next time.

631
00:32:34,520 --> 00:32:42,640
Speaker 1: See you now. Both Hey. Even though doctor Pat is

632
00:32:42,720 --> 00:32:45,120
Speaker 1: well a doctor and we get lots of other doctors

633
00:32:45,160 --> 00:32:47,960
Speaker 1: and other experts on our podcast, I just need to

634
00:32:48,000 --> 00:32:52,120
Speaker 1: remind you that this podcast is for informational purposes only.

635
00:32:52,720 --> 00:32:56,240
Speaker 1: We share lots of medical insights and experience, but everything

636
00:32:56,280 --> 00:32:59,280
Speaker 1: we talk about is general in nature and may not

637
00:32:59,320 --> 00:33:03,560
Speaker 1: apply to your specific situation. Please always consult with your

638
00:33:03,600 --> 00:33:07,520
Speaker 1: own healthcare provider for your individual medical advice. When you

639
00:33:07,560 --> 00:33:08,320
Speaker 1: grow your baby