What to Expect in the 1st Trimester: Q&A with Belly to Baby

What to Expect in the 1st Trimester: Q&A with Belly to Baby


hey there welcome to our very first official episode of from belly too baby the pregnancy playbook and we’re very excited today to have our first expert join us! Hi dr. Cameron Chrisman Robbins you don’t have the uplighting or the Beyonce’s hand with this today sorry we put in the request but my dad I hope I did okay on my own I’m gonna show ya it looks like professionals were involved all the way around well Dr. Campbell Robbins is a obgyn she’s a Washington University physician at barnes-jewish hospital and we were just talking about it a little bit ago it does get confusing for people it’s out of the institution you are a Washington University’s addition to your doctorate washio and I’m us faculty as most of us are so if you work at Wash U and see patients you do also in teaching responsibilities okay and you see patients that burns to a hospital I do ok and a lot of your patients will then have kids to move on over to sing with children’s hospital at absolutely it’s one of the cafes and we’re shooting and we’re here today to talk a lot about the first trimester I know you have met many moms along the way who have been at your doorstep the first person they probably talk to after they’ve gotten that first pregnancy test and I think that’s the first question is first of all the very basics how does a woman know she’s pregnant you know it’s simple but it’s always well actually it’s not because you can have irregular periods you can have some bleeding when you’re first pregnant and it seems like it was a period but it actually wasn’t you can have spotting and wonder if it was a period so it’s actually not easy for everybody especially if you have a history of irregular periods so really the only way to know is a pregnancy test it is possible to take them too soon so they don’t turn positive even though you are very very early in pregnancy but that’s really the only way to know and I just tell all my patients if you are worried you’re pregnant if you skipped a period if you think that something might be going on please call us because sometimes an ultrasound sometimes blood work is important in addition to the pregnancy test in our home pregnancy feels pretty reliable they are they are but they’re just being marketed earlier earlier and that just doesn’t always catch you at a point where you have enough blood hormone that will turn positive well and that was one thing I was just telling you that when I first took a pregnancy test I didn’t expect it to be positive and it wasn’t it was negative six days later I thought it was a little odd that I hadn’t gotten my period yet so I took another one and it was very clearly positive whoo-hoo and at that point I had read so much online within the next two hours about when pregnancy test turned positive I was convinced there wasn’t enough hormones ear and then I was kind of miscarry so is that a threat and you are there signs early signs like that that would indicate miscarriage when do people need to start worrying because the internet i will tell you scares the ever living out of you right away well i think the worst thing i can hear when a patient is here in my office talking to me is I went on Google because if there’s a lot of misinformation and if you don’t know the websites and you don’t know what physicians contribute to the websites it’s hard to really know what is real and what is a little bit hysterical done that sounds bad well it’s not that makes people really nervous so having a negative bringing pregnancy test then a positive really doesn’t put you at risk of miscarriage that in and of itself because most like you just took the first test too soon the other thing people don’t know is you can be an early ovulate ER or a late ovulate ER so when you learn in science class and sixth grade remember the boys and the girls go to my crib rooms they talk about so you learn that you ovulate mid-cycle and on average women have 28 day cycle so that egg comes out at day 14 but a lot of people if you take the home ovulation kit you know you take a little piece of paper and pee on them every morning yeah amazon solid by like a thousand yes yeah or you can click Next to money for the digital ones that if you’re going to ovulate there’s like a little how do you think so the thumbs oh yeah yeah yeah but you can be someone who ovulate on day eight of your period you can be someone who have you lates 17 and what’s turkey is the egg only lives one day so if you’re trying to get pregnant trying to get pregnant and it’s not working but your timing intercourse right in the middle of your cycle you could be missing that ovulation which feeds in more to how do I know when I’m pregnant when do I take the pregnancy test it’s really tricky but no to answer your question a negative when you think it might be positive followed by a true positive is not a sign of an unhealthy pregnancy it just is what if it is what it is it’s all timing and its really funny that you mentioned that because all of the apps will tell you there’s a certain window in which you are ovulating and I can find are not right you know or out there what everyone’s different