Latest / Other Peoples Parenting / Expecting Better: Debunking Common Parenting Myths with Emily Oster
Transcript
- 0:00Hello, everybody.
- 0:01Welcome back to another episode of Other People's Parenting, where we read parenting books and review them for you.
- 0:06I'm Skylar Hurwitz, amateur parent, and this is my mom, Karen Quinn, New York Times best selling author and founder of Habit Coach and Testing Mom.
- 0:14Hello, mom.
- 0:15Hi, Skylar.
- 0:16How are you today in your gorgeous velvet shawl shirt?
- 0:19Oh, thank you, thank you.
- 0:21All dressed up for today.
- 0:22Is that a paisley print I see?
- 0:24It is a paisley print, yes.
- 0:26Thank you.
- 0:27Thank you.
- 0:28Wow.
- 0:28I know we kind of match because we're in blue and black.
- 0:32Both of us do.
- 0:32Yes.
- 0:32My shoes, I can't tell if they're like, brown.
- 0:36Are they eggplant or brown?
- 0:37Eggplant.
- 0:38Eggplant.
- 0:39Eggplant.
- 0:39Yeah.
- 0:40Yeah.
- 0:40These are dupes of another pair of shoes that I really loved but was not going to spend $2,000 on a pair of heels.
- 0:46Well, I don't blame you if it.
- 0:48Goes on the ground.
- 0:49It's so hard for me to be like, you know what, two grand.
- 0:51Nope.
- 0:53No, but those are really cute.
- 0:55Thank you.
- 0:55They're actually pretty comfortable, too.
- 0:56I wish I got more colors.
- 0:58Yeah, you should have.
- 0:59Well, you never know when you buy a pair of shoes if they're actually going to be comfortable.
- 1:03That's the problem.
- 1:04Yeah, you find out later.
- 1:06Yeah.
- 1:06But my tennis shoes that I'm wearing right now, I love them so much.
- 1:09Your orthotics.
- 1:10And they've got orthotics now.
- 1:11I'm.
- 1:11I'm old enough now that I wear orthotics.
- 1:14It's so embarrassing.
- 1:15You also just had a knee surgery, so, like, you gotta, you know, go easy on yourself.
- 1:19Teen, by the way, is attacking her recovery from all angles.
- 1:22She has pt, she's swimming, she's doing the massage.
- 1:28Medical.
- 1:28Massage.
- 1:28Medical massage.
- 1:29I mean, I did acupuncture, which you hated.
- 1:33I hated.
- 1:34But still, I tried everything to get better.
- 1:36Yeah.
- 1:37For those of you considering a knee replacement, they're lying to you about the recovery time.
- 1:41It's hard.
- 1:42It's very hard.
- 1:43Go into it.
- 1:44Presuming it will take twice as long and be twice as hard.
- 1:46It's hard.
- 1:47But anyway, yeah, that's.
- 1:49We're here to talk about babies, right?
- 1:51We are talking about babies and we're talking about Emily Oster, who we love.
- 1:55We love her.
- 1:57She's great.
- 1:57Yes, we do like her team.
- 1:59Would you like to display the book?
- 2:00Oh, yes.
- 2:01For our viewers viewing purposes.
- 2:02So for those of you who can see us on YouTube, here we are.
- 2:08This is called Expecting Better by Emily Oster.
- 2:11It's A classic.
- 2:12It's a classic.
- 2:13It's a modern classic.
- 2:14It's a classic.
- 2:15Yes, obviously.
- 2:15It is a take on what to expect when you're expecting, which I'm sure you probably read when you were expecting.
- 2:24I did read that when I was expecting.
- 2:26I started to read it when I was expecting.
- 2:29And the first, like 50 pages were terrifying.
- 2:32Oh, were they?
- 2:33Yeah, they just listed all these crazy things that can go wrong.
- 2:35And it's like, girl, I did not ask for this.
- 2:37Right.
- 2:38Well, I think Emily.
- 2:40I hope I can call her Emily.
- 2:42I don't see why not.
- 2:43I don't.
- 2:44I don't think she's a doctor because it doesn't.
- 2:45She could be a doctor, but Professor.
- 2:47She's a professor.
- 2:49Professor Emily.
- 2:50Well, anyway, I mean, Emily does.
- 2:53Has a different way of doing it because what she does, she takes all of those, I guess, wives tales or things that, like they tell you, for example, in what to expect when you're expecting can go wrong.
- 3:08And they say, oh, and it's all based on research.
- 3:10Well, she goes back and she looks at the research.
- 3:13Whose research?
- 3:14Whose research?
- 3:15And what did it really say?
- 3:17She really gets to the bottom of the research and she lets you know what's true and what is really probably not true.
- 3:24Yes.
- 3:25And then she suggests you make your own decision.
- 3:27But still, you know, she gets to the facts.
- 3:33And that's what I liked about this.
- 3:35Book that is newly pregnant.
- 3:37I suggest pick this book up or if you're pregnant with your second child.
- 3:42So many myths were debunked for me reading this book, and it gave me such peace of mind.
- 3:50Right.
- 3:51And I really wish.
- 3:54I wish for every person again who is either trying to have a baby, there's a whole segment on conception or is pregnant.
- 4:01Just pick this book up.
- 4:03It's the only book you need to read before you have a baby.
- 4:06Or you can just listen to this.
- 4:07Oh, well, true.
- 4:08Well, we'll see how much we cover how we get covered, but we'll try to cover a lot of.
- 4:13We'll give you a lot of conclusions that Professor Emily came to.
- 4:18But if you're pregnant, you probably want to read the research behind.
- 4:23And so if you really are going through this, I think it's worth a read for sure.
- 4:28But Emily.
- 4:29Professor.
- 4:30Emily.
- 4:30Professor Emily.
- 4:31She's an economics professor at the University of Chicago.
- 4:35And what she does is she spends her life looking at research studies and data, and she evaluates the quality of the information and the conclusions in the studies.
- 4:44You guys might remember a couple weeks ago, we covered her second book, Crib Sheet with our fabulous friend Jersey.
- 4:52Yes, we did.
- 4:53But this is the book that comes before that.
- 4:55Right, right.
- 4:56That one starts as soon as the child is born.
- 4:59Yeah.
- 4:59This one is up to the time the child born.
- 5:02Yeah.
- 5:03And what happened was she got pregnant and, and she discovered that pregnancy, medical care seems to be a long list of rules based on studies.
- 5:14Yeah.
- 5:14And at that point she started, you know, researching all these recommendations that doctors made, combed through the recommendations, looked at the studies, came to her own conclusions and put out this book.
- 5:26Yes.
- 5:27Which was a service to women everywhere.
- 5:30Everywhere.
- 5:30Yeah.
- 5:31Because when I was pregnant, of course, this was a long time ago, you know, my doctor would say all these things to me that are in the book that she's debunking at this point, some of them.
- 5:42So that was interesting.
- 5:44And so she just says that pregnancy suffers from a lot of misinformation.
- 5:51Some of the studies recommendations are based on better data than others.
- 5:56And you really can't make any decision based on these studies on pregnant.
- 6:01Based on what to do when you're pregnant unless you know about the study and what, what's behind it.
- 6:06And that's what this all is.
- 6:08Okay.
- 6:10So she starts by telling this big story to prove her point about her husband, who's a economist.
- 6:18He's an economist and he wrote an a paper on the impact of TV on children under two.
- 6:25Because the American Academy of Pediatrics says there should be no television for children under two.
- 6:31They say that they can't learn anything from telev.
- 6:33So.
- 6:34Right, they can't.
- 6:35They can't learn.
- 6:36And they said, the research said that if.
- 6:39That if children under the age of two watch a lot of tv, they're going to perform worse on tests.
- 6:45And when you dig into the data, you learn that the score differences between these kids is correlated, but it's not causal.
- 6:53Yes.
- 6:54So what they, what the media said was that they said, SpongeBob, if your child watches SpongeBob, SpongeBob, your child will be dumber.
- 7:02And they said it was like a causal claim.
- 7:05And what he did was he put this whole study together where he went back and he looked at test scores of kids who had been exposed to TV when it very first started out in the 1950s, versus kids
- 7:19who were living in areas where TV just wasn't available at the same time.
- 7:23And he compared their test scores and what he found was that, no, you know, that it was just bunk.
- 7:35He says that, you know, you can't compare a one year old who watches four hours of TV a day.
- 7:41And a one year old who watches none.
- 7:44Because a one year old who watches none probably has more educated parents.
- 7:49Yeah.
- 7:49There are all sorts of other elements that contribute to this child's test scores.
- 7:53Exactly, exactly.
- 7:55And the lower test scores were not because they were watching spongebob.
- 8:00It was because they were brought up.
- 8:02Why do you keep saying it like educated parents?
- 8:05Spongebob.
- 8:06Spongebob.
