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Expert Q&A:
Why has my baby's movement slowed down, at 24 1/2 weeks of pregnancy?

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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


I am 24 1/2 weeks pregnant and wonder how often I should feel my baby move, and how strong the movements should be at this stage? I felt a lot of movement a week ago and have noticed it has slowed down a little. The heartbeat has always been on the right side and is now on the left side. Can the baby move to a different spot where the movements are less noticeable or intense?

Answer


One of the most exciting things about pregnancy is feeling your baby move. This first movement, called "quickening," is usually felt by a mother around 20 weeks gestation. The baby has been moving long before that time (since about 6 weeks gestation), but the movements were not strong enough to be felt. At first the baby's movements feel like a tapping or fluttering sensation; some mothers even confuse these early movements with having gas! As the baby grows the fluttering changes to a poking or kicking sensation that is definitely identified as little moving arms and legs. By the end of pregnancy, you'll be convinced that you have a little soccer player inside your uterus!

It's not uncommon to worry if you don't feel the baby move for a period of time, but variations in movement are very common and are not usually cause for worry. The frequency of a baby's movements vary from hour to hour, or from day to day. Your ability to feel movement can be influenced by the baby's position, and he or she turns and changes position frequently. If your baby is facing outward, with arms and legs close to your abdominal wall, you'll easily feel movement; on the other hand, if your baby is facing inward you'll not notice movement. Changes in position will also determine where the heartbeat is found, for it is most easily heard through your baby's back.



Babies have periods of being awake and asleep in the uterus and that affects whether they are quiet or moving. If you've been active (walking, dancing, rocking, etc.), your own body movement rocks the baby to sleep and he or she won't be kicking. When you're quiet for a period of time (such as sleeping during the night), that's often when a baby wakes up, so you may be missing some movement. Your baby may also be more active right after you've eaten a meal. And babies already have definite personalities, even before they are born. Some are quiet and "laid back" while others are in constant motion.



Although it may not be unusual to feel no movement for a couple days, particularly early in pregnancy, if 24 hours go by without feeling any movement and you are worrying, call your health care provider's office and stop in to have the baby's heartbeat checked. Almost always things will be just fine, but hearing the heartbeat will reassure you that all is well.

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