everyone’s different mm-hmm and so obviously your first line of advice is clear doctor yes and if you don’t have a doctor right away maybe this is on a call me what’s the best way to go about finding someone you know it’s the first step is figuring out where your insurance will cover your care and so call your insurance company if you don’t have an ob/gyn start there google places that are close to your home or close to work for you where appointments are going to be easy because at the end of pregnancy you do need to come in every week if not more for different pregnancy complications so it’s got to be somewhere you can get to and we have patients who I adore who drive two hours to us because maybe they have a complicated medical history or maybe their baby’s going to need somebody at children to take care of them but that gives so tough in terms of time and money and time away from your kids and work and it is what it is and if that’s the case drive far to see a doctor that can take care of you but really somewhere close to home or work somewhere your insurance will cover I really really love access to high quality neonatal intensive care units I think I have had so many patients deliver and have a surprise baby who doesn’t transition to breathing well or who has problems that we can’t predict ahead of time and that they just go down the hall to the NICU it’s such a relief instead of that baby going in an ambulance our helicopter and then mom still being at the hospital where she delivered so when it’s possible to to have that choice that you can logistical II have your care somewhere that’s attached to a high quality neonatal ICU I think that’s wonderful that’s such an acquaintance that’s not to spook anyone but the reality is that does happen and one thing we haven’t showed you about our setup here is that we do have someone who is holding the camera whenever we are visiting Jenny who had a baby it was at 26 weeks 27 27 weeks they’re living healthy pregnancy unanticipated and he is healthy and fabulous in five years old seven okay i’m glad that i got these guys on my brain permanently seven years olds doing great so not only does it happen but also very positive outcomes do happen when you do have access to great medical care so that’s a really good point yeah so break out where we serve you so that the media facebook like your things in a dangerous position because of my train of thought goes off and it of course correct very highly effective depressed we’ll get back to that first positive pregnancy test you found your doctor you’re going to go and have the blood test all about have to confirm all of the details make sure that yes you’re legitimately pregnant and then you’ll go in for your first appointment let’s talk about the first two points okay when does that happen what to expect perfect world seven to eight weeks because you want to be able to do an ultrasound to confirm a normal healthy pregnancy in the uterus that’s about the size as the due date you thought based on your period so if you come in at four five six weeks a lot of times the pregnant the pregnancy ultrasound is inconclusive and your kind of them in this limbo is it an unhealthy pregnancy am I miscarrying is something wrong with the pregnancy and my body are aren’t really matching up and it’s I think it’s a lot of worry that could be avoided if you just wait one more week and that ultrasound is going to show you the truth right then and there and I think it’s also important for people to knows one of the biggest surprises to me in that first ultrasound of my husband went with me with I meant so expecting it to be one of those cute little moments where they put finale on your belly and you know no that’s not how it happens it’s time that you know it’s a bad idle probe probe is like this long haha what goes inside your vagina’s like this pause when you pull out the probe and people get a little nervous it’s just it just goes inside like a little tampon you know depth and it sits against your cervix and it expects perfectly fine it doesn’t hurt on a feeler bulb compression blood pressure but I truly my reaction was you’re gonna put that way yeah and then it was just funny of my appointment they didn’t have the normal covers that they use on them so she put a rubber glove over and ships just don’t look it’s totally fine is perfectly healthy like normal covers are condoms yes yes nothing fancy about human science sometimes decided it was going to do it is what to do so once you confirm everything is good fair what is the advice you missed patient so confer and the other really important part of that first visit is a head-to-toe physical including a breast exam a lot of women don’t keep up with annual exams when they’re young and healthy and that’s kind of that phase of life are you beginning pregnant and growing your family and breast exams are huge breast cancer is not something that you should only worry about when you’re 40 and you start your mammograms so I want everyone to have a good physical exam We Need to Talk at that first pregnancy visit about underlying medical issues maybe you have sort of low-grade hypertension maybe you are pre-diabetic maybe you’re diabetic how does that all look for plotting