- 8:07You keep saying spongebob.
- 8:09Oh, do I call it with a down glide?
- 8:11Why spongebob?
- 8:13I don't know.
- 8:14I think of it as spongebob.
- 8:16Okay.
- 8:17I'm kind of.
- 8:17It's spongebob, but that's okay.
- 8:19Oh, yeah.
- 8:20Is it two words or one word?
- 8:21It's one word.
- 8:22It's a name.
- 8:22Spongebob.
- 8:23Yeah, I love spongebob.
- 8:28I guess I think of it as two words.
- 8:30Sponge and Bob.
- 8:31No, it's his first name.
- 8:33It's his first government name.
- 8:34His name is Sponge.
- 8:35And his last name is Bob.
- 8:36No, his first name is SpongeBob.
- 8:38Oh, okay, I got it.
- 8:40Okay, whatever.
- 8:42SpongeBob.
- 8:43SpongeBob came along after you were a child, by the way.
- 8:46I watched it.
- 8:47Well, yeah, but you were older.
- 8:49You were not a little child watching it.
- 8:51I felt little.
- 8:52Well, I don't remember that.
- 8:54That being one of the big shows we watched.
- 8:56I saw Blue's Clues a lot of Maury.
- 8:59I watched a lot.
- 8:59And Montel Williams.
- 9:01Oh, really?
- 9:02Yeah.
- 9:03Oh, anytime I would stay home from school, it would be like Maury, Jerry Springer, Montel.
- 9:09But what about.
- 9:10Didn't we used to watch those little Rugrat kids all the time?
- 9:13Oh, yeah, I love the Rugrats.
- 9:15Rugrats.
- 9:16And I'm trying to remember what the big.
- 9:19For me, I'm thinking back to the cartoons and stuff.
- 9:22Yeah, yeah.
- 9:23I mean, listen, they were all great, but spongebob.
- 9:26But spongebob was a more recent.
- 9:29Yeah, a new recent character.
- 9:30Exactly.
- 9:31Anyway, a couple of the things that she.
- 9:33That struck me most excitingly when I got pregnant and read this was so the reason doctors recommend that women do not drink during pregnancy.
- 9:45And to be clear, I didn't really drink during pregnancy myself, but they say it actually is safe to have one drink a day.
- 9:53A regular sized drink.
- 9:54Not just one drink, but six drinks in one glass after the first trimester, I believe.
- 10:01Well, did you.
- 10:02Okay.
- 10:02You're jumping ahead.
- 10:03But that's okay.
- 10:04But that's okay.
- 10:05That's okay.
- 10:05We can do that.
- 10:06Yeah.
- 10:06If I were speaking to another parent who was on the fence about joining Testing mom, you know what I would say to them?
- 10:13Is that you're never going to regret having done this.
- 10:16You may regret not getting help because you know, you might not get that test score that you're looking for, or you're going to go through a harder experience trying to help your child go through what's something you really
- 10:26need professionals to help you on.
- 10:28And so I think hindsight is 2020 always.
- 10:30And you're really not going to regret this opportunity.
- 10:33But did your doctor tell you you couldn't drink?
- 10:36Yeah.
- 10:37And they said no drinking, no raw fish and all sorts of stuff.
- 10:40And Emily was like, actually, you can have a glass of wine.
- 10:44There's also.
- 10:45Also the caffeine intake.
- 10:48Well, let's start with drinking.
- 10:49We'll start with drinking.
- 10:50Drinking.
- 10:51She says as I jump ahead to my notes.
- 10:53I know exactly where this is.
- 10:54Okay.
- 10:55Okay.
- 10:56She says, light drinking in the first tr.
- 10:59That's one to two drinks a week.
- 11:01In the first trimester?
- 11:02Yes.
- 11:03In the.
- 11:03Although I don't know who would want to drink during their first trimester.
- 11:06Well, if you are.
- 11:08You feel so terrible.
- 11:09Well, but I thought.
- 11:11Did you feel terrible?
- 11:12Yes, I felt terrible.
- 11:13I mean, I wasn't vomiting, but I was.
- 11:15I was more tired than I had ever been in my life.
- 11:18You were tired?
- 11:19There was nothing about my life at that point that was like.
- 11:21You know what would be great?
- 11:22A glass of wine.
- 11:23Oh.
- 11:24To put me to sleep.
- 11:25You were.
- 11:25I'm already asleep.
- 11:26Okay.
- 11:26Okay.
- 11:27Well, and then one to two drinks a day in the second or third trimester is okay.
- 11:32Yeah, that's what she says.
- 11:34She says, look, she looked at all the data, all the studies, and that.
- 11:38Idea came about because doctors, male doctors are like.
- 11:42Women can't handle limitations.
- 11:44If we tell women they can drink while they're pregnant, they're gonna go absolutely ballistic, and they're gonna be in Vegas on benders for nine straight months.
- 11:52And.
- 11:52No, no, no.
- 11:53And she's.
- 11:53They do say that you shouldn't drink a lot in a short time.
- 11:56So avoid shots.
- 11:58Yeah.
- 11:59Avoid liquor.
- 12:01Say.
- 12:02Well, I don't know.
- 12:03One to two drinks if liquor is your drink.
- 12:05I guess.
- 12:06I don't know.
- 12:07I feel like maybe that's, like, a mental block for me where it's like, I'm not going to be, like, banging tequila shots.
- 12:12Well, I'm pregnant.
- 12:14She says, probably avoid shots.
- 12:16And heavy drinking in general has negative consequences.
- 12:19But then when it comes to caffeine, she said, the studies conclude that caffeine in moderation.
- 12:25Coffee in moderation is fine.
- 12:27Yeah.
- 12:27200 milligrams a day.
- 12:29Well, that's two cups of coffee a.
- 12:31Day, which, if you're measuring it by caffeine intake, is 200 milligrams.
- 12:35Okay, see, I wouldn't know what to do with 200 milligrams.
- 12:38Well, nowadays, I think if you get.
- 12:40I get, like, cold brew cans, they tell you how many milligrams of caffeine.
- 12:44Which, again, if you're ever worried.
- 12:46Okay.
- 12:46If you're ever like, I need to specifically know how much caffeine I'm having, those are great.
- 12:51Oh, because, like, you can't go to a coffee shop.
- 12:53Be like, how many milligrams?
- 12:54Maybe some.
- 12:54But I don't think my coffee shop would have an answer to that question.
- 12:58Well, she's saying two cups of coffee, but, you know, cups are different sizes.
- 13:02Cups are different sizes, different kinds of coffee be.
- 13:05Have different caffeine percentages.
- 13:07Well, and then she says some evidence says you can have more up to three to four cups.
- 13:12And there's mixed evidence about having four cups a day.
- 13:17There are some possible linkages to miscarriage.
- 13:20So with coffee, moderation is where you should land.
- 13:25One thing you absolutely should not touch or be anywhere near is tobacco.
- 13:29Right.
- 13:30Smoking, nicotine.
- 13:31None of that.
- 13:32No.
- 13:32Secondhand.
- 13:33No, do not smoke, do not vape, do not dip, do not zinn.
- 13:40Nothing.
- 13:40Nothing.
- 13:41Don't.
- 13:41Don't be smoking.
- 13:42If you're a smoker and you find out you're pregnant, quit immediately.
- 13:46Yes, absolutely.
- 13:48Yep.
- 13:49So she was saying that some of the things that she was told when she started, before she started writing this book, is she was trying to figure out when she could get pregnant.
- 13:59And her doctor said, oh, don't worry about your fertility until you're about 35.
- 14:05You don't even have to worry about it.
- 14:07But she looked at the.
- 14:09And she realized, well, wait, no.
- 14:11Fertility goes down as you get older.
- 14:13And she was 28, and she decided that she really had to get started by the time she was 30.
- 14:20Good for her.
- 14:20Yeah.
- 14:21So, you know, and she had two kids, so, you know, she needed a little time.
- 14:24Knock him out.
- 14:24Yep.
- 14:25She knocked him out.
- 14:26I'm gonna be geriatric my next pregnancy.
- 14:28Are you?
- 14:29Yeah.
- 14:29Or, I'm sorry, now we're calling it advanced maternal age.
- 14:32Oh, okay.
- 14:33Which honestly, sounds bad.
- 14:34Sounds just as.
- 14:36I mean, I don't know what sounds worse, but I don't feel advanced at any.
- 14:41Well, it's because you waited, you know.
- 14:43I did.
- 14:43Yeah.
- 14:44I did.
- 14:44It is what it is, so that's okay.
- 14:46They'll take good care of you.
- 14:47They will all right, so she was also hearing advice about, you have to get into good shape before you get pregnant for a healthier pregnancy.
- 14:55She looked at the studies around obesity and pregnancy, and she learned that women classified as obese do have more pregnancy complications for both mother and baby.
