In this episode of Pregnant-ish, host Kristen Williams speaks with genetic counselor Ushta Davar Canteenwalla about the complexities of genetic testing during pregnancy. They discuss the importance of genetic counseling, the different types of genetic tests available, and the emotional and ethical considerations surrounding these tests. Ushta emphasizes the need for accessible genetic counseling and the benefits of preconception testing to help parents prepare for potential complications. The conversation highlights the advancements in prenatal genetic testing and the importance of informed decision-making for expecting parents.

• Genetic counseling is essential for informed decision-making during pregnancy.
• Many OBs do not work with genetic counselors, leading to gaps in information.
• Preconception genetic testing can provide valuable insights for future parents.
• Emotional support is crucial when navigating genetic testing results.
• NIPT is a non-invasive test with high detection rates but has limitations.
• Amniocentesis provides definitive answers but comes with risks.
• Advancements in genetic testing technology are rapidly evolving.
• Expecting parents should approach genetic testing with a positive mindset.
• Understanding family history can guide additional testing needs.
• Genetic counseling should feel like a supportive conversation, not a clinical obligation.

About Ushta: Ushta is a board-certified genetic counselor with over 20 years of experience guiding individuals and families through their genetic health. In 2018, she founded FiND Genetics, a telemedicine consulting practice dedicated to making genetics more clear, accessible, and empowering. Her work spans reproductive, adult, and general genetics, as well as clinical operations, education, and mentorship. Previously, she led a collaborative fetal care center at Columbia University Medical Center and directed the national genetic counseling team at CooperGenomics.

For more information on Ushta Davar Canteenwalla and Find Genetics you can find information at https://www.findgenetics.com/. Join the priority list for her upcoming Prenatal Testing with Confidence workshop series: self-paced learning experience with ongoing live support from me to help you understand genetic testing in pregnancy. Sign up here. And Follow Ushta on Instagram @findgenetics

About Materna Healthcare:

Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need.

Learn more at www.maternahealthcare.com or reach out at [email protected]. Follow us on instagram @materna_health

Materna Healthcare Social Media

• Instagram: https://www.instagram.com/materna_health_

• TikTok: https://www.tiktok.com/@maternahealth

• LinkedIn: https://www.linkedin.com/company/maternahealthcare

We'd love to hear from you!

Hyperemesis Gravidarum is one of the most misunderstood and debilitating conditions in pregnancy. This episode brings to light the realities behind what many dismiss as ordinary morning sickness. Charlotte Howden, Chief Executive Officer of Pregnancy Sickness Support, shares her personal journey with HG and how it inspired her to lead the UK charity dedicated to supporting those affected. Together we explore the evolution of advocacy, the state of care and education, access to medication, and the promising research that is changing the future for women with HG.

Chapters

00:00 Introduction to Hyperemesis Gravidarum (HG) Awareness 03:16 Charlotte's Personal Journey with HG 06:04 The Evolution of Pregnancy Sickness Support Group 08:49 Misconceptions Surrounding HG 11:37 Current State of HG Care and Education 17:21 Access to Medication and the Postcode Lottery 22:03 Emerging Research and Future Treatments for HG 28:38 How to Get Involved and Support HG Advocacy 33:02 Introduction to the Journey of Pregnancy 33:03 Support Systems in Early Pregnancy

About Pregnancy Sickness Support

Pregnancy Sickness Support is a UK-based charity dedicated to improving the experience and alleviating the suffering of those affected by pregnancy sickness and hyperemesis gravidarum (HG). pregnancysicknesssupport.org.uk

Mission & Purpose They exist to champion the needs of people who experience nausea and vomiting during pregnancy (NVP) or HG, and to empower healthcare professionals by promoting evidence-based research and standards of care. pregnancysicknesssupport.org.uk Their work encompasses:

• Operating a free helpline and peer support services pregnancysicknesssupport.org.uk

• Educating and connecting sufferers, caregivers, and professionals with reliable information pregnancysicknesssupport.org.uk

• Raising awareness of the condition at a public and clinical level pregnancysicknesssupport.org.uk

• Encouraging and participating in research to better understand, treat, and support HG pregnancysicknesssupport.org.uk

