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March 30, 2025 10 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 discover your baby is around the size of a ladybug, or a lentil seed. By week six, your nausea might be sky rocketing, and your sleep could be increasing… but remember, you are growing a literal human. Plus, Jana explains why you feel like you’re still getting period cramps and if that bloat is the beginning of your baby bump… or just your bowels… slowing down.

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CREDITS:

Hosts: Jana Pittman and Grace Rouvray

Executive Producer: Courtney Ammenhauser

Audio Production: Thom Lion

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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 pregnanted.

Speaker 1 (00:27):
Welcome to Hello Bump. We're making pregnancy less overwhelming and
more manageable. I'm gracery, very pregnant for the very first time,
and I can no longer open my fridge without drive reaching.

Speaker 2 (00:36):
And I'm Miana Pittman. I'm a former Olympian, I'm a
mother of six babies, and I'm training to be an
obstitrician and a gynocologist.

Speaker 1 (00:42):
Each episode, Jana and I will be holding your hand
week by week through the mysterious, perplexing and sometimes it's
a very weird miracle that is pregnancy week six. Yanna,
how big is our baby? Our baby? I have your
baby seven to be good, I have six been.

Speaker 2 (00:58):
It's now about the size of a lentil seed.

Speaker 1 (01:01):
See this is where it starts to contextualize, doesn't it
a lentil seed? A lady bug?

Speaker 2 (01:05):
Yeah, well let's go factual four to six millimeters. So
it's made a massive big jumps from las week. It's
it's almost a huge, but it's a huge compared to
last week when it was only a millimeter.

Speaker 1 (01:14):
Yeah, it feels like it's an object now, yes, absolutely
not just the clump of cells exactly.

Speaker 2 (01:19):
And if you had an early ultrasound you would now
probably see a little thing in there, maybe not a heart,
but yet hopefully but maybe not again. I don't want
you to have it. We're still waking ladies. Another week please,
but yes, it is growing nicely.

Speaker 1 (01:31):
Maybe you can book it, but not bookase, but for
week seven, thank you. I love it. And what's happening
with the baby? How are they developing?

Speaker 2 (01:38):
And as we've kind of just touched on, the biggest
thing is it's heart starting to beat, which I think
is a massive milestoning pregnancy like that is to me
makes it it's real, the little heart beating in there.
The other olgans are also continuing to grow, including the
digestive system, which is really weird to think, and it's
respiratory system, so how it's going to breathe. And there
might even be some facial features that are starting. We
can't see them on ultrasound, but the things like the

(01:59):
eyes and ears, and they starting the most weird and
wonderful places. They actually start on the complete outside of
the baby's head and then the eventually they'll move around
invert in woods.

Speaker 1 (02:06):
Yeah, exactly, it's quite a weird. My app talks about
it's grown its nostrils, but doesn't have its nose. It's
just holes, which again makes it feel like elucision. Absolutely,
I can't deny that. Unfortunately, what happened, what's happening to me,
and what's happening with us, what's happening with our body?

Speaker 2 (02:23):
Increasing from last week more and more and more and
more nauseous, and guys, at six weeks, it's gonna get worse,
So we peek around the nine to ten week mark
and then hopefully will get better. Continued fatigue. I actually
found this week the most fatiguing, and I felt like
it really feels like bad jet lag and you cannot
get off the couch. And interestingly, for some women it's
worse in your first pregnancy and it gets a little better,

(02:44):
and I found that. I found my first pregnancy was
not for six I was in the middle of my
Olympic career and couldn't train, couldn't do anything. Whereas I
had my sort of subsequent pregnancies, I found a little easier,
so hang in there. If it's really tough, try and
outsource at this point, like you know, get someone to
come and help you, because you really need that sleep.
You know, you are growing a whole human inside, and
expect some moodswings. There is definitely some ups and downs

(03:04):
going on this week. Some tears are not unusual.

Speaker 1 (03:06):
Let's say at week six, that was the last point
I could go into my kitchen just so hyper aware
of the smells. And I think for me, I don't
know if I was jet lagged feeling, but I definitely
the hangover feeling was just all through the day, and
then the nausea was definitely ramping up. But everything, as
you've said, was really getting a lot more intense.