- 15:06So if you are overweight significantly, there may be some health benefits to losing weight before pregnancy.
- 15:14Oh, and this one's, I think, a good one because this was one I remember hearing because I had trouble getting pregnant.
- 15:21And so a lot of times obs will say, have sex every other day around the time you ovulate just to make sure that the sperm gets better.
- 15:33You know, it has.
- 15:34Has a chance.
- 15:35Like, if you just have sex every day, the quality of the sperm isn't as good.
- 15:40So skip a day, go every other day.
- 15:42That's what I was told.
- 15:43Okay.
- 15:44Yeah.
- 15:44And we were trying to get pregnant, so we were following that advice.
- 15:48But what she said is, no, there's no benefit to alternating sex days.
- 15:53You just have to hit the day of ovulation or the day before.
- 15:58That's it.
- 15:58Yeah, yeah.
- 15:59There was one other thing that she mentioned, too, in the conception section where she's like, a lot of people are worried when they find out they're pregnant, but they didn't.
- 16:08They weren't really trying.
- 16:09And they're like, man, I was in Mexico.
- 16:11I was like.
- 16:12I was drinking, I was smoking.
- 16:13I was doing all of this stuff.
- 16:15Like, is this gonna impact the health of the baby?
- 16:18And what she says is, in the first, like, six to eight weeks or something, I'd have to go back and look for the specific timeframe.
- 16:26But she's like, that can really only impact your ability to conceive.
- 16:30But if you conceive, it's not gonna impact the baby.
- 16:34Okay.
- 16:34Okay.
- 16:35So you're safe if you were in Mexico.
- 16:38Don't freak out.
- 16:39Yeah, don't freak out.
- 16:40Okay.
- 16:41Okay, good.
- 16:43Now, again with conception, she talks about charting your temperature.
- 16:49Is that better than home ovulation kits?
- 16:51And she said that ovulation pee sticks cost more, but they are more accurate than temperature methods.
- 17:00So that's according to the studies.
- 17:02Good to know.
- 17:03Yeah.
- 17:03So, anyway, so there you go.
- 17:06And she talks about the two different kinds of studies, and we know that randomized trials are the best.
- 17:14We see this in every one of her books where she talks about this, that that's where they get two groups of people.
- 17:19They assign them to different groups randomly, and they're all similar except for one variable that's the best.
- 17:27But they don't have A lot of those studies.
- 17:29And then when they can't randomize, they do observational data where they compare people who say they do the behavior or not.
- 17:40But then you're dealing with people's own personal accounting.
- 17:43And it's less scientific.
- 17:45It is bit more subjective.
- 17:46Exactly.
- 17:47So she says those aren't the best, but anyway.
- 17:50So we should get to miscarriage.
- 17:52Yeah.
- 17:53You can get an ultrasound around seven weeks, and this would identify an ectopic pregnancy, if that's what's going on.
- 17:59And it can also show if your embryo is developing normally or not.
- 18:02There isn't much you can do to prevent an early miscarriage.
- 18:08They say that 90% are the result of a chromosomal issue.
- 18:11So miscarriage rates do fall from about 11 to 2% after the first 12 weeks, which is why a lot of people wait to do.
- 18:20I think you have to wait to do the NIPT test, but also why the people wait to tell anyone.
- 18:25Right.
- 18:25You know, because you just don't know.
- 18:27They're like three months out.
- 18:29Yeah.
- 18:29And even then, I mean, you just don't know.
- 18:31Anything can happen in a pregnancy is the truth.
- 18:34But, you know, I mean, we.
- 18:36I had a very scary situation like halfway through my pregnancy, but it ended up being fine.
- 18:41And like, that's the thing.
- 18:42Like, you just don't know.
- 18:44Being pregnant is such a.
- 18:46Every pregnancy is different.
- 18:47Every person is different.
- 18:48And you really do just sort of have to like, keep calm and carry on as best you can.
- 18:53Because it's all this new weird stuff.
- 18:56I know.
- 18:56It is.
- 18:57It is.
- 18:57And they said that the risk of miscarriage is higher if you have a history of miscarriage and if you're older and, you know, I had had a miscarriage and the first time I got pregnant and so the second
- 19:16time with you, when I did finally get pregnant, my doctor was able to do some things.
- 19:22I went to a doctor who specialized in miscarriage and he was able to give me.
- 19:27I think I took like, progesterone suppositories to hold on to the pregnancy.
- 19:33So there's things you can do if you've had a miscarry.
- 19:36Yeah.
- 19:36You can also, if it's an issue with cervical length, you can get a cerclot early on in your pregnancy.
- 19:44And like, I wish I had known this because that would have saved me a lot of grief.
- 19:50My pregnancy was classified as high risk because we found out late in the pregnancy that I have a short cervix.
- 19:56And there's nothing.
- 19:57There's like no way of knowing it unless you ask.
- 20:00So ask your gynos, ladies.
- 20:02You mean they can tell you before you get pregnant?
- 20:05They can.
- 20:06Or if you're at risk for shortening.
- 20:10And I wish I'd known because I might have opted for a cerclage, which would have taken me off of partial bed rest.
- 20:17I was partially bedridden for my pregnancy because it's a stitch they put in your cervix that just keeps it closed because I was at risk for preterm delivery.
- 20:27I see.
- 20:27Okay.
- 20:27And the whole big thing was getting me to the point of viability, which I think is around 24 weeks, which obviously high risk.
- 20:34You don't want to deliver a baby at 24 weeks, but they have a much higher chance of survival at that point if you have to deliver them early.
- 20:41Right.
- 20:42But scary.
- 20:43And then I went on Reddit to shortservix Reddit, and I learned some amazing tips.
- 20:48That's why I love Reddit.
- 20:49I love Reddit.
- 20:50Yeah.
- 20:51Crowdsource your information, ladies.
- 20:54Yeah.
- 20:55They're so helpful, the people.
- 20:57So helpful.
- 20:57And so many women had been through something similar where they were like, yeah.
- 21:01I mean, I was at the point when I found out that it was too late for a cerclage because at a certain point, it's higher risk than it is beneficial.
- 21:10But there were other things I could do to help, and I did all of those things.
- 21:15But for my next pregnancy, God willing, I would.
- 21:18I might opt for a sur clage just because it will make my pregnancy.
- 21:21Now that I have a toddler, I'll be taken care of.
- 21:24I can't really be on partial bed rest.
- 21:26So you have to consider these things.
- 21:27Right, Right.
- 21:29Going into a second pregnancy or if you're.
- 21:31If you're first pregnancy and you're working and you don't have the ability to be on partial bed rest, like, well.
- 21:36And by the way, there's one of the things.
- 21:38She says it's farther along, but I'll.
- 21:41Tell you now, 18 hates when I go out of order.
- 21:45But it's funny because I'm so unorganized in life, but it's.
- 21:49You are so organized in pod, in.
- 21:51Pot, in the podcast.
- 21:53But anyway.
- 21:54No, but.
- 21:55No but.
- 21:56But the bed rest question was one of the things she researched, and she said, really, A lot of people get put on bed rest, but they.
- 22:05They.
- 22:06She's not sure.
- 22:08The evidence suggests it.
- 22:10There are risks for bed rest.
- 22:11There could get blood clots, which you are at higher risk for when you're pregnant, and a number of other things.
- 22:16They say moderate activity is Suggested they were just like, Skylar, don't run a marathon.
- 22:21Don't pick anything heavy up.
- 22:24Don't go too crazy because.
- 22:27So it's not like being in bed sometimes.
- 22:29No, it's just they were like, be in bed when you sleep.
- 22:31And then the rest of the time I couldn't work out.
- 22:35Yeah, there were a lot.
- 22:35I wasn't supposed to take stairs after a certain point in my pregnancy if I could avoid them.
- 22:39Okay.
- 22:41There were all these things that, like this could just send you into preterm delivery.
- 22:44And I was like, wow, the world, it's so hazardous.
- 22:47I guess so.
- 22:48Oh, my gosh.
- 22:49Well, anyway, being older is a.
- 22:52Gives you a risk also for miscarriage.
- 22:54You know, if you're under 20, the miscarriage risk is 4.4% and then 6.7 if you're 20 to 35 and 19% if you're over 35.
- 23:06That's scary.
- 23:07And if you, if you got pregnant via IVF, one study reported a 30% miscarriage rate.
- 23:14And this is interesting.
- 23:16A risk factor is nausea.
- 23:18If you're not nauseous, you are more likely to miscarry.
- 23:22Yeah.
- 23:22They say because what causes the nausea is the pregnancy hormone.
- 23:26Right.
- 23:27So maybe you're producing less of it.
- 23:28Less of it.
- 23:29But I, I had no nausea and I was able to carry.
- 23:34Maybe not no nausea, but I wasn't vomiting.
- 23:36I didn't have anything.
