Fetal movement during pregnancy: normalwhat term, frequent, strong

Update: October 2018

Content:

  • Why is the fetus moving?
  • The first movements felt by mom
  • Norm of stirring
  • Change in the intensity of perturbations
  • How perceptions are felt
  • Movement count
  • Pathology diagnosis
  • Question answer

All future mothers are eagerly awaiting fetal movements with
pregnancy is the first contact with a child that causes
turn on, if it did not happen earlier, maternal instinct.
Movements of the future baby not only deliver great joy
future parents, but help them to suspect pathology and
немедленно consult an obstetrician. When begin how much
movement in the norm should be of interest to all pregnant women
women.

Why is the fetus moving?

The movements of the little man in the womb are necessary, they
talk about its growth and development. The child begins to move already in
first trimester, at about 7 – 8 weeks. By week 10 he has
there are swallowing movements, he can change the trajectory of his
displacements and touching the walls of the amniotic bladder. But sizes
the embryo is still insufficient, it only floats freely in the amniotic
fluid, rarely “collides” with the uterine walls, so
the woman still does not feel anything.

Starting at week 16, the fetus is already sensitive to the sounds that
manifested by active motor response. From week 18 next
the baby begins to touch the umbilical cord with the handles, is able to compress,
unclenches, touches the face.

Therefore, the fetus is worried in the mother’s stomach, which in turn
worries a woman when exposed to external unpleasant for the baby
factors:

  • strong, unpleasant, loud sounds;
  • feeling of discomfort in the womb, for example, hunger
    mothers;
  • stress experienced by mom (due to the release of adrenaline
    vessels, including in the placenta are reduced, the blood supply
    worsens);
  • oxygen deprivation (stimulated by active movements
    the placenta, its blood supply increases, which provides the child
    supplemental oxygen).

Also, if a woman has taken an uncomfortable posture when
large vessels are displaced, the child lacks
oxygen and also becomes active.

First movements

The first movement of the fetus every woman feels differently in
different time. When this happens depends on several
factors:

  • gestational period;
  • first or second, etc. pregnancy;
  • time of day (usually in the evening or at night);
  • mom’s build (thin or full);
  • Times of Day;
  • option of attaching the placenta;
  • Lifestyle;
  • individual sensitivity (some feel from 15 – 16
    weeks);
  • mother’s behavior (physically active women simply do not notice
    perturbations).

According to statistics, the first movement of the fetus during the first pregnancy
ощущается беременной в 20 weeks. And when re-carrying the fetus
сроки шевеления уменьшаются до 18 weeks.

But everything is individual, even for an individual woman, second, third and
subsequent pregnancy proceeds each time in a new way. If a
the woman during the second pregnancy began to feel the movement of the fetus at 19
weeks, then at the third these dates may change (be felt earlier
or later).

Norm of stirring

Norm of stirring плода зависит от того, на каком сроке
pregnancy is the expectant mother. The kid is constantly moving, but
Of course, a woman cannot feel all his movements.

  • На сроке 20 – 22 недели плод совершает до 200
    движений
    за сутки,
  • но к 27 – 32 неделе он уже выполняет около 600
    шевелений
    . It is characteristic that with the beginning of the third trimester
    (32 weeks) the number is reduced, due to its weight (fetus
    already large enough) and it becomes crowded in the uterus. �”Large”
    there are no movements anymore (turns and upheavals in the uterus) and the baby can only
    to produce “small” handles and legs.
  • После 28-ой недели среднее количество составляет 8 – 10
    in an hour.
    The exception is the periods of sleep of the child that
    equal to 3 – 4 hours – at this time the baby does not commit active
    movements. Future mom should remember certain cycles
    activity of the child. The greatest activity is observed from 7 o’clock
    evenings until 4 o’clock in the morning, and a decrease in activity or the so-called
    dormancy falls on the interval from 4 am to
    9.00.
  • By 32 weeks, the fetus takes the final position as
    usually it is head to the small pelvis (longitudinal position, head
    previa). But not transverse position or pelvic
    previa Mom should not despair, to correct such
    Provisions doctor will always appoint the performance of special gymnastics,
    which promotes the upheaval of the fetus and the reception of the “right”
    positions – longitudinal, head to the small pelvis.

If a ребенок занял «правильную» позицию, то есть головкой вниз,
then the pregnant woman will feel movement in the upper abdomen
(child “beats” legs). In the case of pelvic presentation, movement
will be felt below the lap.

Change in the intensity of perturbations

If a малышу в утробе матери хорошо и комфортно, а мама не
experiencing any external or internal stimuli then
movements are different rhythm and smoothness. Otherwise случае
the nature of the movements changes dramatically, what should guard a woman
and requires consultation with an obstetrician.

As a rule, a woman notes “increased” activity of the baby.
when she is calm and resting. Conversely, many mothers are afraid
that during her activity the child does not move at all.
This phenomenon is easily explained. When a woman is in
rest, then she listens more attentively to her
sensations and carefully notes the movement of the child. When she
busy, she has no time to escape from affairs and she just
does not notice that the baby moves. In order to disperse their
doubt (the child is bad, he dies), the pregnant woman should sit down and
relax by following how it moves.

