Changes or Decreases in Fetal Movement: What You Need to Know

Feeling your baby’s movements for the first time is one of the most exciting milestones during pregnancy. It usually starts in the second trimester, around 18 to 22 weeks, though it can happen sooner or later, depending on the individual. These gentle kicks, rolls, and hiccups not only provide reassurance that your baby is growing but also form a beautiful bond between parent and child.

However, it’s natural to become concerned if you notice changes or decreases in fetal movement. What does it mean when your baby suddenly seems less active? When should you reach out to your doctor?

Let’s explore what to expect regarding fetal movement patterns, why changes may occur, and when it’s time to seek medical advice.

Normal Patterns of Fetal Movement

Every pregnancy is unique, and so is every baby’s movement pattern. Generally, expectant mothers will begin to notice movements as light flutters, often referred to as “quickening,” which become stronger as the baby grows.

During the second trimester, movements will likely become more regular and predictable. By the third trimester, these movements may include kicks, jabs, and rolls as the baby gets stronger and bigger. By week 28, many healthcare providers recommend paying closer attention to movement patterns, as they can offer clues about the baby’s well-being.

Why Fetal Movements May Change

It’s important to remember that babies, like adults, have wake and sleep cycles. It’s common for fetal movements to slow down during periods of sleep, which usually last between 20 and 40 minutes but can be as long as 90 minutes. You may also notice changes in movement depending on your activity level, diet, and baby’s position.

Here are some common reasons why movements may change:

  • Baby’s Sleep Cycle: Babies can have periods of less activity when they’re sleeping.
  • Growth Spurts: During growth spurts, movement may temporarily decrease as the baby focuses energy on growth.
  • Position of the Baby: As the baby grows, they may change position, which could affect how you feel their movements.
  • Placental Position: If the placenta is positioned at the front (anterior placenta), it may cushion the baby’s kicks, making movements feel less pronounced.

When to Call the Doctor

A decrease in fetal movement can sometimes indicate that the baby isn’t getting enough oxygen or nutrients, which is why it’s essential to monitor the changes closely. If you notice any significant or sudden reduction in your baby’s movement after week 28, it’s important to contact your healthcare provider. They may recommend coming in for a non-stress test (NST) or an ultrasound to check on the baby’s health.

It’s especially critical to call your doctor if:

  • You feel no movement for 2 hours or longer after 28 weeks.
  • There is a noticeable, sudden decrease in the baby’s normal activity level.
  • You’re concerned or feel like something isn’t right.

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What You Can Do

To get a clearer picture of your baby’s activity, you can try the “kick count” method. Set aside some quiet time, preferably after a meal when your baby may be more active, and count how many movements you feel in a two-hour period. You should feel at least 10 movements within that time frame. If you don’t, it’s worth contacting your healthcare provider for further evaluation.

Trust Your Instincts

Pregnancy is a journey that’s filled with excitement and, sometimes, anxiety. Monitoring your baby’s movements is an important part of ensuring they are healthy and thriving, but it’s also important to trust your instincts. If you ever feel unsure or uneasy about changes in fetal movement, don’t hesitate to call your healthcare provider.

Remember, it’s always better to be cautious and get reassurance that everything is okay with your little one.

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