out your care during pregnancy your wrist during pregnancy is this the time to say hey I’m going to recommend you see our high-risk doctors once or twice for consult is this something we’re going to need extra ultrasounds for you really give people a road map based on their history and their current state of health of what to expect for the next eight seven eight months in two questions based on the high risk assessment at that point how do you determine an eight weeks if someone’s high risk what goes into that there’s a lot of reasons that somebody may benefit from seeing a high-risk doctor something like twins or triplets so twins I would take care of comfortably in my office depending on how the twin pregnancy went sometimes I would call in maternal fetal medicine for help triplets and above absolutely MFM people who have just complicated medical histories is too hard to really lift them but i’m i’m thinking of somebody who knows they have redskins excuse me cancer and they’re about to start chemotherapy they find out they’re pregnant somebody who has liver disease the liver is an organ that really takes a lot of strain during pregnancy so if you know that you have liver disease MSM is great for you know people who have blood that clot too easily and the family might recommend that they go see them and a lot of these things can be co-managed we’re literally in the same hallway so if you were to come see me or anywhere else in I know I’m not just speaking about our peers specifically here but anywhere that make sure that your OB works closely with maternal fetal medicine if the pregnancy takes a turn and that’s where you need or if you’re complicated medically and you just want to talk to them ahead of time and most most community obstetricians do you have a nice relationship with somebody in the region whose maternal fetal medicine and we’re talking about that a little bit yesterday to about how all this construction on kingshighway that’s been driving people in the st. Louis area and nuts for so long dad has a positive end result coming very soon probably in early fall with the new women infants program furnitures hospital so as you were saying it puts everyone on the same hallway moms and babies connected so it is nice when ever you are scoping out a physician if you do have those higher risk needs to know that you can just walk down the hall that’s huge that you don’t have to be the one printing from one place to another that yep you know never in the little room and the teachers come to you absolutely yeah okay so your medical history cuz let’s not forget the mom everyone immediately you pee on a stick you’re pregnant and it’s like your brain goes to that baby right but my job is to think of the mom too so who is she what’s her help what’s your physical exam like is she caught up on her past where we run routine bloodwork we want to know what your blood type is are you immune to rubella have you been exposed to chicken ha hepatitis talk about genetic screening so cystic fibrosis if you are likely from a family tree that started in Northern Europe hemoglobin electrophoresis to see if you carry the trait for sickle cell if you’re from Africa and the Middle East thalassemia is another one we can test for so these are things that we just kind of look at your family history and offer screening for different genetic conditions and how much discretion the scitation have in what test they want and by penny every all of this because one of them you know we were offered I was 34 years old so at 35 is when insurance begins covering at least in my education interesting and covering so we have a lot of jump attack so at 34 one of the tester offered what they believe it 10 weeks and I we debated over it for so on it was the one for the trifa name down syndrome and the to their to other attorneys fees for evening and we debated time and time again whether or not to go and have the test done and it ultimately came down for well it wasn’t in covered covered by insurance but it would probably swallow but it’s just it’s kind of an odd it’s very strange so I misspoke earlier genetic testing like testing to see if you carry the gene for sickle-cell testing to see if you carry sip of cystic fibrosis those are sort of test I know it’s like a medical eastward but put those to the side genetic screening is seeing if there’s a chance based on blood work and ulta of you an ultrasound of the back of baby’s neck to see if we can put some data in a big soup and figure out if you’re at a higher risk you or 34 if you’re at higher risk based on all 34 year olds in the u.s. of having this particular pregnancy based on these results do you have too many or too few chromosomes too many chromosomes specifically so it doesn’t say yes or no so that’s kind of the thing with a screening cabin it captures a lot of people who are fine and then you have another round of testing too narrow in and see if yes this pregnancy may be affected by a problem so it’s not only one or two lines it’s a farm where yes you have to study that something might be going on that leads us to believe you’ve got extra risk factor and so then you focus in so these screening tests have a lot of people caught in that wide net who are fine then you