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How to Navigate the Unexpected During Pregnancy | 65
Episode 6516th June 2023 • The Birth Experience with Labor Nurse Mama • Trish Ware, RN
00:00:00 00:17:49

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Trish: [:

So join me as we chat about these topics. 


talk about just anything in [:

And I hear this a lot with my girls in the birth classes and in our membership. So if they go maybe to their 20 week ultrasound to the big scan. And they just find out something just a little different than what they were expected to hear what they were expecting to hear, and they just feel like a letdown or they just feel something. 


And so I just want you guys to. Remember to walk through some steps, so we're gonna talk about just a little bit of a plan of action in case you hear news that you didn't want to hear from smaller news to bigger news. So the first thing I would always say is, no matter what you hear, To make sure that you do your own research, whatever it is, you're gonna wanna research it, you're gonna wanna get in. 


you don't wanna do Wikipedia [:

Doctor's appointments during your pregnancy? Fun, bum fun. Lots and lots of doctor's appointments. Okay, so if you get an unexpected diagnosis or news, you're gonna do research on your own, you're gonna do your own research. You're also, I always recommend. If you have something going on, especially something bigger going on during your pregnancy, maybe you got an unexpected diagnosis with the baby. 


a have to have surgery after [:

You are paying your provider. Ask them questions. Do not leave that room until you feel like your questions have been answered. I know a lot of times from my girls when I'm talking to my students, a lot of them feel like they're dumbfounded when they've been told certain news. And then they sit there, they don't get any questions asked. 


your appointment. Otherwise, [:

Ask everything you want to ask. Get all those questions a out do not let them leave the room until you feel that you've asked what you wanna ask. The other thing that I would say is talk to your family members. So a lot of my mamas who have preeclampsia, you might be on bedrest. Or you might been told that you have to decrease your stress. 


Very difficult to do ask for help. You may have other children. Let your family come alongside you and help you. So I would 100% say ask for help. And then the other thing though, I would wanna say, and this goes for even my moms who get diagnosed with G B s, like you find out you're G B s positive. 


% [:

Birth. So I don't want you to think that you can't have a beautiful birth. So the two things that I wanted to talk about just a little bit that we're gonna break down a little further today and then I'll take some questions cuz I don't have a ton of time today. But the two things we're gonna talk about, because these are the two that I hear the most inside of my membership, is gestational diabetes and pre-eclampsia. 


ing that I wanna say to you, [:

You're gonna be tested. And I know a lot of you guys get really freaked out cuz you're like, oh my God, I'm having the test. What if I am, I don't, I don't wanna know. But here's the thing, there's power in knowing because either you are gestational diabetic or you're not, and you need to know. 


. So I just want you to know [:

Your diabetes during pregnancy, then you're just like everyone else, right? Because what happens with gestational B diabetes is that your body cannot process the sugar in your blood. And we get the sugar from the sugars and the carbohydrates and the starches that we eat. So if you're not processing it, it's gonna spill into your bloodstream and into your urines. 


we have to be really on top [:

Gotta take another drink cuz this voice is going away. Which is why I'm cutting this a little short today. Okay. So if you if you are diagnosed, number one, they also don't know what causes it. It's strange, right? They have no idea what causes it. There's some theories, but they really don't 100% know what causes it. 


ailable to you. If you don't [:

I love her and I can link to her when I get off of here. You don't wanna miss your doctor's appointments cuz you wanna stay on top of it. More than likely you're gonna be checking your blood sugars at home. So if that freaks out a little bit by the end of this pregnancy, you're not gonna be freaked out by that. 


You'll be used to it. You're gonna want to eat healthy, which we should all be doing. Really well, especially while we're pregnant, you're gonna want to be getting some daily movements, some exercise staying on top of hydration, which all of you who are pregnant should be doing that anyway. You're gonna wanna if you are being diet, if you're diet controlled, that's what you need to be doing. 


r that they have, the hardest[:

What they have found is if they add in a high protein, like a protein shake or a protein bar right before bed, that seems to help it. But we have a nice conversation going inside my membership on this because figuring that out can make all the difference in the world. So really just keeping a food diary, meeting with that nutritionist, watching what you're eating, just being as healthy as possible. 


Now that being said, The next thing I wanna talk about if you are g D M, is do you have to be induced? So we have this conversation all the time inside of Call Mama Society, my membership, because I 100% believe that if you are diet controlled and your blood sugars. Are not out of control then, and you're having no other issues. 


You do not need [:

If you wanna DM me, we could chat about that. If you're coming to fearless birth experience, we can chat about that as well. Okay? So if you are on insulin, if you have anything else going on, then you really need to have a conversation with your provider, cuz you might be a good candidate for an induction because that would become more of a medical reason. 


diagnosed. So the earlier in [:

So if you're diagnosed earlier and it's mild, then the goal is to keep it mild. So you might be put on bedrest. So signs of preeclampsia in pregnant women are blood pressure. That's Creeping up. Now there are different parameters, so I don't exactly want to say what they are, but they, it used to be like if it's over one 40, over 90, but now that's ridiculous because like for me, my blood pressure even pregnant is 80 over 60. 


eally creeping up. So you're [:

15. So it's really a rise this steady rise of those numbers along with other signs. So you've got swelling in your face, in your hands. You've got high levels of albumin in your urine and you've got blurred vision and headaches and all these other signs of things that are going on. So we would, we'll be drawing labs and checking your urine and Preeclampsia is more of a scary diagnosis during pregnancy. 


, More increased or scarier. [:

So that's, if it's early and mild, you're gonna be seeing your provider. A lot and a lot of testing. Now, if it starts to get worse, you may be admitted to the hospital. You might go into the Antipartum Unitin. The Antipartum is a labor and delivery unit, but that's for mamas that are pregnant, that we wanna keep pregnant and. 


If for some reason it gets more serious, we might put you on a medication called magnesium, which is to decrease the chances of having seizures. Because if you go from pre-eclampsia to eclampsia, there's a high chance of having a seizure, and that's very serious. So the more serious your eclampsia comes, becomes. 


g mom pregnant to delivering [:

If mom is no longer pregnant. So if you develop serious pre-eclampsia, and again, serious pre-eclampsia, signs are blurred vision, dizziness seen floaters or spots, you have a pain in your upper right side that is sharp pain that won't go away, a headache that won't go away with treatment, a dizziness. 


nds. So treatment of that is [:

Always ask for a fan, especially if you're on magnesium. Always use a wet towel. Wet towel and ice tray to put on you if you're on magnesium. So you're gonna have constant fetal monitoring, constant vital signs. You're gonna have a Foley catheter, you're going to have a one-on-one nursing care. You're going, we're gonna have dim lights, we're gonna decrease the stress in your environment. 


anna deliver the baby. So as [:

All right, mama. I hope you enjoyed this little shorty. Episode about receiving an unexpected diagnosis. The key point that I want you guys to remember is that your birth can still be incredible. You've got this As always, I'll see you again next Friday. Bye for now.

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