History & Growth Originally established in 2002 as a charitable trust, the organisation grew out of earlier clinical research into pregnancy sickness led by founders such as Dr Barnie-Adshead and Dr Gadsby. pregnancysicknesssupport.org.uk Over time, PSS has expanded its staff, services, and scope—including launching a counselling program in early 2023. pregnancysicknesssupport.org.uk

Team & Leadership PSS is supported by a combination of paid staff, volunteers, advisors, and trustees. pregnancysicknesssupport.org.uk

• Charlotte Howden is Chief Executive Officer, having joined in August 2023. pregnancysicknesssupport.org.uk

About Materna Healthcare:

Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need.

Learn more at www.maternahealthcare.com or reach out at [email protected]. Follow us on instagram @materna_health_

📱 Materna Healthcare Social Media

• Instagram: https://www.instagram.com/materna_health_

• TikTok: https://www.tiktok.com/@materna.healthcare

• LinkedIn: https://www.linkedin.com/company/maternahealthcare

We'd love to hear from you!

In this episode of Pregnant-ish, host Kristin Williams engages in a heartfelt conversation with Katherine Heimos, PhD, and her mother, Debra, about their experiences with Hyperemesis Gravidarum (HG). They discuss the challenges, emotional toll, and the importance of support systems during pregnancy. Katherine shares her journey of transforming her struggles into advocacy and education for others facing HG, emphasizing the need for understanding and specialized support. The conversation highlights the generational impact of HG and the significance of sharing stories to foster connection and healing.

Takeaways

Katherine and Deborah share their personal experiences with HG. The emotional toll of HG includes feelings of guilt and inadequacy. Support from family is crucial during the challenges of HG. The relentless nature of nausea can be more debilitating than vomiting. Sharing stories of HG can help others feel less alone. The importance of specialized support for HG warriors is emphasized. Building a diverse support system is essential for managing HG. Proactive approaches can help prevent the spiral of HG symptoms. Maternal well-being should be prioritized during and after pregnancy. The journey of advocacy can transform personal struggles into support for others.

Chapters

00:00 Introduction to Hyperemesis Gravidarum Advocacy 01:22 Personal Experiences of HG: A Mother and Daughter's Journey 02:41 Navigating the Challenges of HG During Pregnancy 05:29 The Emotional Toll of Hyperemesis Gravidarum 10:43 The Role of Support Systems in HG 15:59 Understanding the Intergenerational Impact of HG 17:51 The Importance of Sharing Stories and Vulnerability 21:27 Navigating the Challenges of Hyperemesis Gravidarum 25:40 The Role of Support Systems in Overcoming HG 28:55 The Importance of Understanding and Empathy 32:35 Building a Strong Support Network 36:53 Transforming Pain into Purpose 40:11 Introduction to the Journey of Pregnancy 40:12 Support Systems in Early Pregnancy

About Dr. Kathryn Heimos, PhD

Dr. Kathryn Heimos, PhD, is a dedicated HG mentor, advocate, and educator, whose mission stems from both professional training and lived experience with hyperemesis gravidarum (HG). Through her work, she helps guide pregnant and postpartum individuals affected by this incredibly difficult condition toward health, empowerment, and resilience. You can reach Kathryn on her instagram page @hgmentor or on Linkedin

What She Offers

• Mentorship & Guidance Personalized support for navigating pregnancy and motherhood before, during, and after HG, helping women feel seen, heard, and cared for.

• Educational Advocacy As both an educator and HG survivor, Dr. Heimos brings compassion, authority, and a wealth of knowledge to her advocacy work.

• Accessible Support Through her Instagram presence, she actively invites people to book free HG mentorship and strategy sessions, fostering community-based care.

About Materna Healthcare:

Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need.

Learn more at www.maternahealthcare.com or reach out at [email protected]. Follow us on instagram @materna_health_

📱 Materna Healthcare Social Media

• Instagram: https://www.instagram.com/materna.healthcare

• TikTok: https://www.tiktok.com/@materna.healthcare

• LinkedIn: https://www.linkedin.com/company/maternahealthcare

We'd love to hear from you!

