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[18] By about week 21, the fetus begins to develop a regular schedule of movement. [17] The startle reflex is present in half of all fetuses by week 24 and in all fetuses by week 28. [19] Movement is restricted around this time because the fetus has grown so large it has little space for kicking or changing body position. [20]
The sex of the fetus may be discerned by ultrasound as early as 11 weeks' gestation. The accuracy is relatively imprecise when attempted early. [15] [16] [17] After 13 weeks' gestation, a high accuracy of between 99% and 100% is possible if the fetus does not display intersex external characteristics. [18]
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.
The anomaly scan, also sometimes called the anatomy scan, 20-week ultrasound, or level 2 ultrasound, evaluates anatomic structures of the fetus, placenta, and maternal pelvic organs. This scan is an important and common component of routine prenatal care . [ 1 ]
In obstetrics, a cephalic presentation or head presentation or head-first presentation is a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first; the most common form of cephalic presentation is the vertex presentation, where the occiput is the leading part (the part that first enters the birth canal). [1]
The baby's gestational age (number of completed weeks of pregnancy) at the time of birth and the baby's weight (also a measure of growth) influence whether the baby will survive. Another major factor is gender: male infants have a slightly higher risk of dying than female infants, [ 41 ] for which various explanations have been proposed.
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Up to the 13th week of pregnancy, the risk of miscarriage each week was around 2%, dropping to 1% in week 14 and reducing slowly between 14 and 20 weeks. [ 157 ] The precise rate is not known because a large number of miscarriages occur before pregnancies become established and before the woman is aware she is pregnant. [ 157 ]