When to Expect Fetal Movement During Your First Pregnancy

Q: When to Expect Fetal Movement During Your First Pregnancy

Hello： For first-time mothers, fetal movement is typically felt around 20 weeks, while for a second pregnancy, it may be felt as early as 16 to 18 weeks. <br>However, fetal activity in the uterus occurs much earlier than when you actually feel it. <br>I'm not sure if you noticed

When does fetal movement occur?

Hello Doctor: I am currently 21 weeks pregnant with my first child and weigh 70 kg.
I have not felt any fetal movement yet.
I would like to know when fetal movement typically begins for first-time pregnancies.
Is it necessary to feel fetal movement?

Xiao Mi Feng, 30~39 year old female. Ask Date: 2012/07/15

Dr. Dong Yuhong reply Obstetrics and Gynecology

Hello: For first-time mothers, fetal movement is typically felt around 20 weeks, while for a second pregnancy, it may be felt as early as 16 to 18 weeks.
However, fetal activity in the uterus occurs much earlier than when you actually feel it.
I'm not sure if you noticed this during your previous ultrasound examinations.
If you are currently not feeling fetal movement, it is advisable to consult an obstetrician to clarify the status of the fetus.
At any point during your pregnancy, if you experience any discomfort or abnormal fetal movement, you should seek medical attention promptly.
Thank you.

Reply Date: 2012/07/15

More Info

During your first pregnancy, it is common for expectant mothers to begin feeling fetal movements between 18 to 25 weeks of gestation. However, many first-time mothers report feeling these movements closer to the 20-week mark. It is important to note that fetal movements can vary significantly from one pregnancy to another, and factors such as the mother's body type, the position of the placenta, and the level of physical activity can all influence when these movements are felt.

At 21 weeks, if you have not yet felt any fetal movements, it is not necessarily a cause for alarm. Many women may not feel their baby move until later in their pregnancy, especially if they have an anterior placenta (where the placenta is positioned at the front of the uterus), which can cushion the movements. Additionally, fetal movements are often subtle at first and may feel like flutters or gas bubbles, which can be easily overlooked.

While it is not mandatory to feel fetal movements by a certain week, it is crucial to monitor your pregnancy closely. If you have concerns about the lack of fetal movement, it is advisable to consult your healthcare provider. They may perform an ultrasound or other assessments to ensure that the baby is developing normally and that there are no underlying issues.

Fetal movement is an important indicator of the baby's well-being. As the pregnancy progresses, you should begin to feel more distinct movements, typically starting around 24 weeks. By this time, you may notice patterns in your baby's activity, which can help you gauge their health. If you notice a significant decrease in movement or if you have any other concerns, it is essential to seek medical advice promptly.

In summary, while many first-time mothers start to feel fetal movements around 20 weeks, there is a range of normal, and not feeling movement by 21 weeks is not uncommon. However, staying in touch with your healthcare provider and attending regular prenatal check-ups is vital for monitoring both your health and your baby's development. If you have any discomfort or unusual symptoms, do not hesitate to reach out to your doctor for guidance and reassurance.

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