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Why do I need a fetal motion test?

A lot of new sensations and emotions await a woman during pregnancy. One of the most pleasant moments during this period is the first movements of the baby.

Do you feel how it pushes?  This is how he communicates with you, talks about himself.

By how often you feel his movements, you can judge his temperament and well-being.

To understand if your baby is doing well, it is necessary to regularly, preferably daily, conduct a "fetal movement test", and all that is required for this is to independently observe the movements of the child.

The first movements of the fetus, as a rule, appear at the 20th week of pregnancy, but may appear a little earlier or a little later.  Obvious regular movements begin from the 24th week. From this time on, the child should remind himself about himself about 10-15 times an hour. Of course, if you don't feel anything for 2-3 hours, it doesn't mean that something has happened. Maybe the baby is just sleeping. But in general, movements during the day should be regular.

Why aren't ultrasound and CT scans enough?

Ultrasound and CTG are modern effective methods for diagnosing fetal condition that accurately determine blood circulation and heartbeat parameters at a specific moment and are performed at a certain interval if there are no medical indications for more frequent examination. Therefore, usually at the reception, the doctor asks the woman if she has noticed any changes in the "behavior" of the baby. In case of any changes, the doctor will recommend that you re-undergo the study.

It is important that by regularly conducting a fetal movement test, you constantly monitor the well-being of your unborn child. According to international research, this not only helps to identify and prevent possible problems in a timely manner, but also reduces the overall level of anxiety in pregnant women.

What determines fetal activity

Of course, to some extent, the baby's mobility in the womb is influenced by his temperament, but, of course, this is not the main thing.  Its activity is largely determined by the following factors:

  • The amount of physical activity of a pregnant woman. If you lead a fairly active lifestyle during pregnancy, fetal movements may be felt less often.

  • Time of day. Although it doesn't make much difference for babies inside their tummy whether it's day or night – they lead an active life whenever they want - practice proves that they become more active at night.

  • Psychological and emotional state of a pregnant woman.

  • Nutrition of a woman

  • Presence or absence of concomitant obstetric or somatic pathology

How to count movements

The most common is the Pearson method or "Count to 10". Any movement of the baby should be taken into account, excluding hiccups, such as bumps, kicks, flips, etc. But consider not the number of movements following each other, but the alternation of rest and activity (both groups of movements and single ones). That is, if the baby first turned over, then immediately pushed, this is only one movement.

According to the Pearson method, a woman keeps a diary from the 28th week of pregnancy, in which she notes the baby's movements from 9:00 to 21:00. If there are 10 or more movements in 12 hours, you don't have to worry — everything is fine with the child. Modern technology allows you to abandon the diary. You can install a special application based on this technique on your smartphone.

There is also a shorter but more rigorous method recommended by the American Society of Obstetricians and Gynecologists—"Count to 10 in 2 hours." You choose at what time of the day the baby is more active, and conduct a test during this period. A sign of fetal well-being is considered to be 10 or more movements recorded in 2 hours.

With any technique, if you cannot count the required number of movements, be sure to consult a doctor!

    A lot of new sensations and emotions await a woman during pregnancy. One of the most pleasant moments during this period is the first movements of the baby.

    Do you feel how it pushes?  This is how he communicates with you, talks about himself.

    By how often you feel his movements, you can judge his temperament and well-being.

    To understand if your baby is doing well, it is necessary to regularly, preferably daily, conduct a "fetal movement test", and all that is required for this is to independently observe the movements of the child.

    The first movements of the fetus, as a rule, appear at the 20th week of pregnancy, but may appear a little earlier or a little later.  Obvious regular movements begin from the 24th week. From this time on, the child should remind himself about himself about 10-15 times an hour. Of course, if you don't feel anything for 2-3 hours, it doesn't mean that something has happened. Maybe the baby is just sleeping. But in general, movements during the day should be regular.

    Why aren't ultrasound and CT scans enough?

    Ultrasound and CTG are modern effective methods for diagnosing the condition of the fetus, which accurately determine the parameters of blood circulation and heartbeat at a specific moment and are performed at a certain interval if there are no medical indications for more frequent examination. Therefore, usually at the reception, the doctor asks the woman if she has noticed any changes in the "behavior" of the baby. In case of any changes, the doctor will recommend that you re-undergo the study.

    It is important that by regularly conducting a fetal movement test, you constantly monitor the well-being of your unborn child. According to international research, this not only helps to identify and prevent possible problems in a timely manner, but also reduces the overall level of anxiety in pregnant women.