In this episode, Materna Healthcare welcomes Dr. Barry Perlman, a board-certified reproductive endocrinologist at Damien Fertility Partners. Known for his ability to translate complex medical topics into accessible, often humorous content, Dr. Perlman shares his philosophy of care and the importance of meeting patients where they are—whether in the office or online.

With a calm, grounded approach, Dr. Perlman reminds listeners that no matter what challenges arise, patients should never feel alone. From first symptoms to fertility treatment decisions, he aims to make healthcare both approachable and supportive.

Sound Bites

"You can have as much sex as you want." "It's okay to come talk to us." "You're not alone in this process."

Chapters

00:00 Introduction to Fertility Myths and Questions 01:12 Understanding Infertility and When to Seek Help 04:48 The Impact of Age on Fertility 06:16 Egg Freezing: Timing and Considerations 08:38 Natural Ways to Improve Fertility 11:41 Recognizing Signs of Fertility Issues 13:49 The Role of Male Fertility in Conception 15:25 Endocrine Disruptors and Their Effects 17:58 The Truth About Birth Control and Fertility 20:36 First Steps to Seeing a Fertility Doctor 22:43 Exploring Fertility Treatments Before IVF 25:23 Insurance Coverage for Fertility Treatments 28:19 Success Rates of IVF and Factors Involved 30:07 The Future of Fertility Treatments 32:55 Understanding IUI: A Step Towards Conception 37:00 Choosing the Right Fertility Doctor 39:09 Support and Community in the Fertility Journey

About Dr. Barry Perlman:

Dr. Barry Perlman is a board-certified reproductive endocrinolgist specialiszing in condtions such as PCOS, male factor infertility, ovarian aging, and fertilty preservation. He is a physician with a passion for demystifying medical care and supporting patients through every step of their journey. Known for his engaging presence on social media, Dr. Perlman blends clinical accuracy with compassion and wit, making health information more relatable and accessible to a broad audience.

Follow Dr. Perlman on social media to explore his latest educational videos and get answers to commonly asked medical questions. Visit www.damienfertilitypartners.com or follow @damienfertilitypartners on Instagram for evidence-based fertility content and support.

About Materna Healthcare:

Materna Healthcare is a first-of-its-kind medical practice dedicated to early pregnancy care. From preconception through the earliest stages of pregnancy, we provide expert, compassionate, same-day care designed to keep women out of the emergency room and connected to the support they need.

Learn more at www.maternahealthcare.com or reach out at [email protected]. Follow us on instagram @materna_health_

📱 Materna Healthcare Social Media

• Instagram: https://www.instagram.com/materna.healthcare

• TikTok: https://www.tiktok.com/@materna.healthcare

• LinkedIn: https://www.linkedin.com/company/maternahealthcare

We'd love to hear from you!

Summary

In this episode of Pregnant-ish, hosts Kristen Williams and Kristin Mallon, CNM Certified Nurse Midwife delve into the complexities of early pregnancy, addressing common symptoms, concerns, and the importance of preconception care. They discuss the normalcy of spotting, cramping, nausea, and fatigue, while emphasizing the significance of hydration and prenatal vitamins. The conversation also highlights the need for preconception visits to prepare for pregnancy and manage potential complications effectively.

Takeaways

Most women first realize they are pregnant when they miss their period. Spotting is common and often not a cause for concern. Cramping is a normal symptom in early pregnancy. Nausea affects 80-85% of women during early pregnancy. IV hydration can significantly alleviate nausea and fatigue. Fatigue is a prevalent symptom in pregnancy, often mistaken for other conditions. Increased discharge is typical during pregnancy due to hormonal changes. Folic acid is crucial and should be taken three months before conception. Preconception visits can help identify potential issues before pregnancy. Headaches can be managed with proper nutrition and hydration.

