Fetal movements are typically felt by 18
to 20 weeks gestational age. Initially, the movements are somewhat erratic
and feel like little flutterings or “butterflies” in the lower abdomen. The
term used for this is quickening. As the baby gets bigger, the movements
become stronger and more regular. After about 32 weeks, the baby has less
room to move, so movements are experienced more as squirming. However, the
baby is not moving less; only the quality of the movement changes.
The best way to reassure yourself that
the baby is moving sufficiently is to count fetal movements. Start early in
pregnancy at about 25 weeks and continue until delivery so you become
familiar with your baby’s movement patterns.
Since high blood glucose levels seem to
stimulate the baby, the best time of day to count fetal movements is right
after eating lunch or dinner. Lie down on your left side. Using a clock with
a second hand, time how long it takes your baby to move at least 10 times.
Babies usually have 20-minute sleep cycles every hour, so if your baby
doesn’t move right away, don’t be alarmed. If after one hour, you don’t feel
movement at least 10 times, count for another hour. On the other hand, if
your baby moves 10 times in the first 10 or 15 minutes, then you are done.
You don’t need to count anymore.
If you do not feel the baby move at least
10 times in two hours, call your health care provider. He or she may want
you to be monitored to be sure that your baby is okay. Check with your
provider to find out what his or her recommendations are regarding the
occurrence of fetal movements.
Counting fetal movements is something that you can do every day. In addition
to becoming more aware about your baby, lying on your left side for an hour
or so everyday will help increase blood flow to your baby and give you the
rest that your body needs during this very special time of your life.
For more information about this and other subjects
related to preparing for childbirth,
read Motherwell® Maternity Fitness
Plan by Bonnie Berk, RN.