    What determines fetal activity

    Of course, to some extent, the baby's mobility in the womb is influenced by his temperament, but, of course, this is not the main thing.  Its activity is largely determined by the following factors:

    • The amount of physical activity of a pregnant woman. If you lead a fairly active lifestyle during pregnancy, fetal movements may be felt less often.

    • Time of day. Although it doesn't make much difference for babies inside their tummy whether it's day or night – they lead an active life whenever they want - practice proves that they become more active at night.

    • Psychological and emotional state of a pregnant woman.

    • Nutrition of a woman

    • Presence or absence of concomitant obstetric or somatic pathology

    How to count movements

    The most common is the Pearson method or "Count to 10". Any movement of the baby should be taken into account, excluding hiccups, such as bumps, kicks, flips, etc. But consider not the number of movements following each other, but the alternation of rest and activity (both groups of movements and single ones). That is, if the baby first turned over, then immediately pushed, this is only one movement.

    According to the Pearson method, a woman keeps a diary from the 28th week of pregnancy, in which she notes the baby's movements from 9:00 to 21:00. If there are 10 or more movements in 12 hours, you don't have to worry — everything is fine with the child. Modern technology allows you to abandon the diary. You can install a special application based on this technique on your smartphone.

    There is also a shorter but more rigorous method recommended by the American Society of Obstetricians and Gynecologists—"Count to 10 in 2 hours." You choose at what time of the day the baby is more active, and conduct a test during this period. A sign of fetal well-being is considered to be 10 or more movements recorded in 2 hours.

    With any technique, if you cannot count the required number of movements, be sure to consult a doctor!

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      Lump in my breast
      I have noted the lump in my breast periodically appeared following breastfeeding my first child (as a result of plugged duct). I did an ultrasound, but it revealed nothing, as if everything was normal. I knead my breast periodically and feel pain at those moments. Now I am pregnant, due date is on 20th. What should I
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      The "lump" in the breast cannot occur after feeding, even if it was the plugged duct. You should not "knead" the breasts. If there is a problem or even if you think it is – the breast should be examined. Pregnancy and breastfeeding are not contraindications for this. Under normal conditions for pregnant women we
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      If histological examination of the sample reveals fibroadenoma of basic type or tissue hyperplasia without atypia, or nodular type fibrocystic condition of the breast tissue, the question of surgical treatment should not arise. If biopsy reveals giant fibroadenoma sectoral resection is indicated, i.e. mass excision
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      We absolutely agree with the opinion of the European colleagues: re-excision with a wider offset is required; according to the Russian Protocol it is necessary to move 2 cm from the peripheral edge. This is for counter insurance, as lentigo-melanoma is a favorable type, and previous surgery is likely to put an end to
      this story and the forecast is favorable. All the necessary manipulations for the study are possible in our Clinic; we have our own well-equipped laboratory with the possibility to ask the advice concerning the sample in Germany and Israel. You should make an appointment with the surgeon-oncologist (Marina Bissessar) in the nearest time to conduct the diagnostic re-excision. Hope to help!
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      I have a spot on the back and chest, what could it be?
      A spot on the skin is one of the most common symptoms of various skin diseases. Infectious (viral, bacterial or fungal) as well as noninfectious skin including serious diseases and nevi (moles or birthmarks) can manifest as spots on the skin. You should go to the dermatologist for accurate diagnosis. The doctor will
      examine you and, if necessary, a special instrument (Dermatoscope, wood lamp) will be used. A skin scraping can also be done in the lesion for microscopy, cytology or culture. A treatment will be prescribed after diagnosis.
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      Batkaeva Nadezhda
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      My mom was diagnosed with the uterine cancer. She is 68 years of age and has an obesity of 4th grade (the growth of 166 cm, weight 135 kg) and hypertension. Admission to the radiology department was recommended. What should we do? As far as I know the surgery is the only method for cancer of the uterus to be removed.
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      It is not quite so. We can operate on any patient, but the issue is which complications can lead to patient’s death and which of them can just delay the recovery. From the anesthesiologist’s point of view, it is a major challenge to intubate patients with 4th degree obesity; the abdominal section is also possible,
      but there is a 100% risk of suture line disruption and inflammation, let alone the postoperative pneumonia, venous thrombosis, etc. There is another option such as vaginal hysterectomy which is more acceptable and relatively safe in obese patients. It is not a «treatment standard», however, as it allows not obtaining pelvic washings, but still there is a possibility of complete cure. Anesthesia remains a problem - both general and spinal. Radiation therapy without surgery is another acceptable treatment option besides vaginal hysterectomy. A chance of complete cure is still exists, but the survival rate is on average lower than in surgical treatment
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