Толчки плода

Doctors often advise pregnant women to take the bed position.
rest – on the left side. It is in this position that the blood supply to the uterus
increases that is used in the treatment of chronic hypoxia
and for its prevention.

Possible change of activity from inconvenient or incorrect.
woman’s body positions, for example, lying on your back or sitting with a straight
back. When the expectant mother lies on her back, the pregnant uterus is strong
squeezes the inferior vena cava (one of the main blood vessels
vessels).

At a pressure of this vessel the inflow is significantly reduced.
blood to the uterus and the baby begins to experience oxygen
failure.

To mommy understood that he was bad, he appears stormy and
frequent movements. To improve circulation and eliminate hypoxia
достаточно просто – маме следует повернуться на side.

Also, the child’s physical activity changes if the mother
is in a stuffy or smoky room. Due to lack of
oxygen the child reacts to the situation painful and strong
pushes. A woman should leave the room and take a walk to
return to a comfortable state and yourself and the baby.

In addition, fetal shaking changes if mom experiences
hunger. He is experiencing nutritional deficiencies and
�”Calms down”, moves sluggishly and reluctantly. But as soon as pregnant
bitten, the joy of the baby is expressed in increased activity.

Stirring in pathological conditions

If a двигательная активность ребенка вдруг стала бурной,
long and painful woman – this indicates
some pathological condition and requires immediate treatment
to the doctor:

  • Threatening preterm labor

Stirring becomes frequent and stormy due to increased tone
uterus.

  • Polywater

In this case, the nature of the shocks is radically different. They
feels infrequently, and their strength is negligible, which explains
large volume of the uterus, where the baby rarely touches its walls and the mother does not
so often feels his movements.

  • Malovodie

Due to the small amount of amniotic fluid in the baby in the womb
it becomes crowded, it constantly “beats” in the mother’s belly, that
characterized by a woman as frequent and painful tremors.

  • Acute hypoxia

With pathologies such as premature placental abruption,
preeclampsia and other fetuses are experiencing acute oxygen
failure and accordingly respond.

  • Chronic hypoxia

Develops in the presence of placental insufficiency,
anemia, gestosis. Movement is lethargic and becomes
rare.

  • Diaphragmatic hernia in pregnant

In this case, the mother during the movement of the fetus is experiencing pain under
sternum.

  • The failure of the uterine scar

If a у женщины в анамнезе было кесарево сечение, то при
failure of the scar, which can lead to rupture of the uterus, it
feels pain in the area of ​​the scar when the baby moves.

  • Acute cystitis

With inflammation of the bladder, a pregnant woman complains of frequent,
painful urination, painful on moving below
belly.

How jolts are felt

Feels each pregnant describes in its own way, besides
change with an increase in gestation.

  • For short periods (20-25 weeks) women characterize them.
    as “butterfly flutter” or “swimming fish.” Other pregnant
    talk about “fluttering” or “phone vibration” or “tickling.”
    The piece describes their feelings are not so romantic: “gurgling in
    stomach, as if the intestines knocks. “
  • After 27–28 weeks, when the fetus is already mature enough, its
    movements become clearer and more specific. Expectant mother, and
    even a future dad can feel a kick in that area of ​​the abdomen, where
    put hand. Baby’s dissatisfaction is often expressed in such
    �”Kicks” – in the case of an uncomfortable position taken by mom or when loud
    and annoying sounds. But if the mother’s stomach was attached
    unfamiliar hand, the child shrinks in fear and does not want
    �”Kick”.

Count

In order to determine how the fetus feels, it is important
проводить подсчет его movements. How to count fetal movement? With this
The purpose of using several techniques:

Pearson Method

This method is based on counting movements for 12 hours.
Produced from 9 am to 9 pm. During this
test from a woman requires only one condition – to reduce
physical exertion. All movements are considered, even the most minimal.
or weak. In the antenatal clinic, the doctor issues a special form.
or asks you to create a table of perturbations fetus
where will be the time of the tenth stirring. OK between the first
and the tenth move should take about an hour. And of course, mom
must remember that a period of peace is possible which should last
no more than 4 hours. If this time is exceeded, it is urgently necessary.
consult an obstetrician.

To make a table, you should take a tetrad sheet in the cell
and lining it as follows. The term is recorded at the top.
of pregnancy. Vertical hours are marked from 9.00 to 21.00, and
horizontal days of the week or date. From nine in the morning should start
take a stir. As soon as their number reaches 10, in the table
marked at the time it happened. To the table
additional information is entered: there were less than 10 perturbations and
how much Counting continue in the following days and be sure
the data is entered into the table, from which it is necessary to appear at the reception to
to the doctor.

28 weeks 9:00 12:00 3:00 pm 18:00 Notes
July 15
July 16
July 17th

Cardiff method

The basis of this method is also to calculate the movements of the baby.
for 12 hours, the only difference is that the woman chooses the hour
start counting. Again, a table is compiled where
produced tenth stirring. The norm is considered when the tenth
the stirring happened before the 12th hour of the study. Otherwise
случае – немедленно к to the doctor.