just have to take another step if you wouldn’t follow up with that next step if you wouldn’t go ahead and do a amniocentesis or and that’s where they put the needle through your skin and get amniotic fluid for testing a little earlier in pregnancy you can do a CVS which is a chorionic villus sampling a small soft catheters through the cervix and actually take some placental cells if you wouldn’t do those things and there’s actually blood tests do they can isolate baby’s DNA out of your blindness like science fiction so amazing when I was pregnant my first daughter I was I think the first person in Memphis to get that test done class but I don’t wanna say how much it was it snow much more expensive than men but less expensive but it’s much less now that is about no no but if you and your family and your sort of values and sometimes it’s a religious issue sometimes it’s just talking with your partner about what would we do is if you wouldn’t take that second step there’s no point taking the first step well and that was what I don’t tell you anything other than a big maybe and that was what our decision ultimately was was that in the conversation I had with my doctor was you know based on where I work we see a lot of these situations in which some of these pregnancies do come up with some of the transmission show up early and all of these issues and see them a lot inches you have to remember you work in a play for you see a very high concentration through some of very unusual situations and you can’t base your decision on that you have to base it on the conversations that you’re willing to have now and the steps that you’re willing to take and my husband I both came to the conclusion that we didn’t want out the next conversation ah yeah I mean that was the true for us and it’s very different for each couple and for each woman but for us that was our situation so we didn’t go through with it perhaps that might be different two years from now I don’t know but so it is up to the individual an orderly up to the couple or the woman guru and you’ve just got us these businesses first visits are so hard because there’s a lot packed in and at this point you don’t know your doctor very well maybe you’re in a new place that report builds over time but by the end of the pregnancy hopefully you’re like feeling really comfortable like you know you yeah but at the beginning it’s hard and you’re going to be asked to make some pretty big decisions not this isn’t you can’t undo or take back but these are kind of big things that you’re going to have to come into that visit ready to answer and it’s good that we’re doing this because maybe a couple people will watch this and say oh I better look that up because I my new OB appointment next week and I want to know a little bit more about this so i can start that conversation with my doctor from a little bit more of an informed prepared place well and I think to compound on top of all of these seemingly overwhelming decisions the fact that there’s a lot going on in your body in your head yes you’re not you come home you’re not and now that’s my issue because everybody we were talking about this earlier everyone talked about Masha with privacy I felt kind of crummy but I didn’t I wasn’t sick every day was very lucky I cried all the time I’m not a crier and I was convinced at one point that I needed to be evaluated for depression and I work with enough doctors that I was able to say to one’s uiview they were like here in the symptoms do you match up with two of them crying in a corner in and of itself actually fairly normal symptom of resume you know I mean what kinds of things are women going through and what’s happening within their minds when their body is that it would help to know it’s actually kind of normal it’s all normal and yes here’s the hard part you can want so badly pregnant and really have a hard time with how you feel when you’re pregnant I think there’s this lack of sympathy from friends family coworkers partners because they’re so thought well that you wanted to be pregnant like suck it up lady and I don’t think pregnancy as a disease I don’t think you should have the mindset like you’re suffering or they your disease I think there’s a really magical fine line defined and I don’t have the secrets for and believe me i didn’t i didn’t have trouble when i was pregnant i’m one of those really annoying people that loved him I guess postpartum was really really hard on me but being pregnant so I can’t say that I experienced I mean can you imagine the women who vomit no 40 times a day my sister for 16 months comes six weeks to 36 weeks I mean nothing legitimately hard for a lot of people in a lot of different ways and it’s okay to talk about it and I would encourage one of the ways partners can be really supportive best friends mom mothers and mom fathers-in-law is to try not to say things that diminish it like well you’re pregnant or you wanted to be pregnant or you know but to just say how can I help that’s it how can I help maybe you’ve been vomiting all day and you’d like a little Gatorade pedialyte they didn’t believe me for this now have a lot of pedialyte it’s got so much less sugar than gave on I’m really really good Oh Camilla and maybe