September 6, 2025 • 13 mins
Welcome to Hello, Bump, a podcast about what you’re not expecting when you’re expecting. Each episode, we take you through exactly what's happening to you and your baby in each week of pregnancy.
In this episode, hosts Jana Pittman and Grace Rouvray help you navigate finding out you’re pregnant, which often happens after a missed period around the four-week mark.
They’ll walk you through the physical changes, emotional ups and downs and give you practical tips on what you can do at this point in the pregnancy. Want more Hello Bump? Listen to the full season of episodes of Hello, Bump here.
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CREDITS:
Hosts: Jana Pittman and Grace Rouvray
Executive Producer: Courtney Ammenhauser
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:21):
You're listening to a MoMA Mia podcast.
Speaker 2 (00:25):
Mamma Mia acknowledges the traditional owners of land and waters
that this podcast is recorded on. We pay our respects
to elders past, present and emerging, and feel privileged to
continue the sharing of birth stories and knowledge that has
been a fundamental part of Indigenous culture. Hello producer Courtney here,
coming into your ears with a special treat because we
(00:47):
have launched a brand new season of our pregnancy podcast,
Hello Bump. This season is a week by week guide
to pregnancy, holding your hand as your baby grows from
the size of a tiny poppy seed all the way
to the size of a pumpkin. And in this new season,
it's hosted by Olympian mother of six and training obstetrician
Yanna Pittman, as well as writer, podcaster and first time
(01:08):
mum Grace Roofe Ray. So, if you or someone you
know is pregnant were just interested in learning about pregnancy,
then this podcast is for you. We'll leave a link
in the show notes so you can listen to every
single episode of Hell Bump wherever you get your podcasts,
and for now enjoy. We hope you love this episode
of Hello Bump.
Speaker 3 (01:29):
I am Pregnantty.
Speaker 1 (01:35):
Welcome to Hello Bump.
Speaker 4 (01:36):
We're making pregnancy less overwhelming and more manageable, hopefully. I'm
Grace Riefrey, a writer, actor, podcaster, and I am also
pregnant for the very first time.
Speaker 5 (01:45):
And I'm Yana Pittman.
Speaker 3 (01:46):
I am a former Olympian mother of six, an obstetric
and gania registrar, which basically means I deliver babies for
a living, and.
Speaker 4 (01:51):
With our experience combined, each episode will be holding your
hand week by week through the mysterious, perplexing, and sometimes
scary miracle that is pregnancy, all the way from a
poppy seed.
Speaker 1 (02:01):
To a pumpkin. Week four.
Speaker 4 (02:04):
So we're starting this podcast series at week four because
that's usually when you've found out that you are pregnant.
There's not a lot that happens between week one and three,
and they will backdate it from your last period.
Speaker 1 (02:15):
So, Yana, how big is the baby at this point?
Speaker 3 (02:18):
Well, your baby's about the size of a poppy seed
at this point, or just like a speck of dust
or glitter, yeah, or a little cheer sea or something
very small. It's basically a small clump of cells that's
just embedded into the lining of your uter it's about
two point five millimeters, so it's tiny.
Speaker 2 (02:32):
What what's happening to me?
Speaker 1 (02:35):
So tell me what's going on in our bodies this week.
Speaker 3 (02:38):
Well, implantation has just occurred, so your sperm has met
your sperm, your partner's sperm hopefully has met the egg,
and then it's made its way down the floapin and
she you've embedded into the uterine wall. So it's just
now that you'll be starting to get a positive pregnancy
test because you're making that beta hCG hormone that's the
hallmark of pregnancy. The placenter itself is actually starting to grow.
Your baby comes from different cells from the placenta, so
(03:00):
they grow at the same time, but independently. And right
now your baby's actually only the size we actually call it,
well not even quite an embryo yet, but it's two
layers at this point, and it'll slowly start differentiating into
all the organs and the heart and the lungs and
things over the next few weeks.
Speaker 1 (03:13):
When does that placenter actually start to take over?
Speaker 4 (03:15):
Because at the moment, our body is just feeding everything
and giving it all of its life.
Speaker 1 (03:19):
When is that percenter actually take over.
