When it comes to fetal movement, most mothers think it’s very simple, isn’t it just the activity of the fetus, the child is moving every day, there should be no problem. What is fetal movement, why do we need to count it, and under what circumstances is it abnormal? In fact, in the clinical work will often come across and fetal movement related problems, there are also related to the painful lessons, so there is a need to put this common old topic again in detail. 1, why count fetal movement fetal movement reflects the state of the fetus in the uterus is good, fetal movement is good, we think he / she is not hypoxia, the general situation is good, on the other hand, if the fetus is not moving well, it means that there is a possibility of hypoxia, you need to go to the hospital for further examination. Counting fetal movement is an easy and economical method. As the fetus exists in the mother’s uterus, the mother can sense the activity of the fetus at any time, and without any cost she can keep herself informed of the baby’s condition and communicate with him/her, so this method is chosen as the mother’s daily cursory measurement. Especially when the ultrasound suggests that there is an umbilical cord around the neck, many mothers ask physicians how to determine whether the umbilical cord continues to wrap around the neck or wrapped tightly or not, the doctor can not see the umbilical cord, but it is important to understand when the neck does not equal to fetal hypoxia, the umbilical cord loosely hitching on the fetus has any effect on the fetus, it is just like the fetus with a necklace, but if the umbilical cord is tightened, resulting in a threat, this time, the fetus will struggle, the fetal movement will be changes, so we should still count fetal movements, but it is important to know how the umbilical cord is wrapped around the neck. That’s why we should still count the fetal movements instead of repeated ultrasounds to determine if the umbilical cord is wrapped around the neck. Regardless of any adverse factors, they will be manifested in the changes of fetal movement, so although counting fetal movement is not the most accurate method, it is a kind of rough measurement, but it is a warning line, an early warning. 2, some mothers will ask, the doctor is using Doppler to listen to the fetal heart, now the conditions are good, I also buy a Doppler, listen to the fetal heart every day, is it not necessary to count the fetal movement? Fetal movement is a rough way to determine whether the fetus has any abnormality in the uterus, it is the first line of defense, that is to say, the alert line for mothers to determine whether the fetus has any abnormality, generally, the fetal movement disappears 24 hours after the disappearance of the fetal heart, and this 24 hours is a life-saving time to save the fetus, and it is the precious time that mothers fight for by counting the fetal movement. Think about it, you can’t even hear the fetal heart at home, so what are the chances that the doctor can hear it? If you screen for fetal abnormalities by the presence or absence of a fetal heartbeat, you lose time to save your life. Once there was a mother is this, she felt at home, fetal movement decreased, did not go to the hospital, their own home to take the Doppler to listen to the child’s fetal heart is quite good, think there should be no problem, go to the hospital doctor is not also listen to it (in fact, the doctor has more means of assessment), and so on, until she found that something is wrong in the hospital, although the doctor first time to determine the existence of fetal distress, and immediately from the outpatient clinic to the operating room in time for a cesarean section. to the operating room in time for a cesarean section, but the newborn was severely asphyxiated, and then the family gave up the rescue …… 3, how to count the fetal movement On how to count the fetal movement, there are indeed many different sayings, there are counting 3 hours, there are counting 3 hours, and then multiply by 4, counting 12 hours of fetal movement, there are counting 24 hours of fetal movement, and even some people have developed an APP specifically for counting the fetal movement. the fact is that many mothers have to work every day, and don’t have enough time to count and record; on the other hand, the counting of the fetal movement is originally a kind of rough measurement, and it has the advantage of being simple and economical. Advantage lies in the simplicity, economy, through the counting of fetal movement just to play to determine whether to go to the hospital for the purpose of medical treatment, make it complicated, it loses its practicality and the compliance of pregnant mothers, so I generally recommend that we count the fetal movement of the method is as follows: The first step: First, pay attention to the regularity of the fetal movement, the fetus every day, when the time to love to move, and when it does not love to move. As a mother, even if there is not too much time to count the fetal movement, but the pattern of fetal activity you probably have a number, for example, eat something when you love to move, lying on the side when you love to move, love to move in the evening, etc., the mother is not at any time and anywhere can sense the baby’s activities, but these probably the law must pay attention to if the baby’s activities every day in accordance with the law, you