popsicles like if all you can do is you need to make ice cubes of pedialyte and melt them in your water just for a little flavor I’m telling us well that is the handy tip right there dear preview logic home I think I’ll just kidding hi model and academic physician who’s completely unsponsored with no fan since to disclose but it will take all of I guess that gallium poor guy is very useful but yeah when going back to your point about how people can be support of a notice that was the hardest one I didn’t feel like I had a right to complain because well the problem we didn’t expect to pay I’m you start to feel a lot more guilt or like I’m not yeah yep and then on how that there were days I honestly wish that I would be somewhat physically ill so it would prove that something was wrong yeah you know just because I felt so up and my biggest issue and I feel so silly admitting this was that while I didn’t start gaining weight for right away your body starts shifting and you look different I mean rocknes changed almost immediately and the waist dress moving and I wasn’t losing weight is a lot of very unfortunate women do in the room I master from being sick but I was feeling a little bit i was having horrible anxiety over how i was just going to look and it sounds so superficial to say that I know when this is something I wanted in this for the right cause but it’s still something you have to adjust to and giving up your body too much different for a greater good in this instance cir can I take this opportunity for psi please do be prepared you will need between pregnancy postpartum and breastfeeding eight different size bras six weeks with when I went in vent I had to get new one first time now it’s ridiculous you cannot stay the same size for a lot of people just do sports bras and I’m trying but there’s so much that mm-hmm and whatever fits you will in three weeks not fit you and then you have your baby and then hello izzo’s you into the next one yeah I learned to love sale racks and because if you have you know that in a couple of weeks six weeks things are going to change yeah and it’s it’s a lot to wrap your mind around and with just a couple of weeks when this is all happening so rapidly but to that point the whole thing about as soon as you find out you’re pregnant if you can eat the idea that you’re eating for two is apparently a little bit of a misnomer please explain yes you mean like a way boy allowed no calories they don’t tell us you’re so developing pregnancies are the perfect parasite they take what they need if you have any kind of balanced diet take your vitamins if you can top secret truth you don’t need prenatal vitamins prenatal vitamins are great so many people have nausea and heartburn from taking them because they’re so big I want everyone on a multivitamin if you can take some great but it’s kind of food do to make people feel like they have to be forced to swallow these big horse pills and if you are not on birth control please start a multivitamin way before you’re thinking of getting pregnant we want your folic acid stores to be up so you prevent spina bifida or the failure of the spinal cord to close in baby so multivitamins you’re not on birth control even before you try to officially try and I would argue if you’re not on birth control your kind of trying right so multivitamins are great so I’m somebody who I’ve been pregnant twice and I took Flintstone vitamins for both because I cut it with some huge anyway it’s fine Mike integrate they’re probably healthy they’re beautiful I eat an hour I used for something bad had tipped our I know I a balanced diet I knew I didn’t need the huge prenatal so well and in that first trimester too because that was I guess it wasn’t sick but all I really wanted with carbs and cheese you’re under parasitic pregnancy got everything it needed and that’s when I saw you need him on who like I said was sick the entire time was told the exact same thing you eat what you can yes and go from there yep and please don’t double your calories the Academy and that Institute of Medicine excuse me suggested I’m paraphrasing so if anyone was to quote me on this I will accept the correction happily but like 25 pound weight gain for the whole pregnancy that’s really hard that was a tight tight I think that the thought was we’re going to make a tight bar and then people when they go above that you know it when he thanked every time everyone looking at them yet that was a rough one that was years ago and it may have been updated but 25 to 35 is what I’ve read oh yes I don’t know how officials have been sore those are but that is how I also know that my mother gained 60 some-odd pounds i think granted she was 520 okay i don’t need you gain sex takes me but in pickle while to take it off and I have an aunt who the other day was telling through the story of having going to the doctor after her second daughter was born and she said her ankles weren’t going back down to normal they shrunk a little bit but they weren’t quite back to where they were supposed to be considered doctor just letters that you realize you’ve gained weight and your pregnancy that is what is the baby coming out right and so there is but so there’s a balance I think part of that and