Speaker 3 (03:21):
Well, it's funnily enough, it's actually not for several weeks,
so around between nine and ten weeks. That at this point,
the baby has what's called a yolk sack that's actually
feeding it. So when you go for an early ultrasound,
but guys way too early, do not make an ultrasound
booking yet, because that is one of the biggest problems.
Women go now and they can't see anything and then
they freak out that they're already having a miscaracter.
Speaker 5 (03:41):
That's just simply too early.
Speaker 3 (03:42):
But there is a yolk sack which will be one
of the first signs on ultrasound that there's a baby
inside your belly, and that is what feeds the baby
for the first couple of weeks of pregnancy.
Speaker 4 (03:51):
What I found interesting about this stage is that everything,
all signs kind of led to it being my period. Yes,
I was very bloated and I had cramps, and so
I assumed that it was my period until it kind
of got to like maybe two more days that I
normally maybe my period would have come, and it didn't,
So I took a test. But why do all signs
lead to it being your period?
Speaker 3 (04:12):
Unfortunately, they're pretty similar to the hormones of pregnancy. Obviously,
eugen and progester in our main two big wammies changed
quite considerably.
Speaker 5 (04:20):
Breast ten.
Speaker 3 (04:20):
I don't know if you got that at all, but
that was my first sign. I remember walking outside in
the cold and my nipples killing me and thinking.
Speaker 5 (04:26):
What is going on?
Speaker 3 (04:27):
So all of those signs that can often, as you
say in the icate, pregnancy, are unfortunately fluctuating hormones, which
happened the same when your period is due.
Speaker 4 (04:34):
So is that why they're backdate when you are technically
your pregnancy starts, because it's all sort of part of
the same journey, you know how, Like when you find
out you're pregnant already four weeks, you're already four weeks by.
Speaker 3 (04:46):
Yeah, so we go gestational age or pregnancy age. So
the age of the fetus is only like two weeks
by the time you actually find out you're pregnant, But
the pregnancy age, the whole lot of pregnancy starts from
the first day of your last period. So theoretically, every
month we're two weeks pregnant until our period comes and
then we're not.
Speaker 4 (05:04):
It's I just find this fascinating about how much I
didn't know about my body until I got to this
stage and exciting, yeah, or like embarrassing.
Speaker 3 (05:12):
And for some daunting because obviously not all of us
want to be pregnant, and some of us get a
little scared and find out that we are so, and
that's when it is tricky to sort of think, well,
do I want to continue with the pregnancy? Is this
something I planned? What is it going to do to
my life? And I can tell you as a mother
of six, it does a lot.
Speaker 1 (05:26):
So it's a.
Speaker 3 (05:27):
Hard conversation to have with yourself when you first get
those positive lines. And most of us, like yourself, for
I don't know whether you were you excited.
Speaker 4 (05:32):
Or no, not at all, like even though it was
like wanted and I was aware of what unprotected sex
could do. Yes, there was no contraception, I think for
anyone listening. I had had my account tested and it
was on the lower side in the high nines, which
I'm thirty five, So it was a maybe start thinking
(05:53):
about it.
Speaker 1 (05:53):
So I know a lot of people who have struggled
for years.
Speaker 4 (05:55):
So we did start, and then it just happened very quickly,
So I wasn't prepared, but I do.
Speaker 3 (06:00):
Think it's a really good point to discuss, because you know,
some people do have the desire and really, you know,
really want to get pregnant and then all of a
sudden it's happened. And I know a lot of women,
certainly some of my patients have discussed with me then
in those first few weeks with all the hormonal changes
and started to feel pretty crappy that they think, well,
this is not really what I signed up for, and
do I even want to continue even what was a
(06:21):
planned pregnancy, And I think we need to honor that
that's a normal part of this process. A huge life
change is on the up. So please don't feel if
you're listening to this, if that was you, that it
doesn't mean later you won't bond with your baby or
love the pregnancy and you know, and it's also okay
if you actually do change your mind. Like I think,
that's a conversation that we're very lucky in Australia we
can have and we need to highlight that all women
feel very differently through this period of gestation.