- 23:37I maybe had one day of feeling a little sick to my stomach.
- 23:41Honestly, my PMS is worse than my pre pregnancy.
- 23:45Oh, my God.
- 23:46I remember when I got my period after being pregnant, I was like shocked.
- 23:49Oh.
- 23:49I was like, wait, I forgot about this.
- 23:52Oh, no, this is okay.
- 23:54And for me, it happened after I stopped nursing.
- 23:56Oh, it did.
- 23:57Okay.
- 23:58All right, well, well, all right.
- 24:00So then she gets into off limit foods, which is really interesting because she says don't worry about sushi and raw eggs, which they do tell you not to eat.
- 24:09She says it's okay.
- 24:10I ate raw salmon during pregnancy.
- 24:13I avoided tuna in every form because of the mercury content.
- 24:16Yeah, mercury.
- 24:17She said don't eat tuna because of mercury, but eat fish because omega 3 fatty acids are very good and they're correlated with kids having higher IQs.
- 24:28Also take a fish oil supplement if you can stomach.
- 24:30Stomach it.
- 24:31Oh, yeah.
- 24:31But it makes you burp up this fish oil.
- 24:33Well, okay.
- 24:34Ritual pro tip has one that tastes like mint.
- 24:37Oh, nice.
- 24:37Yeah, so peep that.
- 24:39All right.
- 24:40Then she talks about toxoplasmosis, but you can avoid that.
- 24:46It's damaging to the baby.
- 24:48But you can cut your risk in half by thoroughly washing your vegetables and not eating raw or rare meat.
- 24:55Listeria.
- 24:56Very bad.
- 24:57Very bad.
- 24:57Very bad.
- 24:58But it's associated with.
- 25:00With foods like cantaloupe, celery, sprouts.
- 25:04It can be clear.
- 25:05It can be in anything.
- 25:06It can be in any food.
- 25:08Exactly.
- 25:08So you hope that you just.
- 25:10You just have to be careful.
- 25:11Yeah.
- 25:11And avoid litter boxes because of toxoplasmosis.
- 25:15Yeah.
- 25:18Also, there's.
- 25:18There's a cat scratch thing that you're supposed to be careful about.
- 25:21I don't remember what.
- 25:22But remember, I guess cats can be a little more perilous during pregnancy.
- 25:26Okay, okay, okay.
- 25:29Let's see.
- 25:30So we talked about nausea a little bit.
- 25:33So prenatal screening.
- 25:35This was fun.
- 25:36Oh, my God.
- 25:37Oh, yeah.
- 25:37That's interesting.
- 25:38Okay, so you feel like you're at.
- 25:40The doctor every week.
- 25:42Well, you cut.
- 25:42You are there a lot.
- 25:43You're there so much.
- 25:44Yeah, you go a lot.
- 25:46And the question is, should you do a prenatal screening?
- 25:50And it says the goal is to.
- 25:52Learn if your child or baby has any chromosomes.
- 25:56Chromosomal.
- 25:57Did I say that right?
- 25:58Yeah.
- 25:59Abnormalities such as down syndrome.
- 26:01And they have amniocentesis, which they do at 16 to 20 weeks.
- 26:05And it's said to have a 1 in 200 risk of miscarriage or chorionic villus sampling, CVS done at 10 to 12 weeks, which is said to have a 1 in 100 risk of miscarriage.
- 26:19And there's other screening options, like blood tests that you can sequence the DNA they carry.
- 26:24No.
- 26:24No miscarriage risk.
- 26:29But they can't tell you for sure if your baby's gonna be affected.
- 26:32Yeah.
- 26:33And honestly, even with the other tests, it's not as if they can detect absolutely every potential abnormality.
- 26:39Not every potential.
- 26:40And also for some people, they suggest doing genetic testing prior to see if you are predisposed for certain things, which, you know, depending on your circumstances, worth considering might be.
- 26:52That's right.
- 26:52And so in her case, she said, okay, I was trying to figure out what should I.
- 26:56And she said, one, I could do nothing and just wait and see.
- 27:00Two, I could just start with less invasive screenings and only do more invasive screenings if the results indicate a risk.
- 27:07Or three, I should just do the tests and find out for sure.
- 27:12And she spends a lot of time on these tests, so, I mean, you really have to read this part.
- 27:17But she researched everything.
- 27:20She wanted to know how accurate it was at detecting chromosomal problems.
- 27:28And specifically which ones.
- 27:30Right, which ones.
- 27:31Exactly.
- 27:32Anyway, where she Came down was, she said, with CVS and amniocentesis, those are the ones that have a needle going into your uterus where they take cells out of your head.
- 27:42Those are the ones that carry a risk of miscarriage.
- 27:45The rest are just a blood test.
- 27:46Exactly.
- 27:47And so she said doctors do cite the 1 in 200 risk of miscarriage for amnio, 1 in 100 for CV.
- 27:55She says these are high figures.
- 27:57She looked at the data.
- 27:58She concluded these figures are from low quality historical data.
- 28:03The risks are much lower.
- 28:05More like 1 in 800 or possibly even 1 in 1600, which is good.
- 28:10Well, also you have to consider, you know, this is the, the data they were citing was global.
- 28:15So if you're in a more developed country, the chance of, of most of these complications is inherently lower because the quality of care you'll be receiving is typically higher.
- 28:26Typically, yes.
- 28:27Uh huh.
- 28:27So she says, you know, when making the decision, look at your age, you know, the older you are, the higher the risk and the, versus the risk of miscarriage, what's most important to you?
- 28:38It comes down to your own preferences.
- 28:41She says she decided to skip invasive testing with her first child, but she did it with her second.
- 28:47Yeah, I might do it with my second, but I'll see.
- 28:49I mean, I'm gonna be over 35, so.
- 28:52Yeah, yeah.
- 28:53So yeah, I think it's worth considering.
- 28:56And again now knowing that the risks are so much lower than they're initially sort of, you know, represented.
- 29:02That's comforting.
- 29:02That is comforting, exactly.
- 29:05Other things, other perils.
- 29:08There are so many.
- 29:09There really are.
- 29:10Gardening.
- 29:11Another thing that is a risk of toxoplasmosis, which causes low iq, vision problems, and occasionally worse, worst case, death for babies.
- 29:20If you must garden while pregnant, use gloves and a mask to avoid inhaling, I imagine fertilizer particles, I guess, and then hair dye.
- 29:28Chemicals can cause birth defects in rodents and cancer.
- 29:33But she looked at the studies and says that there's not really a reason to worry about hair dye during pregnancy.
- 29:38Okay.
- 29:39Don't take Accutane, which is an acne medication.
- 29:42It has so many, many side effects.
- 29:44So if you don't need it, don't take it.
- 29:46Either way.
- 29:47One of its ingredients is associated with birth defects, but the data isn't super clear on topical retinoids.
- 29:53So retinol, Retin, A, Evita.
- 29:56But she suggests avoiding them because again, there's just not that much data one way or another.
- 30:03But you can use salicylic acid and sunscreen and self tanners while pregnant.
- 30:08So avoid anything that raises your temperature above 101 degrees.
- 30:12So.
- 30:12So hot tubs.
- 30:14Hot tubs, honestly, are kind of gross regardless.
- 30:16Unless they're, like, your personal hot tub.
- 30:18Oh, I didn't think of that.
- 30:20And I've been getting in the hot tub at the health club.
- 30:22Oh, I don't do that.
- 30:23Public hot tubs are a no for me.
- 30:25Are they?
- 30:27It's like a water park.
- 30:29I guess you're right.
- 30:30I don't know, Bevy.
- 30:32My nanny growing up instilled the fear of God in me about water parks.
- 30:37Really?
- 30:37She's like, skylar, you don't understand.
- 30:39You think you know about germs, but then you get to a water park.
- 30:43Every germ under the sun exists in great quantities at water parks.
- 30:48So public water things I'm generally a bit wary of.
- 30:51Okay.
- 30:51Just in life.
- 30:54So no saunas, hot baths.
- 30:56I mean, I was.
- 30:58My first few months being pregnant, I was literally measuring the temperature of my bath.
- 31:02And then I was like, you know what?
- 31:03This is silly.
- 31:04I can't live like this.
- 31:05And it was fine.
- 31:06Okay.
- 31:07People worry about radiation on planes, but she says unless you travel, like, super frequently, you're probably.
- 31:12Probably fine.
- 31:13So if you're a flight attendant or a pilot, you may need to limit your flights, but anything less than that, you're probably fine.
- 31:20And sex is generally safe during pregnancy.
- 31:23Unless you find out you have a short cervix, in which case it's not.
- 31:27Now we know.
- 31:28Now we know.
- 31:29Okay.
- 31:30So eating for two.
- 31:31This is another myth.
- 31:32She's like, you don't really need to eat twice as much as you usually do.
