Mouvements fœtaux : comment les reconnaître et réagir en cas de doute

Fetal movements are one of the most reassuring signs of pregnancy. They allow expectant mothers to feel close to their baby and observe its development. However, it can sometimes be difficult to know if the baby’s movements are normal or if there are concerning signs. Understanding what’s normal and what’s not can help you better monitor your pregnancy.

When Do Fetal Movements Begin?

The first fetal movements, known as "quickening," are generally felt between 18 and 25 weeks of pregnancy, although some women may feel them earlier, especially if they’ve been pregnant before. These first movements may feel light, like bubbles or small "pokes" in the belly.

What’s Normal

Fetal movements can vary from one pregnancy to another, but in general, they become more noticeable as the baby grows. Here are some guidelines for what’s considered normal:

Frequency of movements: By 28 weeks, the expectant mother should feel her baby move regularly, often 10 to 20 times per hour. These movements may include kicks, rolls, or shifts, especially during the day.
Variation in intensity: The baby may move more actively at certain times of the day and less at others. Fetal sleep periods can last several hours, during which the movements are less noticeable.
Type of movements: Movements can manifest as kicks, jolts, slower motions, or gliding sensations, depending on the baby’s position.

What’s Not Normal

While fetal movements can vary, certain changes may indicate a problem that requires medical attention. Here’s what might not be normal:

Reduced or absent movements: A significant reduction or absence of movements for more than 24 hours, especially after the 28th week, is concerning. It’s important to consult a doctor immediately if this happens.
Sudden changes in the movement pattern: If you notice a sudden change in the frequency or intensity of the baby’s movements, such as hyperactivity or a sudden decrease in movements, it may indicate that something is wrong.
Pain associated with movements: While movements may sometimes be uncomfortable, intense or persistent pain associated with the baby’s movements may signal a problem, such as an abnormal fetal position or umbilical cord compression.

Techniques to Stimulate Fetal Movements

If you’re concerned about a reduction in fetal movements, here are some tips that may help stimulate the baby and encourage it to move:

An alarm or loud sound: A sudden noise from an alarm or bell can sometimes prompt the baby to react, as loud sounds can stimulate its reflexes. You might try placing an alarm on your belly to see if it triggers movements.
Change position or move: If you’re lying in an uncomfortable position, try changing it or getting up and walking gently. Body movements can also encourage fetal movements.
Stimulate with scents: Some women report that pleasant scents, like lavender or jasmine, can have a stimulating effect on fetal movements. If you’re unsure, try inhaling a familiar, mild fragrance.
Glucose candy: Eating a candy or a small amount of quick sugar, such as a glucose tablet, can sometimes help stimulate fetal movements, due to the rapid rise in blood sugar levels.

What to Do If You Have Doubts

If you’re concerned about fetal movements, it’s essential to contact your healthcare provider. They may recommend tests to check the baby’s health, such as an ultrasound, fetal monitoring, or other appropriate exams. Early follow-up is crucial to avoid complications.

Tips for Tracking Your Baby’s Movements

Keep a journal: If you’re worried, try recording your baby’s movements to better observe any changes. This can be helpful during your medical appointments.
Stay calm: Stress can affect your perception of movements. Try to relax and stay in tune with your body.
Never hesitate to consult: If in doubt, it’s always better to seek the advice of a healthcare professional. Your baby’s health and your peace of mind depend on it.

Conclusion

Fetal movements are a crucial sign of your baby’s health. Knowing what’s normal and what’s not will help you make the right decisions for you and your child. Remember that it’s always better to consult a healthcare professional if you have any doubts. Your well-being and your baby’s well-being are the top priorities.

Take care of yourself!

Sincerely,Dr. Sandra Yene Amougui