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Re: 2 questions - fetal movement at 28 weeks

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 10 Nov 2001 16:13:42 -0600 (CST)


At Fri, 9 Nov 2001, anonymous wrote: >
>I'm at about 28 weeks with my first baby. I have been feeling the baby
>move since about 19 weeks. However, they've always been very soft taps
>and twitches -- the strength of the movement hasn't changed (much) since
>the first time I felt it. Everyone seems to be talking about
>uncomfortable kicks and twists and turns, so I'm worried that the baby
>isn't as strong or as active as he/she should be now that I'm in the
>third trimester.
>
>Please, can you tell me what's normal in terms of strength at this
>point, and when/if I should be concerned?
>
>Also, when doing "kick counts" (10 per hour), do they have to be strong
>movements or do my soft twitches count too?
>
>Thank you so much for your help. I'm most grateful.
>
>By the way, heartbeat has been fine at each prenatal visit.

Anon

Easy question first--twitches count on the kick count.

Your baby may be breech, or kicking into the placenta. Those can moderate the movement. I would be more concerned with movement more than strength which is much harder to quantify.

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only. They are not meant to take the place of an examination by a qualified health care provider. They are not intended to be the start of a physician-patient relationship.




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