- 31:37You can get by with an extra, like, 300 calories.
- 31:40So, like an apple, that's not a lot.
- 31:43Okay.
- 31:46And she says it's not clear that.
- 31:48If you gain excess weight when you're pregnant that this is going to impact your child's weight later.
- 31:52She thinks that the impact is, like, small to none.
- 31:54But if you do gain more weight than recommended, your child might be bigger at birth, which, you know, do with that what you will.
- 32:02Depending on your method of delivery, I might be concerned about that.
- 32:06But in terms of impacting your baby, it's probably worse if they're born too small than if they're born too large.
- 32:12That's across the board.
- 32:13Agreed upon.
- 32:14Yes.
- 32:14Okay.
- 32:16Illness in pregnancy, unless, like, the flu and Covid, can be very serious in pregnancy, but it won't cause fetal complications.
- 32:24But talk to your doctor about getting vaccinated before you're pregnant.
- 32:27Like, if you're trying, it's worth getting mmr.
- 32:31Potentially Covid.
- 32:32Potentially flu.
- 32:33I think you can't.
- 32:34Can still get them.
- 32:36Oh, yes.
- 32:37While you're pregnant.
- 32:37I think I got.
- 32:39I think I got.
- 32:40I know I got a vaccine while I was pregnant, but I don't think it was mmr.
- 32:43Okay.
- 32:47Oh, my God.
- 32:47You can get Parvo.
- 32:49People can get Parvo?
- 32:51Well, it says.
- 32:51Yeah.
- 32:52Parvo virus.
- 32:53It says it doesn't cause birth defects, but will cause fetal anemia that needs treatment.
- 33:00And there's two other things they said to watch out for.
- 33:03They're very common.
- 33:04Common cytomegalovirus.
- 33:06I never heard of that.
- 33:07It's a herpes virus and parvovirus.
- 33:10Yeah.
- 33:10Herpes can be very dangerous for babies.
- 33:13Oh, I didn't know that.
- 33:14Yeah.
- 33:15Okay, but she said talk to your doctor.
- 33:18Yeah.
- 33:18Because this is a case by case basis.
- 33:21Exactly.
- 33:22That's crazy.
- 33:23I had no idea people could get Parvo.
- 33:25I've only ever seen my dogs get vaccinated for Parvo.
- 33:27Oh, yeah, my dog.
- 33:29Yeah, mine too.
- 33:30And most doctors, when you find out you're pregnant, they will give you an STD test and just sort of confirm, like, what you have and don't have and see what's treatable and what's not.
- 33:40Cause there are certain things, if you have a vaginal delivery that you can then transfer to your baby.
- 33:45And you might opt for another form of delivery.
- 33:48If that's the case, if you can't treat it before the baby's born.
- 33:53Honestly, guys, I elected for a C section, and I would do that a million times over.
- 33:57But you didn't elect.
- 33:58Your baby was breached.
- 34:00But before I knew she was breech, I was there campaigning for a C section.
- 34:06And all my doctors are like, oh, you know, just give it a try.
- 34:10I'm like, no, thanks.
- 34:11Will they now allow you to have.
- 34:13A.
- 34:13I don't know why they would.
- 34:14I have the scar.
- 34:15Listen, the door exists.
- 34:17Just open it, get right in.
- 34:19Both mine were C sectioned.
- 34:21Yeah.
- 34:22Was Sam's easier?
- 34:23Oh, yes, much easier.
- 34:25Because you knew it was coming.
- 34:26I knew it was coming.
- 34:27We planned for it.
- 34:28Yours was an emergency.
- 34:29Yeah.
- 34:29Surprised?
- 34:30Yeah, yours was.
- 34:32I.
- 34:32I don't know.
- 34:33Yours was very painful.
- 34:35His was better.
- 34:36Okay, so boy or girl?
- 34:38You obviously can learn the baby's sex if you do prenatal testing, cvs, amniocentesis, ultrasound.
- 34:46There's no evidence that the fetal heart rate or how you're carrying the baby predicts gender.
- 34:52Those are.
- 34:53You know, people will say, oh, I can tell by you're carrying high.
- 34:56Yeah, it's A boy.
- 34:57Exactly.
- 34:58No, no.
- 34:59She says no.
- 34:59These are wise tales.
- 35:01You cannot impact gender by changing the timing of sex before conception.
- 35:06What a crazy thing to believe.
- 35:08No, they used to believe it when I was.
- 35:11You know, because people were trying to control.
- 35:12Back when they.
- 35:13I was going to say back when they believed in witches.
- 35:15No, in my day.
- 35:16In my day, I would read about this.
- 35:18Oh, yeah.
- 35:19Should do it this way.
- 35:20And you might have a boy.
- 35:21It's like, really, I was just trying to get a child at the time.
- 35:25Any child.
- 35:25I didn't get whatever.
- 35:28Exercise or rest during pregnancy.
- 35:32I see some girls doing CrossFit.
- 35:33I'm just saying.
- 35:34Oh, yeah.
- 35:35I mean, the crazy people.
- 35:36But.
- 35:37Well, she says exercise really does not impact that much.
- 35:41There's no reason to stop it or start it other than it's good for you.
- 35:45You know, avoid exercise, like playing football, where there's trauma involved.
- 35:50Okay.
- 35:51You think that would go without saying?
- 35:53Yeah.
- 35:53Sometimes women are advised not to let their heartbeat go above 140 during exerc, but she says there's absolutely no data supporting that.
- 36:01Elite athletes, talk to your doctor.
- 36:03Like me.
- 36:04Yeah, no, I'm an elite athlete.
- 36:07Doing Kegels does help pregnant women avoid urinary leakage later.
- 36:13But let me just tell you, you're going to pee yourself every time you.
- 36:16Cough, laugh, or sneeze for months after having a baby.
- 36:20And while you're pregnant and later, when you get old, like me happens.
- 36:26Okay.
- 36:27Something to look forward to.
- 36:28But I, you know, I should be doing my Kegels.
- 36:30I haven't been.
- 36:32Oh, well,.
- 36:35A big thing that I remember from testing moms is definitely my tutor, Maddie.
- 36:40She was a lot more patient and made tutoring a lot more fun than learning about things with my mom.
- 36:46I remember that there were a lot of games, and it made me look forward to going to tutoring every week.
- 36:53There's some evidence that prenatal yoga leads to less pain and shorter labors.
- 36:59Oh, love it.
- 37:00One small study.
- 37:01So she says you could maybe try, maybe not.
- 37:03You know, if you have trouble sleeping during pregnancy.
- 37:07She says unisom is safe to take if you need help with sleep.
- 37:11But she.
- 37:11Advil is not under any circumstances.
- 37:14Yeah, you're not supposed to take Advil.
- 37:15Okay.
- 37:16And if you hear that sleeping on your back is bad for you when you're pregnant.
- 37:19Pregnant.
- 37:19She says the studies do not support that.
- 37:21That's crazy, because I bought that.
- 37:23I believed it.
- 37:24Yeah.
- 37:24Oh, well, my doctor basically just said, you know, after a certain point, it can just put pressure on something for the placenta.
- 37:33And I was like, which I risk you.
- 37:35Well, I don't.
- 37:36Listen, girl, I.
- 37:37Well, it's up to you.
- 37:38It's up to you.
- 37:39Yeah.
- 37:39Again, a lot of.
- 37:40Just take, take all of this and just say, okay, this is what will make my pregnancy easier.
- 37:45And this is just something I'm gonna buy into too.
- 37:48You decide.
- 37:49It's like, this is what this.
- 37:50You have your own and you can read all about the study in the book.
- 37:54Then she gets into this whole thing, a whole lot of information.
- 37:57And this book is kind of scientific.
- 37:58Yeah.
- 37:59Because it's all about studies, but not.
- 38:01Like in a boy way.
- 38:02Yeah, it's.
- 38:03It's in a boy way.
- 38:05Yeah.
- 38:06Man, scientists are like annoying and condescending with their charts.
- 38:10Girl scientists, like, she's just explaining, it's accessible.
- 38:13It's very accessible.
- 38:14Okay.
- 38:15She does make it accessible.
- 38:16She says, okay, drugs are divided into different categories.
- 38:19To me, this is a great explanation.
- 38:21A, B, C, D and X categories ABC have strong evidence they don't harm babies.
- 38:29Category D and X should not be used if you're pregnant.
- 38:32For category C, there's no risk that has been shown, but there's no large scale human data, so avoid taking them just to be safe.
- 38:40Say, or talk to your doctor if you need to for.
- 38:44So I thought that's.
- 38:45That makes it pretty.
- 38:46Keep it simple.
- 38:47Keep it simple.
- 38:49Okay.
- 38:49Check the chart.
- 38:50Third trimester, preterm birth, fetal size and bed rest.
- 38:57She talks about premature birth is when it happens between 22 and 26 weeks.