Speaker 2 (06:42):
What's happening to me?
Speaker 4 (06:45):
Well, that leads us into what is actually happening and
what might be feel like what are some common symptoms
that could happen around this time.
Speaker 3 (06:51):
Well, I think you highlighted them pretty well, thanks unfortunately
to you experiencing them all. Breast tenderness, floated, feeling around
your tummy, twingy pains, even some spotting. So sometimes we
get to what's called an implantation bleed, and that's actually
that little weaker than parasites. Little parasite is basically nesting
into your individual lining of your uterus, so eventually you
know you'll make your little spiral arteries is part of
(07:12):
your makeup, anatomically will join the supply so that you'll
start eventually feeding your baby.
Speaker 5 (07:17):
But at this point they're pretty robust. Many people get pregnant.
Speaker 3 (07:21):
Very easily, particularly not wanting to earlier on in life.
Speaker 4 (07:25):
It's funny I call it a parasite, but for different reasons,
which we'll get to.
Speaker 3 (07:34):
Is this normal? Is it normal?
Speaker 1 (07:36):
A couple of things about is it normal? At this time?
Speaker 4 (07:39):
There's the symptoms that are the ones we spoke about,
the implantation pain or potentially bleeding. What you do think
is your period. But one of the first things I
noticed was an aversion to alcohol. Okay, it was I
hadn't taken a test yet, and now looking back, it
feels like that was a potential signing.
Speaker 1 (07:55):
Is that quite early for a virgins to come in now?
Speaker 3 (07:58):
Look, I mean, I think you guys were trying so
psychologically each month you are preparing it as possible. So
there is that psychological factor that we avert foods we
know will consider to be something we should avoid. In pregnancy,
you're starting that whole modal change already, so your body's
doing remarkable things. And for some women I've even had
that they've said they are starting to feel nauseous already
at that four to five week mark. It's not even
(08:19):
though the BEATA hat CG hormones and a really high
which is obviously what triggers a lot of the nausea,
it's not impossible. So if you're already feeling yucky, the
last thing you want to go is, you know's neck
a bottle of wine. So I mean, hopefully it's a
good thing. You know, this is something that we're trying
to continue to have the discussion around. Lots of people,
by the way, don't know they're pregnant yet though, and
are drinking and doing fun things in.
Speaker 5 (08:38):
Life because you know, we need to live.
Speaker 3 (08:40):
I think it's so it's also important there to highlight
that if you don't know you're pregnant yet, that we
don't beat yourself up for the things that did happen
prior to that. Yes, I think that's more common than not,
you know, because I think there are a large number
of pregnancies that are unplanned and people don't find out sometimes,
so there are nine or ten weeks pregnant, so they've
made lots of decisions during that time that weren't you know,
pregnancy related.
Speaker 5 (08:57):
You know.
Speaker 3 (08:58):
Ideally, I think let's be medical here for a seconds. I've
put my little doctor's hat on. You have had prenatal
discussions with your with your GP. Ideally, have had some serroology,
which is the blood tests looking at you know, in
antenatal markers, infection markers, even things.
Speaker 5 (09:09):
Like your fol eight level.
Speaker 3 (09:10):
Your blood group's really important in pregnancy to know whether
your H negative, which do you have a negative or
a positive blood group?
Speaker 4 (09:16):
Is that where they test whether my blood is attacking
the baby. Yes, okay, and it's.
Speaker 3 (09:20):
Kind of a little important because it's not at this
four weeks pregnant. It doesn't matter because we wouldn't do anything.
So if you came in, it matters, if you come
in bleeding, it matters if you've had a car accident
or something like that, because it's basically where your baby
makes a different blood group to you, and your own
body will make antibodies against your baby's blood group. Now
it doesn't matter in this pregnancy at all. It's actually
about subsequent pregnancy. So you don't want your body to
(09:41):
make those antibodies against the positive blood group because you're negative.
So what that means, though, is if you find out
you are what we call RH negative, if you have
an inciting event like a miscarriage or an accident where
there could be some fetal cells that crossover, we need
to give you an anti d So it's basically a
medication that stops that from happening, and we consider that
after sort of twelve weeks. So you just basically talk
(10:03):
to your doctor about it and our make a plan.
