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Speaker 1: You're listening to Amma 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.

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Speaker 1: I am pregnant.

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Speaker 2: Welcome to Hello Bump. We're making pregnancy less overwhelming and

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Speaker 2: more manageable. I'm Grace Ruvery. I'm pregnant for the first time,

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Speaker 2: and I have just had eight days in a row

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Speaker 2: with no vomiting. Is this forever?

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Speaker 1: It's fantastic news. This is Yanna Pittman.

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Speaker 3: I'm a former Olympian, mother of six babies and training

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Speaker 3: to be an obstitucian and gynocologist.

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Speaker 2: Each episode will be holding your hand week by week

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Speaker 2: through the mysterious, perplexing, and sometimes celebratory miracle that is pregnancy.

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Speaker 2: Week twenty six. How big is the baby this week?

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Speaker 1: Pers, I just want to celebrate. That's amazing, Thank you, Sorry,

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Speaker 1: that's excellent.

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Speaker 2: I mean twenty six weeks in.

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Speaker 1: Yeah, it's a lot to have gone through. Yes, it's

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Speaker 1: just honor that. That's huge anyhow, But I'll take it.

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Speaker 2: We're stoked.

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Speaker 3: Absolutely, your baby at twenty six weeks is the size

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Speaker 3: of a turnip.

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Speaker 2: I thought maybe a fancy bottle of sparkling water.

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Speaker 1: Oh that is a little more fancy. I like it.

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Speaker 1: A bandicoot was the animal theme. It was really hard

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Speaker 1: to find one this week.

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Speaker 2: Yes, I love that. And how long are they?

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Speaker 3: Thirty six centimeters roughly and now weighing between six hundred

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Speaker 3: and eighty and nine hundred grams. This is whether variation

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Speaker 3: is really going to start kicking in.

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Speaker 1: What does that mean?

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Speaker 3: It basically means that the baby's size will be a

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Speaker 3: little bit dependent on you and your partner.

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Speaker 1: So we call that constitutional growth.

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Speaker 3: So if you're really tall and you know, you're likely

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Speaker 3: to have a tall baby and a bigger baby. If

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Speaker 3: you're petit, you're not likely to grow a ninety eight

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Speaker 3: centile baby.

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Speaker 2: Is whether your partner has a big head? Does that

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Speaker 2: come into it at this point?

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Speaker 3: Look, some genetics do play in mind, but you got

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Speaker 3: to remember that the baby has very soft bones in

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Speaker 3: its brain and the Fontenelle's crossover to allow that. So

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Speaker 3: my midwife, who I love, has always said, your body

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Speaker 3: will make a baby that's suited for you. So you

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Speaker 3: know it's cardious, isn't it?

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Speaker 2: Now?

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Speaker 3: Obviously there's reasons like GDM, which you should have been

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Speaker 3: tested for by now twenty eight weeks that means sometimes

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Speaker 3: babies can be bigger if the diabetes is unconstroy roll.

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Speaker 3: But if you've got a really low risk ongoing normal pregnancy,

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Speaker 3: the chances are your baby's size is going to fit

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Speaker 3: you beautifully great.

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Speaker 2: I do look at my partner's head and go, oh,

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Speaker 2: dear God, Yes, but my body knows what it's doing.

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Speaker 2: It does as it does, it does, And what else

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Speaker 2: are they developing?

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Speaker 3: So your little one can now suck, see here and taste,

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Speaker 3: which I think is a big milestone. That's a lot

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Speaker 3: of sensory changes. And other boys testicles are now fully descended,

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Speaker 3: so they should if they come now have little balls

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Speaker 3: outside of their body.

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Speaker 2: And if they are born premature, are you waiting for

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Speaker 2: them to drop?

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Speaker 3: If they're born twenty five twin like, we do that

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Speaker 3: in an exam. Afterwards we check for testicular development and

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Speaker 3: often they won't be there. They look they start around

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Speaker 3: twenty six weeks, so you might have a baby that's

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Speaker 3: had them earlier, but by twenty eight weeks they should

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Speaker 3: be fully descended.

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Speaker 1: Don't get me wrong.

