When You Be Worried About Decreased Fetal Movement

 

Should decreased fetal movement be taken seriously? Dr.Shefali Tyagi

Video taken from the channel: Doctors’ Circle World’s Largest Health Platform


 

Reduced Fetal Movement

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Reduced fetal movements + rushed to hospital at 28 weeks pregnant (trigger)

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NO FETAL MOVEMENT | SECOND TRIMESTER | DECREASE FETAL MOVEMENT WHAT TO DO?

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Decreased Fetal Movement at Various Stages of Pregnancy

Video taken from the channel: CarePlus


While decreased movements have been linked to possible complications, the opposite isn’t necessarily true. A 2019 study of 500 women found no association between reported excessive fetal movements. Most pregnant women begin to feel fetal movements between 18 and 25 weeks of pregnancy.

First-time moms tend to feel movement later than moms who have given birth in the past. But many moms worry when they are not able to feel their babies move. Any episodes of decreased activity after 28 weeks of pregnancy should be reported immediately, and you must visit a doctor as soon as possible. Do not wait a day to see if the situation is resolved and is back to normal, or even delay a few hours in reporting decreased fetal movement as this can be injurious to the safety of your 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. Fetal movement can be irregular when you’re still in the second trimester, and there’s probably nothing wrong—but if you’re worried, call your doctor or midwife.

In fact, whenever you’re in doubt about whether something is normal or not during pregnancy, call your physician or midwife and let them make that determination. Then sit quietly or lie on your side and time how long it takes to feel 10 distinct movements – kicks, punches, and whole body movements all count. If you don’t feel 10 movements in two hours, call your healthcare provider.

Learn more: Talk with BabyCenter moms about feeling baby movements. Pregnancy symptoms you should never ignore. Here are a few times you might notice a decrease in fetal activity: After sex: Not to worry, the rocking motion of sex and the rhythmic uterine contractions that follow orgasm often lull In the second trimester: Once you start feeling your karate kid’s kicks and chops, don’t panic if you go.

Well you can’t start counting fetal movement till week 28, for it to actually mean something. At 19 weeks, that baby isn’t even a pound yet. And there is. 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. So long as you are feeling something every day then I wouldn’t worry too much just yet. After 28 weeks they like you to keep a kick count but before then baby’s kick routine is not regular so baby will have active days and lazy days.

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

She should seek medical assessment if there is a decrease in movements or if none occur during a 3-hour period (if greater than 26 to 28 weeks’ gestation) (see Table 5.1).

“Leifer's Introduction to Maternity & Pediatric Nursing in Canada E-Book” by Gloria Leifer, Lisa Keenan-Lindsay
from Leifer’s Introduction to Maternity & Pediatric Nursing in Canada E-Book
by Gloria Leifer, Lisa Keenan-Lindsay
Elsevier Health Sciences, 2019

However, many women may experience fetal movements earlier than 18 weeks, and others may progress beyond 20 weeks of gestation without being aware of fetal movements at all.

“Essential Obstetrics and Gynaecology E-Book” by Ian M. Symonds, Sabaratnam Arulkumaran
from Essential Obstetrics and Gynaecology E-Book
by Ian M. Symonds, Sabaratnam Arulkumaran
Elsevier Health Sciences, 2019

The mother is instructed to contact her physician if she notices fewer kicks or absence of fetal movements.

“Essentials of Human Diseases and Conditions” by Margaret Schell Frazier, RN, CMA, BS, Jeanette Drzymkowski, RN, BS
from Essentials of Human Diseases and Conditions
by Margaret Schell Frazier, RN, CMA, BS, Jeanette Drzymkowski, RN, BS
Elsevier Health Sciences, 2015

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

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

After the woman reports quickening (first sensation of fetal movement, on average at 20 weeks’ gestation) and at each subsequent visit, she should be asked about fetal movements.

“Hacker & Moore's Essentials of Obstetrics and Gynecology E-Book” by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel
from Hacker & Moore’s Essentials of Obstetrics and Gynecology E-Book
by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel
Elsevier Health Sciences, 2009

Decreased fetal movement frequently accompanies IV administration.

“Drugs for Pregnant and Lactating Women E-Book” by Carl P. Weiner, Catalin Buhimschi
from Drugs for Pregnant and Lactating Women E-Book
by Carl P. Weiner, Catalin Buhimschi
Elsevier Health Sciences, 2009

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

They should be advised to contact their health care provider if they notice any change in fetal movement or have any contractions.

“Maternal Child Nursing Care” by Shannon E. Perry, Marilyn J. Hockenberry, Deitra Leonard Lowdermilk, David Wilson
from Maternal Child Nursing Care
by Shannon E. Perry, Marilyn J. Hockenberry, et. al.
Elsevier, 2013

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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7 comments

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  • My son did that to me. Turns out I was JUST going into labor, and he was just chilling out. Had him the next day. But I think little one needs to bake a little longer… Love y’all!

  • Don’t want to scare you but where we live we had a child attached by coyotesthey have been getting closer to our homes lately and attaching small children and small animals.

  • My son started moving superrr slow at around 40 weeks so I went in and he had hardly ANY fluid left in there. So they induced me! Better safe than sorry!

  • One word I hate to hear is spastic, it drives me nuts, here in the UK it’s not a nice word, only 7 mins into watching the vlog but I had to say something hun x hope all is ok with the bumble of to watch the rest of the vlog

  • Australians aren’t going back to school now hahaha. We start school with the new yrs, so late Jan. Then it ends in December and we get all of december and jan off:D

  • So glad all checked out. Will continue to pray for baby and you. It must be unnerving and it’s always better to ck with your doctor when things like this happen. Happy for you and Brad that your sweet parents are nearby and are so willing to help with the twins. God Bless you and try to relax. Prayers of thanksgiving ������

  • Oh gosh hun. I felt so sick for you when you were freaking out. I’ve definitely been there and there is nothing worse than going in to hospital with that worry. ���� the rest of your pregnancy is smooth and uneventful.