Speaker 2 (03:24):
And I think it's also important to heart that everyone's
symptoms are different, So don't freak out if you don't
have any symptoms, Like someone, oh my god, it mustn't
be real. It's not happening. I need to go and
see my doctor really quickly. Someone won just get lucky.
They just get lucky and they don't have much And
you know, and if you're expecting multiples, which means twins
or more babies, sometimes your symptoms are going to be worse,
So I think it's again no comparisons.

Speaker 1 (03:44):
That's a really good point. There's a woman, one of
the women here in their Mum and me are office.
She was like, I was one of those lucky ones,
never had no orders. I never had anything, but I
had a baby who didn't sleep. So it gets you
any I've.

Speaker 2 (03:53):
Had all of that, to be honest, Sometimes you get
both is this normal?

Speaker 1 (03:57):
Is normal? Is it normal? I have a question about
I still have period cramps at this point.

Speaker 2 (04:04):
It's your use for us getting used to accommodating a
growing pregnancy. So you can imagine that it's especially if
it's your first time. You haven't had that expanding little
thing inside stretching the walls or the muscles of the
uterus and the surrounding ligaments outside the uterus that are
slowly going to expand up. So we get a lot
of what's called round ligament pain. Not normally around the
six weeks. I mean some women do, but it's more

(04:24):
often a little bit later in pregnancy. But yes, all
these sort of aches and pains and things. Again, changes
in hormone levels. Sometimes there's even the bit of fluid
in the pelvis and things that can actually cause from
the ovulatary syst so where you actually ovulated, from which
it starts to produce progesterones to support the pregnancy. We
call it the corpus lutium if you want to be
really medical about it, but can also leak fluid and
irritate the abdomen. So it's also important to think though,

(04:45):
if you are having pain, not just cramps, it is
probably better to keep a close eye on it. And
if you're concerned about it, just call someone, call your
midwife or your GP to have a discussion about it.

Speaker 1 (04:54):
And what about bloating? Is that okay, so it's still bloat,
it's not pregnancy, but it's not pregnancy.

Speaker 2 (05:00):
I'd love to be but no, at six weeks you'd
be really unlikely. In fact, it's impossible. Let's just go there.

Speaker 1 (05:07):
It's just blown or constipation. Yeah, me too, So that
gets worse and worse. I thought I was having round
ligament pains and my midwife was just like, no, that's
just your bounds just working really slowly.

Speaker 2 (05:21):
Yeah, transition slows down unfortunately because of progesterone, one of
the main hormones of pregnancy.

Speaker 1 (05:26):
But it's not as gratifying and there's no schedule anymore.
No fluid, keep you fluid up.

Speaker 2 (05:31):
Okay, I think there's one of the big key messages
there to try and keep those bowers a bit more regular.

Speaker 1 (05:40):
And what are some good things to do? What's on
our to do list this week?

Speaker 2 (05:43):
Well, as you know, we talked about booking your ultrasound.
I think it's pretty important. This time in pregnancy is
a little hard because you're just kind of in the
waiting game. So you've got lots of things coming up
in the future that you need to do. But at
this point, you know what, I think you need to
think really closely. You kind of touched on it with
the abdominal cramps and things.

Speaker 1 (05:57):
If you bleed.

Speaker 2 (05:58):
Now, twenty to forty percent of women will bleed in pregnancy,
particularly in the first tromester, and that's quite a lot,
and it's not always a concern. It could be still
implantation bleeding. It could be sometimes we get what's called
a subcoreonic chemotoma, which is it's big words of guys,
but it's just a bit of like a bruise around
where the baby is, around the amigniotic sack. Most of
the time they resolve. So even if you see that
on your ultrasound next week, ninety percent of the time

(06:19):
it goes away.

Speaker 1 (06:20):
What's the best thing to do in that case? If
you do notice that you're spotting, is it? Are you
at the level of we go to hospital or you
book a GP appointment?

Speaker 2 (06:27):
Every woman's individual. I've been down to d many, many,
many times for someone spotting in pregnancy because there's a
lot of anxiety and really wanting the pregnancy for me.
You cannot do anything right now, guys, So if you
are bleeding in early pregnancy, our concern is if you're
bleeding heavily enough that we need to monitor you from
a blood loss perspective. So I think GPS the right
place you don't want to sit in a NED for
four or five hours waiting to be seen by one

(06:49):
of us. Was in guyning doctors. So if your GP's concerned,
they'll send you in. We often have what's called an
early pregnancy Assessment clinic. Most public hospitals have one, so
if you concerned, your GP can refer you to see
one of the doctors. But at least it means you
have an allocated appointment to see someone roughly within an
hour of getting there rather than four or five in
a ned. But the biggest thing there is if you
haven't yet got a diagnosed pregnancy on ultrasound and you

(07:10):
have pain and cramping. Unfortunately, we have to raise that
not all pregnancies end up in the uterus. Sometimes pregnancies
can unfortunately end up in the filopian tubes, the ovaries,
and even the abdomen or your cervix. They're called it
topic pregnancies. So if pain and bleeding comes together and
you haven't confirmed the pregnancies inside the uterus, that is
a time it's an ed visit straight away.

