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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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      Questions and answers

      Dermoid cyst and pregnancy
      An ultrasound revealed a mass in my left ovary during the first pregnancy. I was told that it is a dermoid cyst. Five years have passed since then. I gave birth to a second child. An ultrasound was performed annually. There were differences in size, but not significant. Since I’m going to have the 3rd child, another
      ultrasound was done today. The doctor said that the cyst had increased. I am concerned about it. Don't know where to start. What tests are needed? Thank you.
      ...more
      Surgical treatment is strictly indicated in your case given the long history of the mass in the ovary and its rapid growth in recent times. In our clinic, we perform such an intervention laparoscopically through 3 small punctures. Patients go home next morning after the surgery and may return to work after 3 days.
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      Total knee replacement
      My mom suffers from gonarthrosis for the past three years. Despite treatment by injections the pain is still present. MRI revealed a meniscal tear in the posterior horn, the presence of small bony osteophytes on the patella, a small amount of fluid in the joint cavity (signs of exudative synovitis were detected)
      joint space is asymmetrically narrowed in the medial segment. The pain is ongoing but the knee remains flexible. Tell me, please, whether the surgery is contraindicated for meniscal tear in case of arthrosis? Is it possible to do an arthroscopic surgery on the meniscus in our case or it should be «major» surgery? And what would you advice concerning knee replacement for the patient in the age of 57? What is the life time of the artificial joint?
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      It is necessary to make an X-ray of the knee in direct projection in standing position. If it turns out that there is no medial cartilage in the medial area, then the knee replacement is the only solution. The age of 57 is normal for the prosthetics. Modern artificial knee joint (when properly placed of course) will
      serve for a lifetime. You can make an appointment via phone +7 (495) 933-66-44.
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      Kardanov Andrey
      07 September 2016
      Pain
      I am 19 years old, professionally engaged in weightlifting. I did an arthroscopy of both knee joint a year ago, now feel pain in them and it prevents me from training at full capacity. I visited a traumatologist, and «osteoarthritis of 1 degree» was diagnosed. Could you advise me some medicines or anything else to
      relief the pain? Thank you very much for the answer!
      ...more
      First of all you should undergo an MRI and find out what was done at arthroscopy; if it’s really an arthrosis of 1 degree, hyaluronic acid injections are possible and physiotherapy is not required. Anyway, you are always welcome to consultation for thorough examination.
      Question to Dr. Yakobashvili
      Tell me, please, at which age child's hearing should be checked-up if we were informed at the hospital before discharge that one ear does not hear. At the moment the child’s age is 1.5 months. Thank you.
      These tests done in the hospital are often false negative. Hearing can be tested now, it is necessary to make an appointment to the audiologist.
      Cought
      A child of 11 years old, suffers from cough for more than six months. The cough is dry, sometimes attack-like, mainly begins during the day, and often occurs before sleep. There is no cough at night. CBC is normal, glucose is 4.16, total IgE 111.80, Toxocara, Ascaride are negative, Cytomegalovirus, Mycoplasma are
      negative, PPD test is negative as well. A chest x-ray is normal. We have already consulted with a therapist, otolaryngologist, pulmonologist, neurologist, gastroenterologist... the cough is still present. What should we do?
      ...more
      First of all, there are no results of whooping cough testing among the results provided above. The disease cannot be ruled out, even if your child was vaccinated. The blood test for antibodies against the whooping cough germ is required (blood test for class M and G antibodies against Bordetella pertussis). Second,
      even a slight increase in class E antibodies is a reason to visit an allergist and to perform an evaluation of respiratory function with bronchodilator. This method will detect a latent bronchial spasm in your child. Even if the results of the test will be normal, allergologist mast rule out the allergic nature of the cough even if it's not obstructive syndrome. Third, this cough can be due to gastroesophageal reflux. It is difficult to draw any conclusions having no data of gastroenterologist’s consultation. 24-hour acidity monitoring of the stomach and esophagus is carried out to confirm or exclude the presence of reflux. Fourth, you didn’t mention whether x-ray of nasopharynx and paranasal sinuses was done. Perhaps, after all, the pathology is associated with ENT organs.
      ...more

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