you can totally correct me here its health for the woman but also the baby has only gone away what seven to ten pounds say and then what do you lose in deliberate you lose a lot of it right away no no I mean the weight of your placenta and amniotic fluid around the baby is is maybe I’m making this up I’m going to say I just flew in and stuff but no your body doesn’t all of a sudden like suction down your eat what sounds good to you watch your portions I’m Way more of a fan of encouraging pregnant women to just be thoughtful of their portions but be open to eating whatever sounds good to them you can have ice cream every night if you give yourself a little ice cream because it’s delicious not like sitting from the TV eating your ice cream watching this is us oh just a great ratio in a four-alarm it’s apparent ice cream after I didn’t it’s also putting food on top of feeling yes yes yes that well but you know exercise stay active and if that scale is getting towards the 25 times you’re supposed to gain your whole pregnancy which is to just rough for a lot of women to achieve and you’re in 12 weeks then you know feel awful about those things but you have to understand Oh we’ll get to after the baby or we’re doing first remember even for a trimester today but we’ll come back to you time again okay so why won’t get into the weight losing weight up well we’ve added a to be continued at some point but first trimester eat what you can your baby trying don’t be scared if all you eat is real cheese okay you’re ready time and it was breakfast lunch and dinner and that’s all I want and the baby food now all I want our salad so I figure somewhere in there it’s all balancing out great oh yeah but that and um cemetery so again not a paid endorsement but I would accept cartons up and on my glass devastated told you I wouldn’t be you oh I will also say like right around the time I found out I was pregnant I was sick as a dog with a horrendous cold whatever was going through this community at the time was my head that cough that I felt down on my toes and I swear it took me longer than normal to shake it is that true does your immune system take a hit when you’re pregnant or is that just in your head no I think it’s probably true I don’t know how to make this sciency but your immune system is it sort of suppressed in pregnancy so for example somebody who has a history of em normal pap smears those can be caused by a virus and in most cases called HPV sometimes they may have another abnormal pap when they have had all normal for a couple of years just because the thought is maybe your immune system is down a little bit if you have an illness are you you take longer to clear it like a upper respiratory infection or something I don’t know it seems true in my heart but I don’t know if it’s true fact okay you know I try to say scientists and kind of essence okay I remember someone saying and this is a long time ago so a friend of mine whenever you’re pregnant buying the book that agrees with what you what you’re experiencing and roll with it and that’s kind of one of those two that I just read it online somewhere again I’m sorry about the googling and it’s just seem to agree with ya how long it was taking so and I couldn’t take what a quick take actually I didn’t know what at the time could take hot nothing yes so there are a lot of medicines that that minerals f you can take uh-huh tylenol neti pots are great in pregnancy if you’ve got a sinus infection you just can’t shake a lot of times just irrigating your sinuses really loosen things up and you get better Esther if you have a history of high blood pressure not a good idea to take something like sudafed but if you don’t and you just need to take it for a day or two it’s probably fine ok and I’m going to go and your doctor will give you a list so yes give me a hole right out of what you can take if you’re if you get to kidnap first appointment where I felt like I walked out of there with a phone novel and blue documents but one of them was the list of things you could take give me by then and it cleared us a couple how about that I could have taken robitussin it would have been just fine so I’m scrolling down the list because yeah I had to make notes in my first trimester so that I wouldn’t forget all of this because another thing that we have completely not talked about is the fact that when do you tell people I mean cuz there’s this what you feel like crummy and you’re not telling anyone and you’re sick and you’re trying to hide it and you’re trying to go to holiday parties and and we have a convoluted system of rotating glasses my husband and I did and I don’t know that it actually fooled anyone but yeah it felt like we need just be easier as we told people and we didn’t have to go with this charade but what is what is the recommendation in his era there really isn’t one everyone used to say 12 weeks but I think that predated the availability of ultrasounds in the first trimester that help you at that first OB visit see if everything’s ok growing in the right place there’s a nice heartbeat now that we have ultrasounds we can do at eight weeks I think it’s probably ok to tell people closest to you because at that point if you’re eight weeks and you