Speaker 1 (07:28):
If we're you're having our dating scan, it's seven weeks.
But if you do have an ectopic pregnancy, is it
at risk of rupturing before that seven weeks before they
catch it?

Speaker 2 (07:37):
Okay?

Speaker 1 (07:38):
And at what point is it you've just lost the
pregnancy or you're at risk of losing the filopian tube.
I know this is scary things.

Speaker 2 (07:45):
That's important. Yeah, So often ectopic pregnancies grow slower than
into uterine pregnancies, which means a uterus maybe inside the uterus.
So the highlight there is if you have any pain
and bleeding, which you're concerned about, go to ED or
at least to you GP for a discussion, and if
they're concerned, they'll send you in. Most of the time,
even though it's early, we'll do an ultrasound to check
and because you can still see a gestational sackle or

(08:05):
at least a pregnancy, a clear cystic structure inside the uterus,
that will likely be a pregnancy. Things to be concerned about,
which not not for you guys to worry, but more
for me to worry about, is if the baby has
a heartbeat already and it's in the tube, if there's
already bleeding inside the pelvis, that's unfortunately a time when
we will say, look, we wouldn't manage you medically, so
we can give often given an injection in the arm

(08:26):
to manage them, which is called methotrexate, or we take
you to theaters and unfortunately sometimes have to remove the
fallopian tube. Big discussions. Okay, so this is a conversation
probably outside of our pregnancy podcast, but if you are
concerned about that, it's always, always, always better to come
to hospital and get checked, because it's not the loss
of the tube I'm worried about. You've got another one okay,
And ironically, even if you lose one tube, you still
have a ninety percent chance of getting pregnant because that

(08:47):
amazing second tube floats around, would you believe inside, and
the actual egg has some chemo receptive factors that actually
allows it to find the other tubes. So even if
you opulate from the left ovary but don't have a
tube on that side, most of the time the other
filopian tube will collect it. So that's not your concern.
My concern is your bleeding becomes so heavy that your
life is compromised. So and topic pregnancy is absolutely not

(09:09):
something to wait for, even if the pregnancy is very
much wanted.

Speaker 1 (09:12):
I think that's probably overall advice for pregnancy is that
there's no dumb questions.

Speaker 2 (09:17):
Yes, I agree, Yes, thank you.

Speaker 1 (09:19):
It's the best advice for this week. Yeah, no dumb questions.
Always ask cups will always be safe because also a
medical professional would have heard it all before.

Speaker 2 (09:26):
Exactly and they can reassure.

Speaker 1 (09:27):
You in the toolkit. This week, I've got drink lots
of water because it's starting to feel hot just living,
and also to just do outdoor dining just in case
if you're at a restaurant pick a table outside.

Speaker 2 (09:42):
Yeah, because of the heat.

Speaker 1 (09:43):
The heat, you don't know what smells are going to
come past. You don't know if someone is going to
order something next to you that's now repulsive to you.
So yeah, that was too I've got.

Speaker 2 (09:55):
Largely because we need to prepare for the next few months.
I think it's time to also think about who's going
to be around with you around the time of birth.
So just invite that person to your outdoor dining experience
or a couple of people you know. You can do
it as in a bit of an interview style, but
it's you're going to need your family and friends around
you for pregnancy and birth, and so probably time to
start thinking about who those people are going to be.

Speaker 1 (10:13):
Yeah, find your confidence. 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 2 (10:26):
You can go back and listen to everything else Hello
Bump related in this podcast.

Speaker 1 (10:29):
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 share this episode with a friend.

Speaker 2 (10:35):
This episode was produced by Courtney Ammenhauser, with audio production
by Tom Lyon.

Speaker 1 (10:39):
We'll catch you next time. This episode of Hello Bump
was made in partnership with Huggies Bye Bye
Advertise With Us

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