Would they present the same way or would they present differently? I mean, if someone has these symptoms, is there a chance that in fact it's like a sexually transmitted infection behaving this way or is it very unusual for that to be the case?

So when we look at what patients come in for and for what symptoms, there's things that are not sexually transmitted and can just be an overgrowth of the change of the bacteria of the vagina, such as a yeast infection.

There's fungus.

That fungus and why people get yeast infections can be precipitated or brought on by antibiotic use, too much alcohol, too many carbs or sweets, wearing wet bathing suit or staying in clothes that they worked out in for too long.

Those are things that could bring on a yeast infection.

You can have a bacterial infection that's not a sexually transmitted disease.

Those also are a change in the pH.

So what are the types of questions you might ask her?

And so what do you mean that that works for, for patients when they're sort of potentially conflict, that you, you want them not to fast and they want to fast?

It's sort of the happy medium between the two.

You know, I'll explain to them the risk of fasting, um, as you said, whether it's the blood clots or preterm contractions, is mainly related more to the dehydration than the lack of food, and that they could go for days without food and be fine, but the dehydration will hit them pretty quickly and potentially lead to those complications.

So avoid food, but keep drinking like this.

Yeah, I mean people who are asking to-

And I've had, I've also had other people who I've said, "Look, you can try to fast, but you're 38 weeks," whatever.

You know, "Just know if you feel, you know, if you feel unwell, break the fast." And then the next question is, "Well, what do you mean by unwell?" I'm like, "Anything you don't usually feel while fasting.

You know, if you're passing out, really d-" And I go through all the symptoms and I'm like, "It's probably gonna happen.

So now that someone's pregnant, are there any foods they need to avoid between now and their first visit?

Probably not.

You know, the things that are, you know, concerning are the things where you could physically get ill from eating.

Right.

So like raw and undercooked things like a raw egg could have salmonella.

Right.

Things where you could get exposed to listeria.

So why is that?

Mm-hmm

...

but there's all these other issues that come into play, and then go over the risk of genetic abnormalities with age, and then the potential impacts on the pregnancy, like the different things that could develop.

And some people hear that and they're like, "Well, if any of that did happen, I would wanna be in this group, so I'm gonna stay."

Yeah

... their worry is still, "Well, if I get induced at 39 weeks because I'm uncomfortable and I end up with a C-section, I'm gonna feel bad.

And even if I m- if I had a C-section at 41 weeks, I would still be upset about a C-section, but I wouldn't feel like it was my fault." Some people literally come in and they say, "I don't care how I deliver.

I just wanna deliver as soon as possible."