have a normal ultrasound and there’s a great heartbeat you’re less than x percent chance of miscarrying so unless there are other things going on but i’ll keep it i’ll try to token focusing it’s really hard ok but i think i think it’s true that don’t tell anyone you’re pregnant for the first 12 weeks if you don’t want to circle back to them if you experience a lot so your best friend is probably going to be someone you lean on anyway your partner your parents you’re in love whoever would be in that circle to help support you if you miss Carrie or say you do the genetic testing and your personal decision when you find out your pregnancies affected I tried to meet 18 for example which is very few kiddos live past the first year of links i think it is with that one maybe you would choose a termination and you’d want your people to support you the closest to you of course tell people that would you want to be there for you the nosy lady at work doesn’t need to know right did you want to circle back to the nosy lady or guy let’s not be gender-specific then I nosy men out there too right there are so you don’t want to you don’t want to make that circle wider than it needs to be I’d say for 12 weeks but yes and it is an important point that miscarriage does not need to happen silently that people can talk about it and I mean for us it was her for our purposes I told my boss very early it until all my co-workers but I’m dragging in the morning and I’m very fortunate to work somewhere where I have a very supportive employer so I knew that if something were to happen hey I wanted to know and be I want her to to kind of give me the flexibility to deal with it however we needed to so for us that means that oh my gosh miscarriage is so common and no one talks about win tactic they feel my patients have told me they feel ashamed they feel so lonely that they’re going through the huge shift physically emotionally or modeling sometimes they have surgery that they don’t tell people about its I mean only speak to what you’re comfortable speaking to but I would want to put it out there that you if you ever brought it up in a room of women you would be shocked how many people have gone through the exact same thing and I think their support out there that you may not even expect if you’re comfortable talking about it and I think after this we will go back into a series of episodes just addressing very specific topics in the first trimester because you and I have and we can go for hours talking about the generalities all we go out of try mo yung miscarriage specifically is one that’s really important and there is just I think a great need for women to know what the process is like how it happens also but it doesn’t always happen that you don’t have to be terrified every day and I wouldn’t talk about the fact that I was pregnant until we have that eight in Golders I’m not even with my husband because i was just so nervous that we were going to lose it and i think you’ve come count on top of all of that effect that there are hormones still going buck wild in your body and altering the way you would respond normally that it just is so much for someone to deal with so we will go back and really pay deep attention to that topic I think there’s a lot of needs out there for that but as we’re wrapping up now well codes are there any other topics that you think of when you hear first time after I think we hit at you guys I mean Mississippi so I was envisioning like what do I do when someone’s in my office and why do we get what do we talk about Turkey oh my god to lunch me yes what can’t I eat I’m you can go to you is that wrong no so I so you can eat turkey if you want to be really careful microwave it for 30 seconds mm-hmm but you can eat the turkey since if you take one message from this it is you can eat it enough to turkey soft cheeses the vast majority in this country and luster and some shi shi restaurants are going to be pasteurized exactly if you’re traveling in Honduras and there’s an awesome cheese roadside stand probably not in your first trimester or at all maybe if your body’s not used to do that but no you’d only coded life advice you know don’t joke by roadside by Hyundai she should be um but no turkeys okay I mean people are like so they’re so scared cuz of Google are there any low-spirited okay so caffeine and alcohol we’ve talked about so I was in Oklahoma number update did we not we talked about it before we started all right yeah thanks you’re correcting my brain so let’s start with alcohol okay at all no at the beginning but okay if you found out you drink while you were pregnant I didn’t know yet if it’s like in the first month or the first two weeks and you had a glass of wine and then or maybe you got pregnant because you had some glasses of wine one no nothin it’s okay yes okay alcohol affects the growing nervous system of the embryo and in the first weeks of pregnancy nothing’s really developed enough that it could be affected by alcohol but once you find out no caffeine is probably okay a cup a day of coffee is probably okay especially for women who drink a lot of coffee it’s hard to go cold turkey off of it so you can get the rebound headaches ease off of it you don’t have to say oh I’m