But it's important to know it so you can at
least raise the question, Hey, I'm RGE negative, do I
need to do anything different from an RH positive mum?
Speaker 4 (10:12):
Which leads me into the important things that we should
be doing at this stage you mentioned fall a. A
lot of people say folic acid and you should be
on it if you're trying to ideally, what does that?
Speaker 5 (10:22):
What are you.
Speaker 4 (10:23):
Actually trying to do? And is it bad if you
haven't been taking again.
Speaker 3 (10:27):
A lot of us don't know we're pregnant, but ideally
you start taking you know, a women's multi item about
three months before pregnancy starts, or as soon as you
find out you are pregnant, because so follo is actually
to do with neural tube defects. So it's the way
your baby's brain and spinal cord form prevents things like
spin befitter from occurring. So you know, many many years ago,
so our mums and grandma's had much higher rates of
that before they found out that follit can make a difference.
(10:49):
So for most of it, you know, between four hundred
and eight hundred milligrams is enough, but you need to
triple check if you're at higher risks. So people with
a high BMI, people who have are on antiepolectic medication,
people have had previous miscarriages or spiner befit, I may
need a high dose. So I think it's a conversation
to have. But the best thing you can do is
just get started as soon as.
Speaker 1 (11:07):
You find out, so you plan.
Speaker 5 (11:08):
It's never too late, never too absolutely no correct, never
too late.
Speaker 4 (11:11):
And what are some like nice to do things, things
to think about, maybe not necessarily about our body, but
things to start having to think about in the future.
Speaker 5 (11:20):
Great.
Speaker 3 (11:21):
Aye, look it's very early, but I would actually say
start thinking about what model of care you want to
do because you have obstetric which is what I'm training
to be, so coming with the doctor's program. You have
what I love and I went with my last pregnancy,
which was actually my second last pregnancy MGP. So whether
you want to be MIDW free Group practice, low risk
pregnancies lovely holistic care and I know my midwives out
(11:42):
there will love me for saying this.
Speaker 5 (11:43):
Today I'm much better at counseling around.
Speaker 3 (11:45):
Birth and making it normal, you know, making normalizing what
birth and pregnancy is. But you do an unfortunately to
be relatively low risk in that program, and they fill
up so fast. So they're the ones that you get
a positive pregnancy test and you're like, contact your local
hospital and say I'd love to go on the MIDWI
free Group Practice program and getting early. So that's why
it's important now, even this early in gestation, to have
(12:06):
a think about what you want to do.
Speaker 4 (12:09):
Okay, we're going to need a lot of help along
this pregnancy. It's only week four, so what can we
put in our talkkit for this week?
Speaker 5 (12:15):
Did you pick an app?
Speaker 3 (12:16):
Because I think having an app, particularly for first time mums,
can be really helpful to sort of track baby development
and some of the things you might be experiencing.
Speaker 1 (12:23):
Have you, Oh, yes, I have the flow out.
Speaker 4 (12:25):
Yes I like it, but I was using it to
track my period, so I sort of had it already
and then once you log that you're pregnant, it switches
into this whole new mode. What I like about this
is it gives you, like the stats, Yes, what week
you are, here's the size of your baby, Here's what's
happening to them, and then here's what's happening to your body.
So you're kind of covering these sort of major things
which I like.
Speaker 3 (12:43):
Yeah, And I mean you can also use it in
pregnancy too, and as you're trying to get pregnant. That's
what I liked about flow Pregnancy Plus is another really
good one.
Speaker 5 (12:50):
I have both. I have to say I liked both
of the checks between them to see if there was differences,
and Baby Centers another good one as well.
Speaker 4 (12:57):
We hope you enjoyed this episode of Hello Bump. We
have so many episodes of this series filled with tips
and stories from women and experts who've been through it
all before.
Speaker 3 (13:06):
You can go back and listen to everything else Hello
Bump related in this podcast feed.
Speaker 4 (13:09):
And while you're there, we'd love if you could give
us a five star rating and maybe leave us a
review or even share this episode with a friend.
