These abnormal fetal movements are actually the baby’s distress signal! Expectant parents must be vigilant

The health of the fetus and baby always affects the hearts of parents. In order to ensure the health of the baby, mothers will go to the hospital for regular check-ups, but it is not realistic to go to the hospital every day. Is there any good way to easily understand the health status of the baby? In addition to going to the hospital for check-ups, mothers can also learn about their babies’ health through self-examination! Mommies must pay attention when the fetus has the following 8 conditions. This may be a distress signal from the fetus! How to read fetal distress signals? Danger Sign 1: Abdominal Pain – Danger Warning: Threatened Miscarriage, Ectopic Pregnancy During pregnancy, pregnant women will feel slight abdominal pain at certain stages, which is mostly normal. But if the abdominal pain occurs suddenly and is spasmodic, this requires attention. In the early stages of pregnancy, severe lower abdominal pain accompanied by vaginal bleeding may be an early warning of ectopic pregnancy or threatened miscarriage. If it is an ectopic pregnancy, abdominal bleeding will cause bursts of intense pain like tearing, and vaginal bleeding; if it is a threatened abortion, the pregnant woman\’s abdomen will have an obvious falling feeling, the abdominal pain will not be very severe, and there will be vaginal bleeding. Once the above symptoms appear, pregnant women need to seek medical treatment promptly. Danger signal 3: Changes in fetal movement – Danger warning: Threatened abortion and ectopic pregnancy are fetal movements that are normal physiological activities of the fetus and can be sensed by pregnant women at 18-20 weeks of pregnancy. Fetal movements vary from fetus to fetus. Generally, fetal movements of quiet fetuses are softer and less frequent; fetal movements of excited fetuses are large and frequent. Expectant mothers can often keep track of fetal movements, so they can understand the safety of the fetus and detect problems in time. Under normal circumstances, between 16 and 20 weeks of pregnancy, the fetus begins to make obvious fetal movements that can be felt by the mother. As gestational age increases, fetal movements also increase. After 30 weeks of pregnancy, the normal fetal movement is generally no less than 3 times per hour, and the number of fetal movements within 12 hours is about 30-40 or more. However, it is normal for fetuses near term to have reduced fetal movements, which may be related to the fetal sleep status. Fetal movement can be affected by many factors. The month of pregnancy, the amount of amniotic fluid, the posture of the expectant mother, etc. can cause changes in fetal movement, but these changes are within the normal range. Pregnant mothers can take a test in the morning, noon and night, and calculate fetal movement by taking 1 hour each time. If you cannot measure 3 times a day, you can choose to measure for 1 hour at a fixed time before going to bed at night. When the placenta function is impaired, the umbilical cord is wrapped around the neck, the expectant mother takes improper medication, or encounters adverse external stimuli, it may cause abnormalities. of fetal movement. If the fetal movement is less than 3 times within 1 hour, or the fetal movement is less than 10 times in 12 hours, it means that the fetus is at risk of intrauterine hypoxia and should go to the hospital for examination and timely treatment. Danger signal 4: Abnormal fetal heart rate – Danger warning: Fetal hypoxia The normal heart rate of the fetus is 120 beats/min – 160 beats/min. After fetal movement, it can be higher than this range, and then it can gradually return to normal. When the fetus is calm, if it is lower than this normal range or higher than this normal range, it means that the fetus is in a state of distress, which is a sign of hypoxia. How to listen to fetal heartbeat? If the baby is in a normal position in the womb, on the left or right side of the mother\’s lower abdomen, which is the side where the fetal back is, the expectant father can use simpleequipment for listening. Before the fetal movement decreases, excessive fetal heart rate occurs. If it exceeds 160 beats/min, it is a sign of early fetal hypoxia. If the fetal movement decreases or stops, and the fetal heart rate is less than 120 beats/min, it is a sign of late fetal hypoxia. The location for listening to the fetal heart rate should be at the place designated by the doctor, but it should be noted that if the fetal heart rate is abnormal, the listening position should be 20 minutes apart. If the fetal heart rate is fast, the listening position should be repeated when there is no fetal movement. Danger sign 5: Galactorrhea – Danger warning: Hyperprolactinemia Some mothers will have milk overflow in early pregnancy, which is a normal phenomenon during pregnancy. If galactorrhea is obvious and accompanied by abdominal pain or vaginal bleeding, you should be more vigilant, especially mothers who have had a history of unexplained abortions in the past, as it may be hyperprolactinemia. Excessively high prolactin levels will inhibit the hormone