pregnant now I have to drink no coffee I went I think 275 person caffeine gcap and the curb event and i think i’m down to 40 now but i will say i went in that coffee on my way to work today and got a half-caf chef sheina which I swear it must be different in the stores than it is in my kitchen I don’t think I’ve links for three hours which is so funny because I used to be able to plan I would say for those in a day no problem there are so many good charts online here for Google’s good that give you the caffeine content of different drinks and you would be shocked how a certain grew from starbucks is five times more than its importance volume to volume being equal it’s really interesting so I’m sure what you got was like high octane ahead of them I mean I got charged and ready to go we are very productive for about two and a half hours when coffee but um I’m trying to get my husband to drink it I’m a little slow in the morning oh yeah I like sounds I want to try some Nadia want to try some know how has he gotten through we don’t under no so okay coffee probably okay one small study that I don’t love but I appreciate that it’s a study and I want to acknowledge it out there says that in the first trimester maybe caffeine can cause miscarriage and high amounts and I don’t remember the amount in milligrams of caffeine where they saw difference of miscarriage risk but if you think about a caffeine is a vasoconstrictor that’s why it helps headaches because sometimes if you can constrict the blood vessels in your brain it just kind of calm things down it also in theory constricts the blood vessels forming to succeed the new placenta and the growing baby so high doses of a vasoconstrictors are probably not great a company of Tim Hortons or your maxwell house in your kitchen is fine and there’s there’s no reason scientifically to believe that that’s dangerous artificial sweetener well I don’t like them anyone okay and say I don’t know that any doctor is going to recommend them on a given day anyhow if I need is just too sugar okay but that iron sugar is not great for the environment so I don’t know what to tell me all right so stay away committee healthy drink healthy is the execs of your daughter all right then and my last question and it was one night by meaning to ask and meta ass back and you’re talking about high res categorization advanced medical age as i mentioned i’m 34 so a friend of mine was 36 when she had her first baby and she walked into her doctor’s office and she said I’ve advanced medical age so I’m clearly high-risk and her doctor said um I’ll decide you want yeah if it just 35 automatically put you into a daryl is all about billing categories so here’s the real kick is when I was at University of Michigan before I came to watch you our actual billing code on our checkout sheet said elderly women were above 35 so that’s just me elderly primigravida first time pregnant or elderly multa graba somebody thought you had emotional problems before all would like to get back there so bad 35 and not is a higher risk group you can start to see more 2 facial diabetes pregnancy diabetes or pregnancy high blood pressure 40 and above we do recommend some extra testing at the end of pregnancy of putting mom done a little belt for 20 minutes of two times a week so much baby’s heartbeat which is a proxy for information on how the placenta is sending blood to the pregnancy but really honestly 35 Cindy’s 30 which is 30 was the new 25 so as we learn more and we’re overall healthier living longer and we have access to better testing and preventive care measures I think we’re just going to see a pushing what’s healthy for pregnancy further Alice I mean I see gynecology patients in my office too and people come in I’m 28 I’m single does that mean I’m never going to have children because i don’t even have anyone in my life yet and i want to get pregnant and I’m like oh my gosh no it’s okay well and I was like that’s how and I mean I have a full appreciation now for how people say they were surprised i used to hear people say they were surprised i know they’re pregnant wow how exactly were you surprised and then I just have decided that no one ever expects there to be a second line is always of the price but in our case uh-huh there’s no way this will happen quickly I’m not in my 20s my husband is then either this isn’t going to happen that fast but it works and healthy bodies perform like healthy body right right all right well thank you so much for your advice obviously we have so much to cover and we’ll be back with you again whether you like it or not cuz I promising it now and people are watching what I Ben & Jerry’s yes but if you’re even pedialyte then we’ll see who once it look like a heart is gonna be so fun that’s what that whatever on Christmas sister thank you so much for joining them but this will be on Facebook for you to watch later we’ll catalog it on me you think with Children’s Hospital youtube channel as well so be sure to pass along to all of your expecting mom friends and people who might find this information helpful and we’ll have more for you next week thank you for joining us have a good day

Leave a Reply

Your email address will not be published. Required fields are marked *