Speaker 3 (13:15):
This episode was produced by Courtney Ammenhauser with audio production
by Tom Lyon.
Speaker 5 (13:19):
We'll catch you next time.
Speaker 4 (13:20):
This episode of Hello Bump was made in partnership with Huggies.
Speaker 1 (13:23):
Bye Bye
You're listening to a MoMA Mia podcast.
Speaker 2 (00:25):
Mamma Mia acknowledges the traditional owners of land and waters
that this podcast is recorded on. We pay our respects
to elders past, present and emerging, and feel privileged to
continue the sharing of birth stories and knowledge that has
been a fundamental part of Indigenous culture. Hello producer Courtney here,
coming into your ears with a special treat because we
(00:47):
have launched a brand new season of our pregnancy podcast,
Hello Bump. This season is a week by week guide
to pregnancy, holding your hand as your baby grows from
the size of a tiny poppy seed all the way
to the size of a pumpkin. And in this new season,
it's hosted by Olympian mother of six and training obstetrician
Yanna Pittman, as well as writer, podcaster and first time
(01:08):
mum Grace Roofe Ray. So, if you or someone you
know is pregnant were just interested in learning about pregnancy,
then this podcast is for you. We'll leave a link
in the show notes so you can listen to every
single episode of Hell Bump wherever you get your podcasts,
and for now enjoy. We hope you love this episode
of Hello Bump.
Speaker 3 (01:29):
I am Pregnantty.
Speaker 1 (01:35):
Welcome to Hello Bump.
Speaker 4 (01:36):
We're making pregnancy less overwhelming and more manageable, hopefully. I'm
Grace Riefrey, a writer, actor, podcaster, and I am also
pregnant for the very first time.
Speaker 5 (01:45):
And I'm Yana Pittman.
Speaker 3 (01:46):
I am a former Olympian mother of six, an obstetric
and gania registrar, which basically means I deliver babies for
a living, and.
Speaker 4 (01:51):
With our experience combined, each episode will be holding your
hand week by week through the mysterious, perplexing, and sometimes
scary miracle that is pregnancy, all the way from a
poppy seed.
Speaker 1 (02:01):
To a pumpkin. Week four.
Speaker 4 (02:04):
So we're starting this podcast series at week four because
that's usually when you've found out that you are pregnant.
There's not a lot that happens between week one and three,
and they will backdate it from your last period.
Speaker 1 (02:15):
So, Yana, how big is the baby at this point?
Speaker 3 (02:18):
Well, your baby's about the size of a poppy seed
at this point, or just like a speck of dust
or glitter, yeah, or a little cheer sea or something
very small. It's basically a small clump of cells that's
just embedded into the lining of your uter it's about
two point five millimeters, so it's tiny.
Speaker 2 (02:32):
What what's happening to me?
Speaker 1 (02:35):
So tell me what's going on in our bodies this week.
Speaker 3 (02:38):
Well, implantation has just occurred, so your sperm has met
your sperm, your partner's sperm hopefully has met the egg,
and then it's made its way down the floapin and
she you've embedded into the uterine wall. So it's just
now that you'll be starting to get a positive pregnancy
test because you're making that beta hCG hormone that's the
hallmark of pregnancy. The placenter itself is actually starting to grow.
Your baby comes from different cells from the placenta, so
(03:00):
they grow at the same time, but independently. And right
now your baby's actually only the size we actually call it,
well not even quite an embryo yet, but it's two
layers at this point, and it'll slowly start differentiating into
all the organs and the heart and the lungs and
things over the next few weeks.
Speaker 1 (03:13):
When does that placenter actually start to take over?
Speaker 4 (03:15):
Because at the moment, our body is just feeding everything
and giving it all of its life.
Speaker 1 (03:19):
When is that percenter actually take over.
Speaker 3 (03:21):
Well, it's funnily enough, it's actually not for several weeks,
so around between nine and ten weeks. That at this point,
the baby has what's called a yolk sack that's actually
feeding it. So when you go for an early ultrasound,
but guys way too early, do not make an ultrasound
booking yet, because that is one of the biggest problems.
