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March 30, 2025 12 mins

Welcome to Hello Bump, a podcast about what you’re not expecting when you’re expecting.

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.

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CREDITS:

Hosts: Jana Pittman and Grace Rouvray

Executive Producer: Courtney Ammenhauser

Audio Production: Thom Lion

Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:11):
You're listening to a Muma Mia podcast. Mom and Maya
acknowledges the traditional owners of land and waters that this
podcast is recorded on.

Speaker 2 (00:21):
I am pregnanty.

Speaker 1 (00:27):
Welcome to Hello Bump. 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 2 (00:37):
And I'm Yana Pittman. I am a former Olympian mother
of six and obstetric and GANI registrar, which basically means
I deliver babies for a living and.

Speaker 1 (00:43):
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 to a pumpkin. Week four. 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

(01:05):
will backdate it from your last period. So, Yana, how
big is the baby at this point?

Speaker 2 (01:10):
Well, your baby's about the size of a poppy seed
at this point, or just like a speck of dust
or glitter, Yeah, a little cheer seat or something very small.
It's basically a small clump of cells that's just embedded
into the lining of your uter's about two point five millimeters,
so it's tiny. What what's happening to me?

Speaker 1 (01:27):
So tell me what's going on in our bodies this week?

Speaker 2 (01:30):
Well, implantation has just occurred, so your sperm has met
your sperm, your partner sperm hopefully has met the egg,
and then it's made its way down the floapin and
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 placenter, so

(01:52):
they grow at the same time, but independently. And right
now your baby's actually only the size we actually call it, well,
it's 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 (02:05):
When does that placenta actually start to take over. Because
at the moment, our body is just feeding everything, giving
it all of its life. When does that percent to
actually take over.

Speaker 2 (02:13):
Well, it's funnily enough, it's actually not for several weeks,
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. That's
just simply too early. But there is a yolk sack

(02:36):
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 1 (02:43):
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 2 (03:04):
Unfortunately, they're pretty similar to the hormones of pregnancy. Obviously,
eugen and progester in our main two big wammies changed
quite considerably. Breast tenderness. I don't know if you've got
that at all, but that was my first sign. I
remember walking outside in the cold and my nipples killing
me and thinking what is going on? So all of
those signs that can often, as you say, indicate pregnancy
are unfortunately fluctuating hormones, which happen the same when your

(03:25):
period is due.

Speaker 1 (03:26):
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.

Speaker 2 (03:37):
By 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 1 (03:56):
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 2 (04:04):
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.

Speaker 1 (04:16):
Mother of six, it does a lot.

Speaker 2 (04:18):
So it's a 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 1 (04:24):
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

(04:45):
about it. So I know a lot of people who
have struggled for years, so we did start and then
it just happened very quickly, so I wasn't prepared.

Speaker 2 (04:52):
But I do 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 I signed up for and do
I even want to continue even though it was a

(05:13):
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. What's happening

(05:36):
to me?

Speaker 1 (05:37):
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 2 (05:43):
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
as that little weak more 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

(06:04):
part of your makeup, anatomically will join the supply so
that you'll start eventually feeding your baby. But at this
point they're pretty robust. Many people get pregnant very easily,
particularly not wanting to earlier on in life.

Speaker 1 (06:17):
It's funny I call it a parasite, but for different reasons,
which we'll get to is this normal?

Speaker 2 (06:27):
Is it normal?

Speaker 1 (06:28):
A couple of things about is it normal? At this time?
There's the symptoms that are the ones we spoke about,
the implantation pain or potentially bleeding. What you do think
it is your period. But one of the first things
I noticed was an aversion to alcohol. Okay, see I
hadn't taken a test yet, and now looking back, it
feels like that was a potential signing. Is that quite
early for avergins to come in?

Speaker 2 (06:50):
No, 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 monal 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 feelnauseous
already at that four to five week markets. Not even

(07:11):
though the BEATA hat CG hormones are not 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 life, because you know,

(07:31):
we need to live. 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. You know. Ideally,
I think let's be medical here for a seconds. I

(07:52):
put my little doctors had on you have had prenatal
discussions with your with your GP. Ideally have had some serology,
which is the blood tests looking at you know, in
antenatal markers, infection markers, even things like your fole eight level.
Your blood group's really important in pregnancy to know whether
your hate negative which do you have a negative or
a positive blood group?

Speaker 1 (08:08):
Is that where they test whether my blood is attacking
the baby. Yes, okay, And it's.

Speaker 2 (08:12):
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

(08:33):
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

(08:55):
to your doctor about it and 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, which.

Speaker 1 (09:05):
Leads me into the important things that we should be
doing at this stage. You mentioned four A. A lot
of people say folic acid and you should be on
it if you're trying to conceive. Ideally, what does that?
What are you actually trying to do? And is it
bad if you haven't been taking.

Speaker 2 (09:18):
Again, 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 spiner 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

(09:40):
make a difference. 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 risk.
So people with a high BMI, people who have are
on antiepolectic medication, people have had previous miscarriages or spiner
befitter may need a higher dose. So I think it's
a conversation to have. But the best thing you can
do is just get started as soon as you find out,
so you'll plan.

Speaker 1 (10:00):
It's never too late, never too absolutely no correct.

Speaker 2 (10:02):
Never too late.

Speaker 1 (10:03):
And what are some like nice to do things, things
to think about, maybe not necessarily about our body, but
things to start having a think about in the future.

Speaker 2 (10:12):
Yeah, great, Ay, 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 MIDWI free group practice,
low risk pregnancies lovely holistic care, and I know my

(10:33):
midwives out there will love me for saying this day.
I'm much better at counseling around 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

(10:54):
getting early. So that's why it's important now, even this
early in gestation, to have a think about what you
want to do.

Speaker 1 (11:01):
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? Did you pick
an app?

Speaker 2 (11:08):
Because I think having an app, particularly for a first
time mums, can be really helpful to sort of track
babies development in some of the things you might be experiencing.

Speaker 1 (11:15):
Have you, Oh, yes, I have the flow out. 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.

Speaker 2 (11:24):
Yeah.

Speaker 1 (11:25):
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 2 (11:35):
Yeah, And I mean you can also use it in
pregnancy too, and as you're trying to get pregnant. I
think what I liked about Flow Pregnancy Plus is another
really good one.

Speaker 1 (11:42):
I have both.

Speaker 2 (11:42):
I have to say I liked both and I checked
between them to see if there was differences. And Baby
Centers is another good one as well.

Speaker 1 (11:49):
We hope you enjoyed this episode of Hello bumb. 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 2 (11:58):
You can go back and listen to everything else Hello
bub related in this podcast.

Speaker 1 (12:01):
Feed, 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 shared this episode with a friend.

Speaker 2 (12:07):
This episode was produced by Courtney Ammenhauser with audio production
by Tom Lyon.

Speaker 1 (12:11):
We'll catch you next time. This episode of Hello Bump
was made in partnership with Huggies. Bye Bye
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