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Fetal movements are movements caused by the fetus's own muscle activity). Women perceive the first of their offspring's movements between the 16th and 20th weeks of their pregnancy after which the number of these movements may increase to a peak by 29 to 38 week of gestation.
Fetal distress, also known as non-reassuring fetal status, is a condition during pregnancy or labor in which the fetus shows signs of inadequate oxygenation. [1] Due to its imprecision, the term "fetal distress" has fallen out of use in American obstetrics. [2] [1] [3] The term "non-reassuring fetal status" has largely replaced it. [4]
US: Fetal breathing movements At least one episode of > 30s or >20s [3] in 30 minutes None or less than 30s or 20s [3] US: Fetal activity / gross body movements At least three discrete body/limb movement in 30 minutes (episodes of active continuous movement considered a single movement. Less than three or two [3] movements US: Fetal muscle tone
655 Known or suspected fetal abnormality affecting management of mother. 655.73 Fetal movements, decreased, antepartum; 656 Other fetal and placental problems affecting management of mother. 656.0 Fetal-maternal hemorrhage affecting management of mother 656.11 Rh incompatibility, delivered; 656.31 Fetal distress, delivered; 656.53 Small-for ...
In addition to sideward bendings of the head, complex and generalized movements occur at the beginning of the fetal stage, with movements and startles that involve the whole body. [11] Movement of hands, hips and knees have been observed at nine weeks, [12] stretches and yawns at ten weeks, [13] and isolated limb movements beginning shortly ...
The volume of amniotic fluid typically increases until 36 weeks and starts decreasing after 40 weeks in post-term gestations. [4] For this reason, discrepancies between fundal height measurements and gestational age can be a clinical indication of amniotic fluid abnormality and should be evaluated by ultrasound.
According to a study conducted by Whitcome, et al., lumbar lordosis can increase from an angle of 32 degrees at 0% fetal mass (i.e. non-pregnant women or very early in pregnancy) to 50 degrees at 100% fetal mass (very late in pregnancy). Postpartum, the angle of the lordosis declines and can reach the angle prior to pregnancy.
Fetal behavior is consistent and a change in the fetus' movements or sleep-wake cycles can indicate fetal distress. [30] A decrease or cessation in sensations of fetal activity may be an indication of fetal distress or death, [31] [32] Still, medical examination, including a nonstress test, is recommended in the event of any type of any change ...