When to bother with Fetal Movement Decreases and Increases

 

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Do babies decrease or increase their movement as they approach their due date?

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Fetal Movement During Pregnancy: When to Worry | Parents

Video taken from the channel: Parents


 

Reduced Fetal Movement

Video taken from the channel: Gloucestershire CCG


However, every pregnancy is unique. There’s no set “correct” time to feel fetal movement, and you may feel flutters even earlier than 16 weeks or a little later than 22 weeks. As your pregnancy progresses and you reach your third trimester, you should feel your baby move regularly. That’s when you should begin to pay closer attention to your baby’s movements, because as your pregnancy continues, a sudden change in the amount of fetal movement may be a red flag that there is a problem.

You may start to feel these movements when you are 20 weeks pregnant. The movements grow stronger and more frequent as your baby grows. Fetal movements show that your unborn baby is getting the oxygen and nutrients he needs before birth. Fewer fetal movements may signal a problem with your baby’s health. Count fetal movements a few times a day throughout your third trimester, and report any sudden decreases to your doctor.

In all these cases, you should be able to perk things up with a snack, which usually rouses the baby. Decreased fetal movement is sometimes caused by a leak or rupture in the amniotic sac that surrounds the baby. People often refer to this phenomenon as a woman’s water breaking. Membrane rupture is a normal part of a full-term delivery, but when the fluids leak before a woman’s due date it is often a sign of trouble.

Once your baby’s head is engaged in your pelvis, he or she will be even less mobile. As long as you’re feeling regular movement (don’t forget to count those kicks), it’s less important what type of movement it is. It’s not just less vigorous movements that you’ll be feeling now that you’re in your third trimester, but also less frequent movement.

Usually, fetal distress results in decreased movement, but an increase in violent, frantic movement could also indicate that something is wrong. If your baby’s movement patterns change suddenly or drastically, call your doctor or midwife. You should feel your baby’s first movements, called “quickening,” between weeks 16 and 25 of your pregnancy. If this is your first pregnancy, you may not feel your baby move until closer to 25 weeks. If you are not feeling the baby move every day by 24 weeks notify your provider.

Movement Counts. I talk to all my expectant moms about the importance of tracking their baby’s movements, or kick counts. After 28 weeks, your baby should move at.

“Fetal movement increases throughout the day, peaks late in the evening between 9 p.m. and 1 a.m., and decreases in the middle of the night as maternal blood sugar levels fall.

List of related literature:

• decreased fetal movement at 24 weeks or more (It is normal for babies to be quiet for short periods of time, and sometimes the movements are smaller in the last month or so of pregnancy, when the baby is bigger and not able to stretch out well.

“Our Bodies, Ourselves: Pregnancy and Birth” by Boston Women's Health Book Collective, Judy Norsigian
from Our Bodies, Ourselves: Pregnancy and Birth
by Boston Women’s Health Book Collective, Judy Norsigian
Atria Books, 2008

Fetal movements increase in frequency until 34 weeks, then become less frequent.

“The Mother of All Pregnancy Books: An All-Canadian Guide to Conception, Birth and Everything In Between” by Ann Douglas
from The Mother of All Pregnancy Books: An All-Canadian Guide to Conception, Birth and Everything In Between
by Ann Douglas
Wiley, 2011

In the final weeks of pregnancy, your baby’s movements will be smoother and less noticeable than those jolting kicks in the second trimester (because your baby has less space to move around).

“Expecting 411 (4th edition): The Insider's Guide to Pregnancy and Childbirth” by Ari Brown, Michele Hakakha
from Expecting 411 (4th edition): The Insider’s Guide to Pregnancy and Childbirth
by Ari Brown, Michele Hakakha
Windsor Peak Press, 2017

Less fetal activity than usual is very worrying, and feeling the baby move is reassuring.