Sadowski Method

The count of fetal movements begins after dinner from 19.00 to 23.00.
This method is based on the fact that in the evening and after eating the fetus
increases motor activity. Time is necessarily recorded
the beginning of the account, and the pregnant woman should at this time lie down on the left
side.

When making 10 movements of the fetus in an hour and less count
is terminated. Но если их было меньше, продолжать take a stir.
An unfavorable symptom is a decrease in perturbations (less than 10) in 2
hours

Thus, it becomes clear that the above methods
Counting the movements of the baby can take hold of every pregnant woman.
The use of these techniques does not require any equipment and
doctor’s observations.

Pathology diagnosis

The change in the nature and intensity of movement in the future baby
testifies to its trouble. Terrible sign acts
lack of movement for 6 hours or more, which requires
seek immediate medical attention. To methods
Studies of the condition of the fetus include:

Auscultation of fetal heart contractions

Heart rate listening is performed
directly by an obstetrician with an obstetric stethoscope
(wooden tube). Normally, the fetal heart rate is 120 –
160 beats per minute. When a deviation in one direction or another, they talk about
oxygen starvation of the baby that requires carrying
instrumental research methods.

Cardiotocography (CTG)

CTG is considered to be affordable, reliable and most accurate.
method of assessing the condition of the fetus. CTG is conducted from week 32
gestation, and in case of suspected intrauterine pathology and in more
ранних сроках (с 28 weeks). With cardiotocography
регистрируют не только движения fetus но и ритм его сердечных
contractions and contractions of the uterus. The study is conducted as follows.
a way: a pregnant woman is laid on a couch, and 2 are fastened on the belly
sensor. Alone in a well-listened fetal heartbeat (he and
will register the heart rate), and the other is next (fixes the uterine
abbreviations). Cardiotocogram recording is carried out for as long as
at least 30 minutes, but it is possible to increase the study time to
1.5 hours. During the removal of the cardiotogram woman needs
Mark every movement of the baby and press a special button.
Cardiotocogram analysis includes:

  • basal heart rate (normal 120 – 160 beats per minute);
  • the amplitude of the variability (the admissibility of deviations in a large or
    down) of the basal rhythm (the norm of 5 – 25 beats in
    minute);
  • deceleration (sudden jumps of the curve down) is normal
    sporadic, shortened and absent
    shallow;
  • acceleration (sudden jumps of the curve up) – normally should
    be at least 2 within 10 minutes of the study.

For a more accurate diagnosis of the fetus is held CTG with
functional tests (without load and with the introduction of intravenous
oxytocin).

Doppler ultrasound

Ultrasound examination allows to evaluate
размеры fetus соответствие их сроку беременности (при хронической
hypoxia marked lag in size). Also the doctor is studying
structure of the placenta, degree of maturity (signs of aging), volume
amniotic fluid and its appearance (with oxygen starvation of the baby
these indicators change). With the help of Doppler study
placental and umbilical cord vessels, blood flow velocity in them. If a
the blood flow is reduced, they say about fetal hypoxia.

During the ultrasound for 20 – 30 minutes estimated
movement of the child, his heart rate and muscle tone. If a плод не испытывает
discomfort, his limbs are bent – a sign of normal tone
muscle In the case of outstretched arms and legs, they talk about reduced tone,
which indicates oxygen starvation.

Question answer

I have my first child, but it passed already 4 hours, but I do not feel
movement of the fetus. What to do?

First you need to calm down. Fruit is not always active
stirring, for 3 – 4 hours no movement allowed in this
time baby is sleeping. Try to hold your breath for a while
will cease to flow to the placenta, to the baby, he will experience a mild
hypoxia and in response “indignant” – will start “beating” with arms and legs.
If a данный способ не помог, понаблюдайте за малышом еще 30 – 40
minutes In the absence of even the slightest movements, immediately refer to
obstetrician

What fetal movements must be before birth?

On the eve of the birth, the baby almost stops moving, which
considered normal. The child is preparing for the birth that for him
is a very difficult process and requires a lot of effort, and
reduction in fetal motor activity saves energy
before childbirth. But the absolute lack of movement should not be
baby, though occasionally, but makes a stir.

How does cardiotography affect the child’s condition?
и Doppler ultrasound? Is it harmful?

No, these methods are absolutely safe, both for the baby and
for Mom.

I’m going to have a third child, while the term is small, 10
weeks. What and when should be stirring at the third
pregnancy?

It’s not certain how many weeks you’ll feel
stirring. Here everything is individual. Normally, with repeated
беременности мама начинает чувствовать движения плода с 18 weeks.
But perhaps their earlier start, weeks at 16. But the character
perturbations can be quite different unlike the first two
pregnancies and this should not be frightened. All children are different,
even while still in my mother’s stomach.

I have a “bad” CTG, which was performed twice. Sure to
go to hospital?

Yes, the “bad” results of cardiotocography speak about
fetal distress and require medical treatment in
hospital In addition to treatment at the hospital, you will repeat CTG and
the need to address the issue of early delivery.

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