Women go now and they can't see anything and then
they freak out that they're already having a miscaracter.
Speaker 5 (03:41):
That's just simply too early.
Speaker 3 (03:42):
But there is a yolk sack which will be one
of the first signs on ultrasound that there's a baby
inside your belly, and that is what feeds the baby
for the first couple of weeks of pregnancy.
Speaker 4 (03:51):
What I found interesting about this stage is that everything,
all signs kind of led to it being my period. Yes,
I was very bloated and I had cramps, and so
I assumed that it was my period until it kind
of got to like maybe two more days that I
normally maybe my period would have come, and it didn't,
So I took a test. But why do all signs
lead to it being your period?
Speaker 3 (04:12):
Unfortunately, they're pretty similar to the hormones of pregnancy. Obviously,
eugen and progester in our main two big wammies changed
quite considerably.
Speaker 5 (04:20):
Breast ten.
Speaker 3 (04:20):
I don't know if you got that at all, but
that was my first sign. I remember walking outside in
the cold and my nipples killing me and thinking.
Speaker 5 (04:26):
What is going on?
Speaker 3 (04:27):
So all of those signs that can often, as you
say in the icate, pregnancy, are unfortunately fluctuating hormones, which
happened the same when your period is due.
Speaker 4 (04:34):
So is that why they're backdate when you are technically
your pregnancy starts, because it's all sort of part of
the same journey, you know how, Like when you find
out you're pregnant already four weeks, you're already four weeks by.
Speaker 3 (04:46):
Yeah, so we go gestational age or pregnancy age. So
the age of the fetus is only like two weeks
by the time you actually find out you're pregnant, But
the pregnancy age, the whole lot of pregnancy starts from
the first day of your last period. So theoretically, every
month we're two weeks pregnant until our period comes and
then we're not.
Speaker 4 (05:04):
It's I just find this fascinating about how much I
didn't know about my body until I got to this
stage and exciting, yeah, or like embarrassing.
Speaker 3 (05:12):
And for some daunting because obviously not all of us
want to be pregnant, and some of us get a
little scared and find out that we are so, and
that's when it is tricky to sort of think, well,
do I want to continue with the pregnancy? Is this
something I planned? What is it going to do to
my life? And I can tell you as a mother
of six, it does a lot.
Speaker 1 (05:26):
So it's a.
Speaker 3 (05:27):
Hard conversation to have with yourself when you first get
those positive lines. And most of us, like yourself, for
I don't know whether you were you excited.
Speaker 4 (05:32):
Or no, not at all, like even though it was
like wanted and I was aware of what unprotected sex
could do. Yes, there was no contraception, I think for
anyone listening. I had had my account tested and it
was on the lower side in the high nines, which
I'm thirty five, So it was a maybe start thinking
(05:53):
about it.
Speaker 1 (05:53):
So I know a lot of people who have struggled
for years.
Speaker 4 (05:55):
So we did start, and then it just happened very quickly,
So I wasn't prepared, but I do.
Speaker 3 (06:00):
Think it's a really good point to discuss, because you know,
some people do have the desire and really, you know,
really want to get pregnant and then all of a
sudden it's happened. And I know a lot of women,
certainly some of my patients have discussed with me then
in those first few weeks with all the hormonal changes
and started to feel pretty crappy that they think, well,
this is not really what I signed up for, and
do I even want to continue even what was a
(06:21):
planned pregnancy, And I think we need to honor that
that's a normal part of this process. A huge life
change is on the up. So please don't feel if
you're listening to this, if that was you, that it
doesn't mean later you won't bond with your baby or
love the pregnancy and you know, and it's also okay
if you actually do change your mind. Like I think,
that's a conversation that we're very lucky in Australia we
can have and we need to highlight that all women
feel very differently through this period of gestation.
Speaker 2 (06:42):
What's happening to me?
Speaker 4 (06:45):
Well, that leads us into what is actually happening and
what might be feel like what are some common symptoms
that could happen around this time.