“Foundations of Maternal-Newborn and Women's Health Nursing E-Book” by Sharon Smith Murray, Emily Slone McKinney
from Foundations of Maternal-Newborn and Women’s Health Nursing E-Book
by Sharon Smith Murray, Emily Slone McKinney
Elsevier Health Sciences, 2017

When it comes to fetal movement, your baby should still be active at his or her usual times.

“The Pregnancy Countdown Book: Nine Months of Practical Tips, Useful Advice, and Uncensored Truths” by Susan Magee, Kara Nakisbendi
from The Pregnancy Countdown Book: Nine Months of Practical Tips, Useful Advice, and Uncensored Truths
by Susan Magee, Kara Nakisbendi
Quirk Books, 2006

One way to prompt fetal movement if you haven’t noticed any all day is to lie down for an hour or two in the evening, preferably after a glass of milk, orange juice, or other snack.

“What to Expect When You're Expecting 4th Edition” by Heidi Murkoff, Sharon Mazel
from What to Expect When You’re Expecting 4th Edition
by Heidi Murkoff, Sharon Mazel
Simon & Schuster UK, 2010

Fetal movements gradually increase in intensity and frequency as pregnancy progresses.

“Maternal Child Nursing Care E-Book” by Shannon E. Perry, Marilyn J. Hockenberry, Kathryn Rhodes Alden, Deitra Leonard Lowdermilk, Mary Catherine Cashion, David Wilson
from Maternal Child Nursing Care E-Book
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier Health Sciences, 2017

All women should pay attention to fetal movements and present for review early if there are any concerns that fetal movements have decreased.

“Oxford Textbook of Obstetrics and Gynaecology” by Sabaratnam Arulkumaran, William Ledger, Stergios Doumouchtsis, Lynette Denny
from Oxford Textbook of Obstetrics and Gynaecology
by Sabaratnam Arulkumaran, William Ledger, et. al.
Oxford University Press, 2019

Fetal movement should cause no significant change in FHR d.

“Midwifery and Women's Health Nurse Practitioner Certification Review Guide” by Beth Kelsey, Jamille Nagtalon-Ramos
from Midwifery and Women’s Health Nurse Practitioner Certification Review Guide
by Beth Kelsey, Jamille Nagtalon-Ramos
Jones & Bartlett Learning, 2014

It is perfectly normal for no movement to be felt for several days in the early part of pregnancy, but after 20 weeks absence of fetal movements should be investigated.

“Oxford American Handbook of Obstetrics and Gynecology” by Errol R. Norwitz, S. Arulkumaran, I. Symonds, A. Fowlie
from Oxford American Handbook of Obstetrics and Gynecology
by Errol R. Norwitz, S. Arulkumaran, et. al.
Oxford University Press, 2007

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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9 comments

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  • Madam I am 27 weeks pregnant I feel little movements I can’t feel baby rotations just I feel small Kicks & I asked scanning radiologist I can’t recognise baby rotations sir said Ur skin was thick That s why u can’t feel baby rotations I feel small Kicks not big movements I am very fearing any problem madam???

  • I’m 39 weeks today with my baby and I’ve noticed she kicks and moves very slow than before. This makes me anxious, I wanna know if other mom experiences this too?

  • Thank you this makes me feel relieved I was concerned about to go to the hospital to check out why my baby was not moving but he just did a body roll so he’s fine

  • Yes I notice my baby decreased fetal movement at 26 weeks baby was super active now I barely feel her I’m going to call my doctor tomorrow

  • Thank you I’m really concerned his movements is very active but not as powerful as before
    And wow he loves Apples he reacts instantly when I start eating one��

  • Doctor..if movements after B L & D is there…is there anything to worry about? I mostly feel during that time. Other times it’s less.

  • Your video was helpful howeverit was fast. If you decide to include photos or diagramsgive it a couple extra seconds so one can read it.

  • i use to feel those little flutters. now at 36 weeks i feel super punches and power kicks, tossing and turning. its incrediable. its like he is trying to escape. lol:-)

  • I’m also having same problem… I’ve checked to doctor but she said my baby is fine…even heartbeat fine…but still can’t feel movements��