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Speaker 3: Some little boys are born without that, so you will

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Speaker 3: actually even a full term little boy may not have

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Speaker 3: a testicle that might have one, or they might be

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Speaker 3: quite higher, but it is something the pediatrician will check

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Speaker 3: at birth.

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Speaker 2: What what's happening to me and what's happening to us?

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Speaker 1: You're bigger, you're hungrier.

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Speaker 3: Yes, you might have started noticing that abdominal separation a

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Speaker 3: little bit more and you might be finding it now.

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Speaker 3: It's hard to sit up now. I think that's a

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Speaker 3: really important conversation. Is the amount of women I see

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Speaker 3: reef themselves up, you know, big, big sit up.

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Speaker 1: It's really bad for your abdominant abdomen.

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Speaker 2: There's some noises that are happening from the body when

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Speaker 2: I do sit up, or if I drop something on

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Speaker 2: the ground, Yeah, to pick it up exactly, Yeah.

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Speaker 1: I hear.

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Speaker 3: So we want to roll over or if you're on

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Speaker 3: the ground, if you're picking up something off the floor,

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Speaker 3: get down onto your hands and knees, pick it up,

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Speaker 3: and then get back up and stand. So, particularly the

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Speaker 3: sitting up though, you guys want to roll over to

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Speaker 3: your left side and then use your arm to push

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Speaker 3: yourself up. Starting that now before your baby gets really big,

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Speaker 3: we'll really try and protect those abdominal muscles down the track.

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Speaker 2: Is this normal normal? So? Is this normal I'm getting

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Speaker 2: quite tired, like quite fatigued, like eyes. It's that bone

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Speaker 2: tired where you can't necessarily go and have a nap,

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Speaker 2: but your body just starts to feel tired, as well

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Speaker 2: as being a bit more sensitive to heat and needing

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Speaker 2: more airflow in my life.

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Speaker 3: This normal look, I mean, the fatigue can happen to

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Speaker 3: anybody at any point. Your body's going through a remarkable

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Speaker 3: change of growing your baby. So are you still working

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Speaker 3: full time? Some people are, some people aren't. Are you

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Speaker 3: up all night with nausea? Are you getting up to

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Speaker 3: peel all night? There's lots of factors that will come

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Speaker 3: into the fatigue. Time to check that iron again. So

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Speaker 3: you're approaching that sort of twenty eight week mark, so

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Speaker 3: you know, ideally we do that test in the early

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Speaker 3: third dromester, so around the twenty eight weeks. But if

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Speaker 3: you're feeling that fatigue, it's time to just get it rechecked,

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Speaker 3: because even if you're taking oral iron, you might find

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Speaker 3: it's not enough, and so that might be a discussion.

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Speaker 3: You need to have the hot stuff or you vas it.

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Speaker 3: I like your vessels, you're trying to pump blood around.

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Speaker 3: You've got that extra volume.

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Speaker 2: Oh yes, the more blood.

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Speaker 3: Yeah, blood, while we were back to that again, and

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Speaker 3: it's also really hard. Depending on the season, you have

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Speaker 3: more blood flow to your sweat gland, so you will

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Speaker 3: sweat more. So you might find you're like, I'm wetter

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Speaker 3: than I used to be into my arm and my

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Speaker 3: armpits in between my breasts and things. It's again quite

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Speaker 3: common in pregnancy. It's not a concern. You might have

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Speaker 3: ever find you sweat smells more differently as well because

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Speaker 3: you're still detoxing and everything through your skin. So it's

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Speaker 3: just something to be aware of and don't let your

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Speaker 3: body overheat. So again it comes back to hydration, getting

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Speaker 3: yourself in a cool room, using cool compresses of wet

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Speaker 3: cold towels at night if you need it. Otherwise you

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Speaker 3: might end up being quite itchy and uncomfortable with dry

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Speaker 3: skin as well. So it's an interesting chapter but definitely common.

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Speaker 2: When you talk about the iron infusion, is that something

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Speaker 2: you can request from your doctor or do they have

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Speaker 2: to look at your results and decide that you're eligible

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Speaker 2: for that.