Chapters

00:00 Introduction to Early Pregnancy Symptoms 02:46 Understanding Spotting and Bleeding in Early Pregnancy 05:39 Cramping: What's Normal and What's Not? 08:28 Managing Nausea and Vomiting in Early Pregnancy 11:18 The Role of Hydration and Nutrition 14:26 Recognizing Hyperemesis Gravidarum 16:56 Fatigue in Early Pregnancy: Causes and Solutions 19:48 Discharge During Pregnancy: What's Normal? 30:04 Understanding Pregnancy Discharge 31:03 The Importance of Prenatal Vitamins 38:11 Preconception Visits and Testing 42:20 Managing Headaches During Pregnancy 50:25 Common Pregnancy Symptoms 55:21 Navigating Medical Concerns During Pregnancy 59:08 Introduction to the Journey of Pregnancy 59:09 Support Systems in Early Pregnancy

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KeywordsHyperemesis Gravidarum, HG, pregnancy, maternal health, mental health, support systems, advocacy, early pregnancy care, emotional wellbeing, healthcare challenges SummaryIn this episode of Pregnant-ish, host Kristen Williams speaks with Kathryn Heimos, a two-time survivor of Hyperemesis Gravidarum (HG). Kathryn shares her personal journey through the challenges of HG, emphasizing the emotional and mental toll it takes on expectant mothers. She discusses the importance of proactive care, the need for supportive healthcare teams, and the role of personal advocacy in navigating the complexities of HG. Kathryn also highlights the significance of having a strong support system and finding purpose in adversity, ultimately aiming to empower other women facing similar struggles during pregnancy. Takeaways

• Hyperemesis Gravidarum (HG) is often misunderstood and dismissed.
• The emotional and mental challenges of HG can be as severe as the physical symptoms.
• A strong support system is crucial for navigating HG.
• Proactive care and education can significantly improve outcomes for HG warriors.
• Personal advocacy is essential in the healthcare system for proper treatment.
• Mental health complications can arise from the treatment of HG.
• Sharing experiences can empower others facing HG.
• It's important to recognize that pregnancy is not always beautiful or easy.
• Maternal wellbeing directly impacts child health and development.
• Finding purpose in adversity can help in the healing process.

Sound Bites

• "She saved my life."
• "HG is real and it is brutal."
• "It's okay if it's hard."

Chapters 00:00 Introduction to Early Pregnancy Challenges 00:00 New Chapter 00:00 Navigating the Emotional Rollercoaster 00:12 Introduction to Hyperemesis Gravidarum Advocacy 02:03 Understanding Hyperemesis Gravidarum 04:39 The Dual Battle: Physical and Emotional Challenges 06:49 The Importance of a Support System 08:30 Navigating Mental Health Complications 10:46 Transforming Adversity into Advocacy 11:47 Proactive Management in Second Pregnancy 15:34 The Role of IV Fluids and Medication 19:34 The Impact of Support and Understanding 23:08 The Need for Compassionate Care 27:49 Finding Purpose in Pain 30:12 Empowering Others Through Shared Experience 37:44 Support Systems in Early Pregnancy Thank you for joining us for this episode of Pregnat-ISH. We're passionate about transforming maternal healthcare, and we'd love for you to stay connected with Materna Healthcare as we continue this journey. Here's how you can engage with us, share your thoughts, and join our community:

• Like & Follow Us:
  • Subscribe to catch every episode!
  • Follow us on social media for the latest updates, behind-the-scenes content, and insights on maternal healthcare innovation:
    • LinkedIn: Connect with us at Materna Healthcare for professional updates and industry news.
    • TikTok: Join the fun at @maternahealth for quick tips and engaging content.
    • Facebook: Like our page at Materna Healthcare to stay in the loop.
    • X: Follow @MaternaHealth for real-time updates and conversations.
    • Instagram: Check out @materna_health_ for inspiring stories and visuals.
    • YouTube: Subscribe to Materna Healthcare for in-depth videos and resources.
• • Share Your Story: Have a maternal healthcare experience or idea to share? DM us on Instagram or X, or tag us with #MaternaHealth to join the conversation!
  • Rate & Review: Loved this episode? Leave us a 5-star review to help others discover the show.
  • Stay Informed: Visit our website www.maternahealthcare.com to learn more about our mission to revolutionize maternal care.
• Get Involved: Want to collaborate or learn how Materna Healthcare is making a difference? Reach out via LinkedIn or email us at [email protected] to explore partnerships or opportunities.