- 39:04One thing I learned from Reddit and not from this book is if for some reason you are after 16 weeks, but before 22 weeks and you went leg up and you are bleeding, according to Reddit, what you do
- 39:15when you go to the doctor or to the hospital, the ER, tell them you are 23 weeks, they will send you to L and D, they'll send you to labor and delivery, they won't send you to the standard
- 39:27emergency room, and you will get more specialized care if you make that distinction.
- 39:33And eventually, listen, you'll meet the doctor, obviously, they'll do an ultrasound and they'll be like, you know, you're not this far along.
- 39:40You.
- 39:40Oh, my God, that's crazy.
- 39:42Okay, wow, whatever.
- 39:43But just, I.
- 39:44Again, dissolve on Reddit, but I've seen situations that could go either way, that went a better way because they got more specialized care.
- 39:53Okay, that's good Reddit advice.
- 39:55Good Reddit advice is why we love Reddit.
- 39:57You know why we love Reddit.
- 39:58I was so scared Because I again, every time I went to the doctor, like, you are still at risk.
- 40:02You're still at risk.
- 40:02And I read that and I was like, okay, yeah, if something happens, I know what to say, exactly who to ask for.
- 40:08The Reddit moms are, are just good.
- 40:11Yeah, they're very helpful.
- 40:12Okay.
- 40:13Synonymous moms.
- 40:15One good thing to know is that, you know, they've just made really so many advances in survival due to improvements in assisted ventilation.
- 40:23Lungs are one of the last organs to develop.
- 40:26Babies born as late as 36 weeks can need mechanical breathing machines to help them if a child is very immature or premature, not immature.
- 40:37If a child is very premature.
- 40:39A key determinant of survival is just the quality of care and the type of intervention that's available to that.
- 40:46So there you go.
- 40:48They're going to do in something called in utero fetal measurements, at around 24 weeks, they're going to measure you from the top of the pubic area to the top of uterus, and that's called a fundal height measurement.
- 41:03The height should be the same as your weeks of pregnancy.
- 41:06So at 24 weeks it should be 24 inches.
- 41:09If it's too small, it's predictive of the baby being born small for their gestational age.
- 41:15At birth, eight out of 10 people get a concerning result on the screen, but they go on to have a normal sized baby.
- 41:22And the doctor's going to call for an ultrasound if the baby seems small.
- 41:26So about 30% of the ultrasound measurements have errors of more than 10% in either direction.
- 41:32If they ask you to make a important decision based on bundle height measurement, like let's do a C section or in dubbed labor.
- 41:39Now, because of this, she says ask for a second ultrasound measurement if it's.
- 41:44Not an emergency situation.
- 41:46Right, Right.
- 41:46If it's an emergency.
- 41:47Just trust the professionals, guys.
- 41:49Okay?
- 41:49Okay.
- 41:50That's always.
- 41:50That's my personal advice.
- 41:52I'll let you talk about bed rest since you were kind.
- 41:54Yep.
- 41:55Mono.
- 41:56You know, modified bed rest is.
- 41:58It's been proven that if you sit in bed all day when you're pregnant, you're at much higher risk for blood clots.
- 42:03Don't do that.
- 42:04Um, the only situation I've seen that specific recommendation is for if you are having twins, triplets, just multiples, and you are nearing term, but it's like getting precarious and they just want you to be able to keep the
- 42:19weight onto it for as long as you possibly can.
- 42:21Our twins are often born prematurely.
- 42:24Yeah, um, multiples are.
- 42:26Multiples are and just they say, you know, the advice for me was again, again modified.
- 42:33Right.
- 42:33So don't do anything crazy.
- 42:35Don't, don't run a marathon, don't move boxes yourself, don't lift your dog.
- 42:42But I was still able to like walk like half a mile at a time.
- 42:46I could still do some physical activity.
- 42:48But she says that there's really no compelling evidence that bed rest works.
- 42:54The American College of Gynecologists and Obstetricians recommend against it.
- 42:58There are medical reasons not to do it.
- 43:00Bone muscle atrophy, atrophy, atrophy, weight loss and possibly low infant birth weight plus the risk of blood clot.
- 43:09So that is not something that people typically recommend anymore.
- 43:13I imagine again, in unusual cases they can high risk pregnancy, which I'm very familiar with.
- 43:21The third trimester is when many problems in a pregnancy can start to emerge.
- 43:26These are things like placenta previa, placental abruption, gestational diabetes.
- 43:31You're going to have to take a disgusting test around this time.
- 43:35I remember that test.
- 43:36They're gonna, they make you drink.
- 43:39It's.
- 43:39It looks like Gatorade.
- 43:41It's, it tastes like what I imagine they feed flies in a lab.
- 43:46Just pure sugar water.
- 43:48I failed I gestational diabetes test at so the first test you go, you're in, you're at half an hour.
- 43:55If you fail it, you're there all day.
- 43:57You have to drink five times as much of a cigarette stuff.
- 44:00It's an absolute nightmare.
- 44:02You're going to hate it, but you're also going to get through it.
- 44:04Uhhuh.
- 44:08Well, if there's complications there.
- 44:10She has written a follow up book called the Unexpected so I didn't even know that either.
- 44:16So if you do have complications, her book is probably one you want to read.
- 44:21Yeah.
- 44:21The Unexpected.
- 44:22The Unexpected.
- 44:23Yeah.
- 44:23I didn't even know answer.
- 44:25She probably looks at all the studies.
- 44:26Behind all that stuff.
- 44:28Okay, right.
- 44:28So don't read it unless you have those issues.
- 44:31But if you may have them.
- 44:33Yeah.
- 44:34Because one thing about being pregnant is you're incredibly susceptible to anxiety.
- 44:37Yeah.
- 44:38Don't read it.
- 44:38I don't know what happens.
- 44:40It's like a hole in our brain opens up and anything remotely scary just fills the hole.
- 44:44You don't want to get all, you know, I'm sell exercise, don't get exercised.
- 44:51Right.
- 44:51My favorite word.
- 44:52Yes.
- 44:54When will you deliver?
- 44:55Most babies arrive within a week on either side of your due date.
- 44:59So week 39 or 40 if they're scheduling a C section, it will be sometime after week 39 or 38.
- 45:06Because they don't.
- 45:07If you are anticipating needing a C section, they don't want you to go into labor before.
- 45:13And this chapter explains, like cervical effacement, Bishop score, which are predictors of when you will deliver.
- 45:19So how dilated are you at any given time point, et cetera?
- 45:23It's more than dilation.
- 45:24It looks at everything.
- 45:25Yeah, but it.
- 45:26Yeah, but that's one element.
- 45:28The cervix stays closed until the time leading up to labor, when it will open up to 10cm.
- 45:35It also softens, shortens, and thin so that the baby can move down in your pelvis.
- 45:41I'm so glad I did not do this.
- 45:43Cervical length is a better predictor of labor onset than dilation.
- 45:49So do with that information what you will.
- 45:51Get your cervix measured.
- 45:53Your doctor may give you something called a Bishop score.
- 45:56This is a number between 0 and 13 that takes into account the cervix position, how effaced you are, how dilated you are, and the position of the baby so high.
- 46:06Bishop score, 6 or above means you're far along and indicates an increased chance of having a vaginal birth.
- 46:12Labor induction.
- 46:14Care to take it away?
- 46:15All right.
- 46:16Two ways to induce labor.
- 46:19Oh, I could talk about this because I had labor induction, too, that failed.
- 46:23It failed because by the end, you were having an emergency and.
- 46:28Please take me out.
- 46:29Take mom.
- 46:29I got anxiety.
- 46:31But anyway, we started with Tosin, which is a synthetic version of oxytocin, which starts contracting.
- 46:40Or they can also give you a drug like misoprostol and plus an apparatus called a balloon catheter.
- 46:49It's not fatal.
- 46:50I know.
- 46:50The drug softens the cervix, and then the balloon stretches it out.
- 46:55So they.
- 46:55They may combine this with pitocin.
- 46:58So you might get everything electively.
- 47:01Inducing labor has become much more common than ever these days.
- 47:05People want to get the show on the road.
- 47:07Well, they do.
- 47:08And they say that if you get induced at 39, there's.
- 47:12There's a lower C section rate that one of the studies showed that.
- 47:15That women were.
- 47:16That because of that, it's bringing down.
- 47:19Let me allay your fears about a C section, guys.
- 47:21If you would like to do it, it is truly not that bad.
- 47:24It is like a day at the dentist.
- 47:26I thought, well, my first C section was bad.
- 47:30Yeah, because of anti emergency.
- 47:31Not a choice.
- 47:32Right, right.
- 47:33But my second one that was planned was much better.
- 47:37Yeah.
- 47:37Yes, definitely.
- 47:39So, yeah, I mean, I.