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Speaker 1: It's a little bit of both.

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Speaker 3: If you're in a public health system, we need a

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Speaker 3: criteria where the iron the ferretin level is under thirty

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Speaker 3: and the hemoglobin has to be under one hundred and ten.

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Speaker 3: So that's your public free looked in.

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Speaker 2: Can you say those stats again?

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Speaker 1: Sorry?

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Speaker 3: Yeah, see your Ferreton level, your FB needs to be

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Speaker 3: under thirty for most of the time, it'll be like

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Speaker 3: eight or nine or tens is something lower. And your hemoglobin,

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Speaker 3: that oxygen carrying molecule has to be under one hundred

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Speaker 3: and ten. Okay, so they're your textbook standards, but don't

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Speaker 3: get me wrong. For example, you've got a hemoglobin of

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Speaker 3: one hundred and your ferreten's thirty two. You might find

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Speaker 3: some obstetrician will say, look, I think it's probably better

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Speaker 3: year twenty six weeks pregnant.

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Speaker 1: It's only going to be it worse.

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Speaker 3: But I think the caveat there is that most of

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Speaker 3: us would prefer you to have it within six weeks

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Speaker 3: or seven weeks of birth. So at twenty six weeks

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Speaker 3: you've got a long way to go, And what we're

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Speaker 3: really preparing for you is, yes, they're fatigue now, but

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Speaker 3: it's also that when you lose that blood at birth,

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Speaker 3: we want you to be able to recoup in the

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Speaker 3: postpart and period, So ideally we pop you in orals.

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Speaker 3: Now increase the oral intake of dietary iron and also

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Speaker 3: supplementary iron. Recheck you your results again at thirty four

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Speaker 3: to thirty six weeks, and if it's low, then we

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Speaker 3: then offer you the iron infusion. And yes, if your

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Speaker 3: borderline and you want to have it, of course there's

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Speaker 3: private clinics that'll allow you to pay for it, but

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Speaker 3: it just won't be free.

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Speaker 2: What are some things that we can do at twenty

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Speaker 2: six weeks on our checklist?

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Speaker 1: I think you're back to getting you are facial at

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Speaker 1: this point.

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Speaker 3: Oh, so let's go for something nice to do other

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Speaker 3: than what you need to do, just little self care

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Speaker 3: things at this point, particularly when you are feeling tired,

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Speaker 3: I think it's just really important to start. You know,

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Speaker 3: you're still probably trying to get on with your daily activities,

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Speaker 3: but time to reapply some time for yourself.

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Speaker 1: Your red flags, guys, I think now it's your red flags.

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Speaker 3: We're going to have to mention them every episode because

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Speaker 3: we need to make sure we don't miss someone baby's movements, bleeding,

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Speaker 3: funny discharge, contractions, pain. Now is the time you need

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Speaker 3: to watch your vaginal loss because waters can be tricky.

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Speaker 3: It's not a big gush like you see on the movie.

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Speaker 3: So if you find you have a little leak of

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Speaker 3: weird continuous discharge, put a pad on, and if it's

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Speaker 3: continuous and watery throughout the day, you actually need to

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Speaker 3: go into triple check that you've still got intact membranes.

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Speaker 3: So most of the time it's we I can say

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Speaker 3: I've sent a lot of ladies home who've feed themselves.

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Speaker 3: That's okay, but.

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Speaker 1: We need to make sure that's what it is.

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Speaker 2: Will you know in terms of the consistency, will it

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Speaker 2: be different too, because we've said discharge does change, does

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Speaker 2: the consistency of leaking?

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Speaker 3: Yeah, it's not only more watery, so it's more like urine.

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Speaker 3: So the more common thing is increase discharge you find

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Speaker 3: go home. We do a special little test, but in

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Speaker 3: most hospitals, rural or tertiary hospitals will do a little test.

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Speaker 3: It's something called like an act and prom or something

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Speaker 3: like that that'll actually look at whether or an amney

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Speaker 3: sure if it's actually your amniotic fluid or not, because

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Speaker 3: it looks for the proteins in the amniotic fluid that

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Speaker 3: are not normally in the vagina, and it can tell

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Speaker 3: you whether it is flued or not. We get false

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Speaker 3: positives when there's too much discharge, though, so you might

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Speaker 3: find you had a false positive two three days later,

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Speaker 3: like go home, you don't have it and you're like,

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Speaker 3: what what hanging on?

