Fetal Movement: Is Active Movement Safe for Your Baby? - Obstetrics and Gynecology

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Fetal movement


Hello Doctor, I would like to ask: Does vigorous fetal movement have any impact on the fetus? Or does it indicate that the fetus is very active and lively? I've heard that excessive movement could lead to umbilical cord entanglement.
I'm quite worried...
Thank you.

Sha Sha, 20~29 year old female. Ask Date: 2004/08/26

Dr. Zhuang Zhijian reply Obstetrics and Gynecology


Fetal movement is a good sign and indicates that the fetus is healthy and active.
However, it is uncertain whether this could lead to issues such as umbilical cord ulcers.
Even if ulcers do occur, as long as fetal movement remains strong, there should not be any adverse effects.
It is important to have regular prenatal check-ups and monitor any changes in the fetal heart rate, and perform fetal monitoring when necessary to ensure the health of the fetus.

Reply Date: 2004/08/26

More Info


Fetal movement is a crucial aspect of pregnancy that can provide valuable insights into the health and well-being of the developing baby. When a mother feels her baby moving actively, it is generally a positive sign indicating that the fetus is healthy and developing normally. Active fetal movement is often associated with a healthy and vigorous baby, which is reassuring for expectant mothers.

To address your concerns, it is important to understand that fetal movements can vary significantly from one pregnancy to another. Some babies are naturally more active than others, and this variability is completely normal. The frequency and intensity of fetal movements can also change throughout the pregnancy, particularly as the baby grows and space in the uterus becomes limited.
Regarding your specific question about whether active movement could have negative effects, such as causing umbilical cord entanglement, it is essential to note that while it is theoretically possible for the umbilical cord to become wrapped around the baby, this is relatively uncommon. The umbilical cord is designed to allow for a certain degree of movement, and most babies are able to move freely without significant risk of complications.
Moreover, active fetal movement is typically a sign of good health. It indicates that the baby is receiving adequate oxygen and nutrients through the placenta and is responding to stimuli. In fact, many healthcare providers encourage mothers to monitor their baby's movements as a way to assess fetal well-being. A decrease in movement can sometimes be a cause for concern, and it is advisable for mothers to consult their healthcare provider if they notice a significant reduction in fetal activity.

In terms of monitoring fetal movements, a common recommendation is to perform "kick counts." This involves counting the number of times the baby moves within a specific period, usually one hour. Expectant mothers are generally advised to feel at least ten movements within two hours while resting. If the mother notices a significant decrease in movement or if the baby is unusually quiet, it is essential to seek medical advice promptly.

In conclusion, active fetal movement is typically a positive sign of fetal health and vitality. While concerns about umbilical cord entanglement are understandable, they should not overshadow the reassuring nature of regular fetal movements. Expectant mothers should feel encouraged to engage with their healthcare providers regarding any concerns they may have about fetal activity. Regular prenatal check-ups and open communication with healthcare professionals are vital components of a healthy pregnancy. Always remember that each pregnancy is unique, and what is most important is the overall well-being of both the mother and the baby.

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