Speaker 3 (06:51):
Well, I think you highlighted them pretty well, thanks unfortunately
to you experiencing them all. Breast tenderness, floated, feeling around
your tummy, twingy pains, even some spotting. So sometimes we
get to what's called an implantation bleed, and that's actually
that little weaker than parasites. Little parasite is basically nesting
into your individual lining of your uterus, so eventually you
know you'll make your little spiral arteries is part of
(07:12):
your makeup, anatomically will join the supply so that you'll
start eventually feeding your baby.
Speaker 5 (07:17):
But at this point they're pretty robust. Many people get pregnant.
Speaker 3 (07:21):
Very easily, particularly not wanting to earlier on in life.
Speaker 4 (07:25):
It's funny I call it a parasite, but for different reasons,
which we'll get to.
Speaker 3 (07:34):
Is this normal? Is it normal?
Speaker 1 (07:36):
A couple of things about is it normal? At this time?
Speaker 4 (07:39):
There's the symptoms that are the ones we spoke about,
the implantation pain or potentially bleeding. What you do think
is your period. But one of the first things I
noticed was an aversion to alcohol. Okay, it was I
hadn't taken a test yet, and now looking back, it
feels like that was a potential signing.
Speaker 1 (07:55):
Is that quite early for a virgins to come in now?
Speaker 3 (07:58):
Look, I mean, I think you guys were trying so
psychologically each month you are preparing it as possible. So
there is that psychological factor that we avert foods we
know will consider to be something we should avoid. In pregnancy,
you're starting that whole modal change already, so your body's
doing remarkable things. And for some women I've even had
that they've said they are starting to feel nauseous already
at that four to five week mark. It's not even
(08:19):
though the BEATA hat CG hormones and a really high
which is obviously what triggers a lot of the nausea,
it's not impossible. So if you're already feeling yucky, the
last thing you want to go is, you know's neck
a bottle of wine. So I mean, hopefully it's a
good thing. You know, this is something that we're trying
to continue to have the discussion around. Lots of people,
by the way, don't know they're pregnant yet though, and
are drinking and doing fun things in.
Speaker 5 (08:38):
Life because you know, we need to live.
Speaker 3 (08:40):
I think it's so it's also important there to highlight
that if you don't know you're pregnant yet, that we
don't beat yourself up for the things that did happen
prior to that. Yes, I think that's more common than not,
you know, because I think there are a large number
of pregnancies that are unplanned and people don't find out sometimes,
so there are nine or ten weeks pregnant, so they've
made lots of decisions during that time that weren't you know,
pregnancy related.
Speaker 5 (08:57):
You know.
Speaker 3 (08:58):
Ideally, I think let's be medical here for a seconds. I've
put my little doctor's hat on. You have had prenatal
discussions with your with your GP. Ideally, have had some serroology,
which is the blood tests looking at you know, in
antenatal markers, infection markers, even things.
Speaker 5 (09:09):
Like your fol eight level.
Speaker 3 (09:10):
Your blood group's really important in pregnancy to know whether
your H negative, which do you have a negative or
a positive blood group?
Speaker 4 (09:16):
Is that where they test whether my blood is attacking
the baby. Yes, okay, and it's.
Speaker 3 (09:20):
Kind of a little important because it's not at this
four weeks pregnant. It doesn't matter because we wouldn't do anything.
So if you came in, it matters, if you come
in bleeding, it matters if you've had a car accident
or something like that, because it's basically where your baby
makes a different blood group to you, and your own
body will make antibodies against your baby's blood group. Now
it doesn't matter in this pregnancy at all. It's actually
about subsequent pregnancy. So you don't want your body to
(09:41):
make those antibodies against the positive blood group because you're negative.
So what that means, though, is if you find out
you are what we call RH negative, if you have
an inciting event like a miscarriage or an accident where
there could be some fetal cells that crossover, we need
to give you an anti d So it's basically a
medication that stops that from happening, and we consider that
after sort of twelve weeks. So you just basically talk
(10:03):
to your doctor about it and our make a plan.
But it's important to know it so you can at
least raise the question, Hey, I'm RGE negative, do I
need to do anything different from an RH positive mum?
Speaker 4 (10:12):
Which leads me into the important things that we should
be doing at this stage you mentioned fall a. A
lot of people say folic acid and you should be
on it if you're trying to ideally, what does that?
