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WHAT YOU NEED TO KNOW:
Fetal movements are the kicks, rolls, and hiccups of your unborn baby. 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 or she needs before birth. Fewer fetal movements may signal a problem with your baby's health.
Follow up with your doctor or obstetrician as directed:
Write down your questions so you remember to ask them during your visits.
Normal fetal movement:
Fetal activity can be described by 4 states, from least to most active. During quiet sleep, your unborn baby may be still for up to 2 hours. During active sleep, he or she kicks, rolls, and moves often. During the quiet awake state, he or she may only move his or her eyes. The active awake state includes strong kicks and rolls.
What affects fetal movement:
You may feel your baby move more after you eat, or after you drink caffeine. You may feel your baby move less while you are more active, such as when you exercise. You may also feel fewer movements if you are obese. Certain medicines can change your baby's movements. Tell your healthcare provider about the medicines you are taking.
Track fetal movements at home:
Fetal movement is most often felt when you lie quietly on your side. Your healthcare provider may ask you to count movements for 2 hours. He or she may ask you to track how long it takes for your baby to move 10 times. Keep a log of your baby's movements.
Contact your doctor or obstetrician if:
- It takes longer than usual to feel 10 of your unborn baby's movements.
- You do not feel your unborn baby move at least 10 times in 2 hours.
- The skin on your hands, feet, and around your eyes is more swollen than usual.
- You have a headache for at least 24 hours.
- Tiny red dots appear on your skin.
- Your belly is tender when you press on it.
- You have questions or concerns about your condition or care.
Return to the emergency department if:
- You do not feel your unborn baby move for 12 hours.
- You feel cramping or constant pain in your abdomen.
- You have heavy bleeding from your vagina.
- You have a severe headache and cannot see clearly.
- You are having trouble breathing or are vomiting.
- You have a seizure.
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