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If too few kicks are felt within a specified time (usually 12 hours) this could indicate a problem. [1] A frequent question posed by midwives is how "many times has the baby kicked in the last twelve hours?" The unborn foetus should move five times per hour, [2] or ten times in any twelve-hour period.
Fetal movement refers to motion of a fetus caused by its own muscle activity. Locomotor activity begins during the late embryological stage and changes in nature throughout development . Muscles begin to move as soon as they are innervated .
Women who have previously given birth have more relaxed uterine muscles which are more sensitive to fetal motion during subsequent pregnancies. For them fetal motion can sometimes be felt as early as 14 weeks. [4] Quickening indicates the start of fetal movements, usually felt 14–26 weeks after conception, or between the fourth and sixth month.
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.
Normal (2 points) Abnormal (0 points) NST/Reactive FHR At least two accelerations in 20 minutes Less than two accelerations to satisfy the test in 20 minutes 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
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As women have gained access to family planning and skilled birth attendants with backup emergency obstetric care, the global maternal mortality ratio has fallen from 385 maternal deaths per 100,000 live births in 1990 to 216 deaths per 100,000 live births in 2015, and it was reported in 2017 that many countries had halved their maternal death ...
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