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Speaker 1: I'm so confused.

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Speaker 3: But it's normally watery, and look, it's uncommon. Again at

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Speaker 3: twenty six weeks, it's still it's more common women break

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Speaker 3: there when brain's thirty four, thirty five, thirty eight weeks.

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Speaker 3: But it's just again when we're talking red flags, these

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Speaker 3: are the four or five things that you need to

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Speaker 3: go no, no, no, sweet.

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Speaker 2: So my toolkit this week is to buy bump flattering

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Speaker 2: out fits for fun, fun, for fun, just because there's

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Speaker 2: the floaty stage of pregnancy where it does look like

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Speaker 2: you've just had a big lunch, so you're probably covering it.

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Speaker 2: But now the bump could be looking a bit more

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Speaker 2: like gorgeous. Yeah, you're in the attractive stage of pregnancy.

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Speaker 2: You look really cute. The maternity photo shoot is not

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Speaker 2: something I'm interested.

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Speaker 1: In, really, Oh, I do every one of my pregnancies.

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Speaker 2: I don't know. I'm just imagining myself in some type

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Speaker 2: of field, wrapped in a sheet, and I'm like I'm.

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Speaker 1: Fine.

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Speaker 2: I mean I think I would like to look like

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Speaker 2: maybe fashionable and beholding my bump, but also trying to

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Speaker 2: find stuff that fits your style beforehand. For example, today,

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Speaker 2: I always love a jumpsuit because they make me feel

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Speaker 2: like me, and my previous jumpsuits weren't fitting me. But

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Speaker 2: then I found something it was a chic and it

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Speaker 2: comes in at my waist that makes me feel like

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Speaker 2: I still have a waist, but then it comes over

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Speaker 2: my bump. So there's some pregnancy maternity brands that do

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Speaker 2: really wonderful things for bumps. But then there are trying

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Speaker 2: to find things but just in a bigger size that

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Speaker 2: still make you feel fashionable and make you feel like yourself,

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Speaker 2: which has been really helpful for me this week. What

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Speaker 2: are the maternity brands that you know of, Well.

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Speaker 3: I mean my favorite is actually Ripe Maternity, So I

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Speaker 3: bought probably three quarters of my wardrobe through them. Really lovely,

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Speaker 3: stylish work clothes, gym clothes, fitness, like everything you can

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Speaker 3: think of. Taja Target does a really good maternity ryn.

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Speaker 3: So there's got lots of yeah, lots of really good

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Speaker 3: stuff there. Look, it depends if you're into secondhand stuff.

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Speaker 3: I mean also depends how many pregnancies you plan to have.

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Speaker 3: But if you wan't done Facebook marketplace like people do

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Speaker 3: where you have really really expensive maternity stuff where at

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Speaker 3: once and then they're not get.

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Speaker 2: Rid of it them.

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Speaker 3: Yeah, so a bit like Baby close at the end

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Speaker 3: and baby We're in general, prams and whatnot. It's not

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Speaker 3: a bad place to turn if you're on a bit

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Speaker 3: of a budget.

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Speaker 2: We hope you enjoyed this episode of Hello Bump. We

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Speaker 2: have so many episodes of this series filled with tips

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Speaker 2: and stories from women and experts who've been through it

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Speaker 2: all before.

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Speaker 3: You can go back and listen to everything else Hello

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Speaker 3: Bump related in this podcast feed.

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Speaker 2: And while you're there, we'd love if you could give

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Speaker 2: us a flying star rating and maybe leave us a

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Speaker 2: review or even share this episode with a friend.

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Speaker 3: This episode was produced by Courtney Ammenhauser with audio production

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Speaker 3: by Tom Lyon.

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Speaker 1: We'll catch you next time.

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Speaker 2: This episode of Hello Bump was made in partnership with Huggies.

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Speaker 2: Bye Bye,