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Expert Q&A:
Is it normal, at 18 weeks of pregnancy, not to feel movement for a few days?

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Elaine Zwelling
Answered by Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Question


Is it normal, at 18 weeks of pregnancy, not to feel movement for a few days?

Answer


At this point in your pregnancy, it's probably not of concern that you've not felt the baby move for a few days. The movements at 18 weeks are still light enough that it's possible you've just not been aware of them, even though your baby is moving regularly; your baby may also have changed position, so that the movement is not as noticeable. Every baby has his or her own pattern of activity; some babies move constantly, while others have a much more irregular pattern. It is true that the baby's activity is an important indicator of his well-being, especially in the last months of pregnancy. In early pregnancy when the baby first begins to move, you may only notice a few movements each day; as the baby grows, the number of daily movements increase, become more forceful, and may develop a pattern. You're wise to be aware of your baby's pattern of movement; however, you shouldn't be preoccupied with it. Once your baby has established a regular routine of movement, you should notice at least 10 movements every 12 hours. If you think you've not felt that many, see your care provider to check in on the baby.
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