- 47:41I know they want to avoid the surgery at all Costs.
- 47:44Yeah.
- 47:44Doctors want to avoid it too because again, there are more risks.
- 47:47You know, there's higher risks of bleeding, higher risks of all sorts of things.
- 47:52Right.
- 47:53But that said, you know, for me what mattered was not having a traumatic birth experience if I could avoid it.
- 48:01And what can sometimes happen when you go in for having to have a vaginal delivery is it doesn't go as bad plans.
- 48:08Right.
- 48:08And it gets chaotic and sometimes you end up having a C section regardless.
- 48:11And it's scary and it's rushed and you don't know if you have the right amount of drugs in your system.
- 48:15You don't know how much you're going to feel or experience.
- 48:18And if you go and have a fearful experience, it might put you off from ever doing it again in the right.
- 48:24And that's what happened to me.
- 48:25Although I did go ahead and have another one.
- 48:27But.
- 48:27Yes, but inductions become non elective if your pregnancy goes 41 to 42 weeks.
- 48:34They're going to do it anyway.
- 48:35Yeah.
- 48:35Because at that point the placenta stops.
- 48:36Stops working.
- 48:37Well, the baby's getting really big.
- 48:39Yeah.
- 48:40So if your water breaks and you don't start labor on your own, they're going to induce.
- 48:44If you have any complications like preeclampsa.
- 48:47So scary.
- 48:48Or yeah.
- 48:48Low amniotic fluid, they may also induce.
- 48:52Your doctor should be monitoring your amniotic fluid through ultrasound.
- 48:56And if it starts to get low, drink water before the ultrasound as that dramatically increases the fluid level.
- 49:04When you're pregnant, you are going to be thirstier than you have ever been in life.
- 49:07So you drink a lot of water because you're.
- 49:09Nothing will quench it.
- 49:10You will always feel thirsty, but drink a lot of water.
- 49:12Yeah.
- 49:12Well, it sounds like you want.
- 49:14I wouldn't do it just for this test.
- 49:15I would do it to keep.
- 49:16Do it all the time.
- 49:17Do it all the time.
- 49:17You need a lot of fluid.
- 49:18Yeah.
- 49:19And then they give you a non stress test and they put you on a monitor for like 20 minutes to make sure the baby's moving.
- 49:26And okay.
- 49:26If the baby's asleep, sleep.
- 49:29The non stress test doesn't work.
- 49:31The baby likes to sleep during the day and be awake at night, FYI.
- 49:34Okay.
- 49:35And they said give that.
- 49:36Some doctors will try to give you sugar if the baby isn't moving, but the author says evidence says that doesn't work.
- 49:43And if you just clap three or five times above your abdomen, that will wake up the baby.
- 49:48And if the baby doesn't respond to attempts to wake them, it's time to take action.
- 49:53Which is usually an emergency.
- 49:55C section.
- 49:55Yes.
- 49:56Which is what?
- 49:56What you had.
- 49:57Yeah.
- 49:57Or I had.
- 49:58For you.
- 49:58You had to deliver me.
- 50:00That's right.
- 50:02The Internet and folklore have many suggestions for encouraging labor.
- 50:07Certain teas or oils, castor oil.
- 50:09I remember.
- 50:10Have sex, eat Mexican food.
- 50:13They're all like nut.
- 50:14It's all duds at starting labor.
- 50:16Yeah.
- 50:17Except nipple stimulation does help.
- 50:20And doctors can do something called membrane stripping.
- 50:23They put their fingers through the cervix.
- 50:25Sounds so.
- 50:26That sounds very painful.
- 50:28But they put their fingers through the cervix and detach the membrane holding the baby from the wall of the uterus.
- 50:33And that will get Skyler.
- 50:36That will get the labor started.
- 50:37That sounds so horrible.
- 50:39No, thanks.
- 50:40Okay.
- 50:41And then they get into C sections.
- 50:42And.
- 50:42And it says 30% of births in the United States are by C section.
- 50:4710% are elected.
- 50:48I'm not like other girls.
- 50:49Very rare.
- 50:51Right.
- 50:52Born by C section, given birth by C section.
- 50:55So far, C section delivery recovery is slower than recovery from a vaginal birth.
- 51:01With vaginal births, the rate of urinary incontinence and the risk of pelvic organ prolapse.
- 51:08I don't know what that is, but it does not sound good.
- 51:10It's not.
- 51:11It sounds awful.
- 51:12Don't Google it.
- 51:13Don't.
- 51:13That sounds bad.
- 51:14Okay.
- 51:15With C section births, there's a small increase in asthma and obesity in the children.
- 51:21Also with C section, the risk of.
- 51:23Of placental complications in later pregnancies is increased.
- 51:27And all of these are rare complications.
- 51:29Yeah.
- 51:30They also.
- 51:31If your baby is in the wrong position and you are nearing the weeks of delivery, they will offer to turn the baby manually.
- 51:40Two things about this.
- 51:41One, you will need to get an epidural, probably.
- 51:43And if you're not trying to have any unnecessary epidurals, this is not for you.
- 51:49The other thing about it is that the baby can turn back around and it will all be for naught.
- 51:54Oh, you.
- 51:55So something else to consider.
- 51:56Yeah.
- 51:57And that was your situation.
- 51:58They offered and I was like, no, thanks.
- 52:01Let's just go for the schedule.
- 52:02My C section.
- 52:03That's right.
- 52:03I'll see you in two weeks.
- 52:04Right.
- 52:05So with an epidural, your lower half is numbed.
- 52:08It's a.
- 52:09It's a.
- 52:09They got a needle in your back.
- 52:11And you feel like you have sandbags on your legs.
- 52:14Yeah, that's what I felt.
- 52:16Uh huh.
- 52:16Yeah.
- 52:17You may not feel the contractions at all.
- 52:19And the pain of pushing, itching is lowered.
- 52:21And they do it for a C section and they do it for a vaginal.
- 52:24They gave me a spinal tap.
- 52:26A spinal tap?
- 52:27Is that the same as an epidural?
- 52:29I don't know, but I will tell you.
- 52:30I didn't feel a thing.
- 52:32Oh.
- 52:32I didn't feel them pulling.
- 52:34I didn't.
- 52:34That's amazing.
- 52:35Anything?
- 52:35I felt a lot.
- 52:37I was on Jupiter.
- 52:38Really?
- 52:39Yeah.
- 52:39I was like, whoa.
- 52:41But you weren't.
- 52:42You.
- 52:42It was not like.
- 52:43Not like taking drugs that you were, like, you know, spaced out.
- 52:47You.
- 52:47It was just.
- 52:47No, I mean, I knew what was happening.
- 52:49I was definitely conscious.
- 52:50I was barfy, but I was conscious.
- 52:52Barfy.
- 52:53Yeah, I was barfy.
- 52:54Oh, so you're.
- 52:55You felt a little sick at your stomach?
- 52:57Yeah.
- 52:57There was a man in the room who was specifically there to address my barfiness.
- 53:01Oh, good.
- 53:01I know.
- 53:02That's nice.
- 53:02He's like, how do you feel?
- 53:03I'm like, up it.
- 53:05So they were giving you stuff for that?
- 53:07Yeah.
- 53:07All right.
- 53:08It was crazy.
- 53:09And then they pulled her out, and they, like, held her over the curtain like the Lion King.
- 53:13And I was like, oh, hey, great.
- 53:15Do you want to hold her?
- 53:16I'm like, not now.
- 53:19I know.
- 53:19When they were doing me, I remember dad kept going to the other side of the curtain because he wanted to be with the doctors and watch it from that angle.
- 53:29Psychotic.
- 53:30I kept saying, get back here.
- 53:31Get back here.
- 53:33Don't leave me alone.
- 53:35And you don't need to see this.
- 53:37I know.
- 53:37And he and the doctors kept talking about investment strategy, and I kept saying, stop talking about that.
- 53:44Talk about me.
- 53:47You're, like, filleted on the table like a.
- 53:48Like a Dorado.
- 53:50I was section.
- 53:52And they're talking investments.
- 53:54It's like.
- 53:55Because at the time.
- 53:57Yeah, I mean, it was.
- 53:58I can't.
- 53:58Anyway, Mark was in that business, and they all had questions, so.
- 54:02But of course, this was a good time.
- 54:04We're all here, aren't we?
- 54:05That's right.
- 54:06This isn't a conference call.
- 54:07Okay.
- 54:09Okay.
- 54:10So they do give the epidural at the beginning of labor, and there's just no negative effects for the baby.
- 54:17Yeah, that's a big misconception that I think actually deters a lot of people from getting epidurals is that they say that there is a risk, I guess, because it goes to your bloodstream.
- 54:26That it.
- 54:27I don't know.
- 54:27But apparently it's not.
- 54:29It's not.
- 54:30Don't let anybody convince you that you shouldn't have an epidural if you want one.