can not go to the count of how many times, but if the law is changing, the time should not move, or shouldn’t move, or should not be moved. The time to move does not move, or should not move when the movement is excessive, should be noted. Step 2: If you have time, you can pick up the child loves to move in the morning, afternoon and evening each count 1 hour, each hour is greater than 5 times can be. Some mothers ask, then in the end how many times per hour should move is normal, or how and other people’s children move differently? Fetal movement is the activity of the fetus in the uterus, which is sensed through the mother’s abdominal wall, and the posture of the fetus in the uterus, the strength, the thickness of the mother’s abdominal wall, the sensitivity and so on are all related, so there is no need to compare between the fetus and each other as there is a big difference. As long as the fetal movement is regular, >5 times per hour is fine, it is not necessary to count enough for 1 hour. Fetal continuous movement is counted once. 4, how to deal with abnormal fetal movement Abnormal fetal movement includes too much fetal movement and too little fetal movement. First of all, too much fetal movement, generally refers to the fetal movement in the original basis to increase 60% or doubled called more, the common problem is, counting counting messed up, not to mention there is no time to count. Fetal movement and fetal movement are both reflecting whether the fetus has hypoxia in the uterus, if there is indeed hypoxia, then with the development of hypoxia, fetal movement will gradually become less, due to fetal movement is not very good to count, there is a certain degree of difficulty in judging, so it is still judging whether the fetal movement is reduced can be more practicable. If you feel less movement, it is not enough just to perceive less. If you feel that the fetus is moving less, you must really count it to see how many times per hour it is moving. At the same time, if the fetal movement is not obvious, you can stimulate the fetus by gently patting him, or eating, or changing the position and other actions, if you do this and still do not move, less than 3 times/hour, followed by another hour of counting, still less than 3, then you need to go to the hospital right away to see the emergency room, so that the doctor to determine the condition of the fetus, no matter how early or late, as long as it is determined that the fetal movement <3 times/h, be sure to go to the hospital, or the loss of what could be The time of life-saving. 5, when to start counting fetal movement One day out of the clinic, a mother full of nervousness told me that she came to the emergency room last night, because she could not feel the fetal movement, especially worried. When I looked at her medical record, I saw that she was just 22 weeks pregnant, and she was especially nervous because of a past history of fetal abruption. When she came to the emergency clinic, she listened to the fetal heartbeat, which was normal, but not yet, because there was no obstetric ultrasound in the nighttime emergency clinic of the hospital, she went to another hospital for an ultrasound to make sure that there was no abnormality in the fetus, but she was still unsure today, so she came to the specialist clinic again to make sure that there was no abnormality in the fetus, so she was worried about it. I did the examination again to make sure that there was no abnormality and explained to her about fetal movement. In fact, the fetus starts to move in the uterus from the 12th week of pregnancy, but mothers can't feel it. This is because the strength of the fetus is still very small, and the movement can't be sensed by the vibration of the mother's abdominal wall. We describe the fetus at this time as "a small fish swimming in the water", we can't sense it when she swims under the water, but when she swims to the surface of the water, that is, near the mother's abdominal wall, we can't feel it. But when she swims to the surface of the water, that is, when she moves close to the mother's abdominal wall, she will be able to see the fluctuation of the water surface, and then the mother will be able to perceive it. Generally, pregnant women will feel the first movement of the fetus around 18-20 weeks of pregnancy, but some mothers, especially women in labor, will feel it earlier, which is normal, and some pregnant women will feel the first movement of the fetus after 20 weeks, which is also possible. General fetal movement after 28 weeks of pregnancy gradually formed a regular pattern, so the doctor will let mothers after 28 weeks of pregnancy to start counting fetal movement. 6, what kind of fetal movement In addition to the number of fetal movements, some mothers will also pay attention to the way and intensity of fetal movement. In fact, fetal activity in the uterus in a variety of ways, different pregnancy weeks may also be some changes, sometimes manifested as the overall peristalsis, sometimes can be the activities of the limbs, the intensity is very difficult to do an objective evaluation, so, over a period of time, if the pattern of fetal movement is basically the same, can be regarded as normal, if the number of fetal movement is normal, only the activity of the intensity of the activity or changes in the way of activity, you can then continue to observe. If you are not sure, you can also consult a doctor.