Speaker 5 (10:22):
What are you.
Speaker 4 (10:23):
Actually trying to do? And is it bad if you
haven't been taking again.
Speaker 3 (10:27):
A lot of us don't know we're pregnant, but ideally
you start taking you know, a women's multi item about
three months before pregnancy starts, or as soon as you
find out you are pregnant, because so follo is actually
to do with neural tube defects. So it's the way
your baby's brain and spinal cord form prevents things like
spin befitter from occurring. So you know, many many years ago,
so our mums and grandma's had much higher rates of
that before they found out that follit can make a difference.
(10:49):
So for most of it, you know, between four hundred
and eight hundred milligrams is enough, but you need to
triple check if you're at higher risks. So people with
a high BMI, people who have are on antiepolectic medication,
people have had previous miscarriages or spiner befit, I may
need a high dose. So I think it's a conversation
to have. But the best thing you can do is
just get started as soon as.
Speaker 1 (11:07):
You find out, so you plan.
Speaker 5 (11:08):
It's never too late, never too absolutely no correct, never
too late.
Speaker 4 (11:11):
And what are some like nice to do things, things
to think about, maybe not necessarily about our body, but
things to start having to think about in the future.
Speaker 5 (11:20):
Great.
Speaker 3 (11:21):
Aye, look it's very early, but I would actually say
start thinking about what model of care you want to
do because you have obstetric which is what I'm training
to be, so coming with the doctor's program. You have
what I love and I went with my last pregnancy,
which was actually my second last pregnancy MGP. So whether
you want to be MIDW free Group practice, low risk
pregnancies lovely holistic care and I know my midwives out
(11:42):
there will love me for saying this.
Speaker 5 (11:43):
Today I'm much better at counseling around.
Speaker 3 (11:45):
Birth and making it normal, you know, making normalizing what
birth and pregnancy is. But you do an unfortunately to
be relatively low risk in that program, and they fill
up so fast. So they're the ones that you get
a positive pregnancy test and you're like, contact your local
hospital and say I'd love to go on the MIDWI
free Group Practice program and getting early. So that's why
it's important now, even this early in gestation, to have
(12:06):
a think about what you want to do.
Speaker 4 (12:09):
Okay, we're going to need a lot of help along
this pregnancy. It's only week four, so what can we
put in our talkkit for this week?
Speaker 5 (12:15):
Did you pick an app?
Speaker 3 (12:16):
Because I think having an app, particularly for first time mums,
can be really helpful to sort of track baby development
and some of the things you might be experiencing.
Speaker 1 (12:23):
Have you, Oh, yes, I have the flow out.
Speaker 4 (12:25):
Yes I like it, but I was using it to
track my period, so I sort of had it already
and then once you log that you're pregnant, it switches
into this whole new mode. What I like about this
is it gives you, like the stats, Yes, what week
you are, here's the size of your baby, Here's what's
happening to them, and then here's what's happening to your body.
So you're kind of covering these sort of major things
which I like.
Speaker 3 (12:43):
Yeah, And I mean you can also use it in
pregnancy too, and as you're trying to get pregnant. That's
what I liked about flow Pregnancy Plus is another really
good one.
Speaker 5 (12:50):
I have both. I have to say I liked both
of the checks between them to see if there was differences,
and Baby Centers another good one as well.
Speaker 4 (12:57):
We hope you enjoyed this episode of Hello Bump. We
have so many episodes of this series filled with tips
and stories from women and experts who've been through it
all before.
Speaker 3 (13:06):
You can go back and listen to everything else Hello
Bump related in this podcast feed.
Speaker 4 (13:09):
And while you're there, we'd love if you could give
us a five star rating and maybe leave us a
review or even share this episode with a friend.
Speaker 3 (13:15):
This episode was produced by Courtney Ammenhauser with audio production
by Tom Lyon.
Speaker 5 (13:19):
We'll catch you next time.
Speaker 4 (13:20):
This episode of Hello Bump was made in partnership with Huggies.
Speaker 1 (13:23):
Bye Bye
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