- 54:35Okay.
- 54:36So there is a small, small risk that an epidural would.
- 54:39Will make recovery a little harder for the mother.
- 54:42It's possible mother may run a fever from the epidural, which would be treated with antibiotics and that means the baby would get antibiotics.
- 54:50They will also pump you with fluid, so you're going to be puffy for a while.
- 54:55Yes, I remember that.
- 54:56And there's an increase in forcep usage or vacuum extractor with epidurals.
- 55:03It also may lengthen labor a bit.
- 55:07Well, I guess because you just can't really feel anything.
- 55:09Right, right.
- 55:10And there's an increased chance of needing pitocin and a C section if you have an epidural.
- 55:16But there's no increase or evidence that nursing is impacted by the epidural.
- 55:23Yeah, they say that C sections can impact nursing.
- 55:26Just that, like it will take your milk longer to come in.
- 55:30I didn't have that experience, but they say that can happen.
- 55:33Okay.
- 55:34Okay.
- 55:34Well, the author said she did not use an epidural.
- 55:38She was up and walking 45 minutes after giving birth.
- 55:42She said alternatives to epidurals are natural childbirth, Lamaze, the Bradley method, hypnotherapy or something.
- 55:52Couldn't be me.
- 55:53Some do.
- 55:53I didn't know this.
- 55:54Some girls use nitrous laughing gas, which would take the edge off and they say it's safe for babies.
- 56:02That's crazy.
- 56:03I didn't think it would be that.
- 56:05Okay.
- 56:06Okay.
- 56:07Now, she recommends having a bullet pointed birth plan that you discuss with your doctor ahead of delivery.
- 56:15She says you should still be flexible because unexpected things happen.
- 56:19But it's good to think and write down in advance what you want and don't want so you don't have to make decisions ahead of in the heat of deletion.
- 56:27Yeah, but I think it is weird to walk into your doctor's Office with a PowerPoint bullet points and to say, here's my delivery plan and the doctor, you know, it's your first baby you've never had.
- 56:39I'm sorry, when did you go to medical school?
- 56:41No, I just think my doctor would laugh at me if I tried to do that.
- 56:45But I think people have a lot of ideas around how they want to give birth.
- 56:50And people, I mean, even throughout the pregnancy, people are obsessed with like the delivery, the delivery, the delivery.
- 56:56It has to be perfect.
- 56:57And the thing about it is, like, the delivery is like, you know, sometimes 20 minutes in my case.
- 57:03Sometimes it can be like a day or two.
- 57:04What nobody really thinks about is the weeks after.
- 57:08Yeah, that is way more important to consider than your birth plan.
- 57:12Like I want.
- 57:12I want, you know, this Madonna song to be playing as the baby emerges.
- 57:18Oh, I want this lighting scheme.
- 57:20I want this ambiance.
- 57:22Oh, my gosh.
- 57:22And it's like, I never thought of that.
- 57:24People do it.
- 57:24People do it all the time.
- 57:26I want to give birth in a body of water.
- 57:28And it's like, I know people do that.
- 57:30People love that.
- 57:31Yeah.
- 57:31But again, you know, it.
- 57:34Don't think so hard about this.
- 57:36Yeah.
- 57:36You know, and be flexible is the best advice.
- 57:38Well, that, that is what she says.
- 57:40You never know what's going to happen.
- 57:41It never.
- 57:42Yeah.
- 57:42It never happens the way you think.
- 57:44But she did say that.
- 57:45That eating and drinking during labor should probably be allowed.
- 57:49There's no reason not to.
- 57:50But many hospitals won't let you have any solid food.
- 57:54And I remember I couldn't.
- 57:55I think that's because in case you get a C section.
- 57:58Right.
- 57:58They don't want you to have.
- 57:59I was told.
- 58:02And then having a doula decreases the chance of a C section and an.
- 58:07And an epidural if you don't want one.
- 58:08I think having an advocate, I think.
- 58:10That's a great idea in general, whether.
- 58:12It's a doula or a pushy husband or a pushy mother in law or mother.
- 58:16Like, you just need somebody who's gonna.
- 58:18Who knows what you want and who can advocate for you in the moment.
- 58:22Yeah.
- 58:22She says try to avoid an episiotomy.
- 58:25But I don't know how you can avoid it.
- 58:26Yeah.
- 58:26I don't think anyone asks.
- 58:28They don't say, oh, would you like,.
- 58:29Do you want us to, like, snip?
- 58:31It's like, no, nobody wants one.
- 58:33She says Pitocin is used after birth, which she recommends to prevent postpartum hemorrhage.
- 58:40She said after the baby is born, you're gonna hold him and then they'll take him to the baby, him, her, whatever, to another part of the room for weights, measures and footprints.
- 58:51For premature infants born before 37 weeks, they say this is important.
- 58:56Delayed court clamping is a good idea.
- 58:59It's good for any baby.
- 59:00And it turns out it's good for all babies because it just halves the need for blood transfusion for anemia or low blood pressure.
- 59:11For all babies, it's a good thing.
- 59:13And it's standard to give babies these vitamin K supplements within the first hours of giving birth as it avoids bleeding disorders.
- 59:21And they may give your baby eye drops to prevent eye infections.
- 59:25Yeah.
- 59:25Which accept these things.
- 59:27I see all sorts of people on the Internet being like, they gave My baby, this without my consent.
- 59:32And I understand that that feeling of, like, anybody giving your child anything without your consent is frustrating and infuriating.
- 59:39But there are reasons for this.
- 59:41And.
- 59:41And yes, you know, it is a chance that your child might develop an eye infection.
- 59:46It is a chance that they might develop a bleeding disorder.
- 59:49But if you can eliminate that, why not?
- 59:52Yeah, get rid of it.
- 59:53Let it.
- 59:53Let them do it.
- 59:54They've done millions of births, and this is what they do.
- 59:58Standard operation.
- 1:00:01Now, this was interesting.
- 1:00:03Some people want to store their baby's cord blood.
- 1:00:06This costs a few thousand dollars because it's something that can be used as an alternative to a bone marrow transplant for something.
- 1:00:15For leukemia stem cells.
- 1:00:16But a couple caveats.
- 1:00:18Not for your child personally, for a sibling or another blood relative.
- 1:00:23And another caveat to that is that it has to be a match.
- 1:00:26So there's not a guarantee that it will be an exact match.
- 1:00:30Right.
- 1:00:30He says it's a very small chance it'll ever be used, but she says future technology uses are possible, but very hard to predict.
- 1:00:38And she said you can consider public cord blood donation that's free, and it's very helpful, especially if you're a member of an ethnic or racial minority.
- 1:00:48So I think if.
- 1:00:49Why not do that?
- 1:00:50That would be if it.
- 1:00:51Do the free one.
- 1:00:52Do the free one for sure.
- 1:00:55And she says with home births, there are pros that, you know, because you're going to have no use of medication.
- 1:01:01Fewer C sections.
- 1:01:02Sections.
- 1:01:03Less instrument delivery, easier recovery, less tearing.
- 1:01:07But there's a 30% chance you'll end up in the hospital anyway because of complications.
- 1:01:12And studies are mixed about whether mortality rates are higher with home births.
- 1:01:17But be sure you've got an experienced certified nurse midwife with you if you do this.
- 1:01:22Totally.
- 1:01:23And this kind of covers the.
- 1:01:25Some of the conclusions she came to.
- 1:01:27But I will say, say that, you know, if.
- 1:01:30If it were me and, you know, I'm pregnant, I want to read the studies or about the studies.
- 1:01:36So this is a book that is worth picking up because it's got all the backup information to many of the conclusions that we gave you.
- 1:01:43Yeah, yeah, yeah.
- 1:01:45So I loved this book.
- 1:01:46I loved it.
- 1:01:47It really put my mind at ease during a time where, like, there's just so much to be stressed out about, where you're like, if anybody can give me some information, that makes me feel like, oh, okay, you know,
- 1:01:59because think about pregnancy.
- 1:02:00Yes, women do it every day, but that doesn't mean it is not a miracle.
- 1:02:04It doesn't mean it is not an insane experience every single time.
- 1:02:09Right.
- 1:02:09You know, and I just.
- 1:02:10I love her perspective on everything.
- 1:02:13She's such a calming voice.
- 1:02:16She's so reasonable.
- 1:02:17She's so reasonable.
- 1:02:18Right, Right.
- 1:02:19So that's.
- 1:02:20That's why she's nice to read.
- 1:02:22Yeah, for sure.
- 1:02:23No, it's a really good book, and I understand why you liked it so much.
- 1:02:28Loved it.
- 1:02:28Yeah.
- 1:02:29Loved it.
- 1:02:29I suggest it to everyone.
- 1:02:31Thank you guys so much for joining us for this episode of Other People's Parenting, and we'll see you next week.