secretion of the hypothalamus and pituitary gland, affecting placental function and fetal development. You should go to the hospital for endocrine examination in time. Danger Sign 6: Itching – Danger Warning: Intrahepatic Cholestasis of Pregnancy Throughout pregnancy, pregnant women may experience many symptoms, and pruritus is one of them. Obstetrics experts say that if there is widespread itching all over the body, especially in the abdomen, palms and toes, which is more severe, accompanied by mild jaundice, and an elevated GPT on liver function tests, it can be diagnosed as intrahepatic cholestasis syndrome of pregnancy. , this disease can easily cause fetal asphyxia, premature birth, stillbirth, postpartum hemorrhage, etc. Tongxinbang reminds that when it comes to itching during pregnancy, expectant mothers should not self-medicate, but should go to the hospital for diagnosis and treatment as soon as possible, because the causes of itching during pregnancy are very complicated. Generally, most itching during pregnancy is related to allergies, among which food allergies are the most common. Danger Sign 7: High Blood Pressure and Edema – Danger Warning: Pregnancy-induced Hypertension Syndrome Pregnancy-induced hypertension syndrome refers to symptoms such as high blood pressure, proteinuria and edema during pregnancy. Symptoms of high blood pressure usually begin to appear around 20 weeks into pregnancy. The incidence of pregnancy-induced hypertension in older mothers is about five times that of young first-time mothers. About one in four women with gestational hypertension will develop preeclampsia during pregnancy or delivery, or soon after giving birth. If a pregnant woman develops gestational hypertension within 30 weeks of pregnancy, the chance of developing preeclampsia is 50%. In addition, pregnant women with gestational hypertension have a higher risk of other pregnancy complications, including intrauterine growth restriction, premature birth, placental abruption, intrauterine fetal death, etc. Care Tips •Keep your mood comfortable and relaxed, and sleep on your left side when resting in bed. •Pay attention to weight control. If you are overweight before pregnancy, you should try to eat less or no candies, snacks, sweet drinks, fried foods and high-fat foods. •Do not eat foods that are too salty or have high sodium content, such as cured meat, pickled vegetables, pickled eggs, pickled fish, ham, mustard, pickles, etc., to avoid water and sodium retention. •In case of mild gestational hypertension, it is enough as long as you do not eat salty food. For moderate and severe cases, the daily salt intake should not exceed 5 grams and 3 grams respectively. •Baking soda and baking powder also contain sodium, so their consumption should be limited appropriately. Danger signal 8: Abnormal uterine height – Danger warning: Intrauterine growth retardation, macrosomia. How to measure uterine height. Pregnant women must urinate before the examination, then lie down on the bed and measure the pubic symphysis with a soft tape.The specific location of the pubic symphysis is above the genitals. You can feel a protruding bone. This bone is the pubic bone. The top of the pubic symphysis should be three inches below the belly button. The distance from the midpoint of the upper edge to the fundus of the uterus should be measured every 4 weeks starting from the 20th week of pregnancy; every 2 weeks from 28 to 35 weeks of pregnancy; and once a week after 36 weeks of pregnancy. The measurement results can be plotted on a pregnancy chart to facilitate observation of fetal development and gestational age. Monitoring the uterine fundal height within the standard range of uterine height during pregnancy can determine whether the fetal size is normal. From 21 to 34 weeks of pregnancy, the fundal height of the uterus grows slightly faster, averaging 1 cm per week. After 34 weeks, the fundal height growth slows down to 0.65 cm per week. If the growth rate is significantly lower than the above standards, intrauterine fetal growth should be suspected. Stunting. The fundus of the uterus cannot reach the height it should be for the gestational age, which is a sign of fetal intrauterine growth retardation. The weight of pregnant women increases at an average rate of 350 grams per week from the 13th week of pregnancy to full term. From 13 to 28 weeks of pregnancy, the increase in maternal weight is mainly due to the increase in the weight of the fetus. After 28 weeks of pregnancy, the increase in maternal weight is mainly due to the increase in fetal weight. After 28 weeks of pregnancy, if the prenatal examination finds that the pregnant woman\’s uterine height is lower than the 10th percentile of the uterine height for that gestational week, there is a possibility of fetal growth retardation, and you should go to the hospital in time based on the uterine fundal height measurement and B-ultrasound examination. The results are used to comprehensively determine the diagnosis. What should I do if my palace height is too low? Pregnant women should pay attention to their daily intake of meat, eggs, fish, and milk, and their weekly weight gain should be between 0.3kg and 0.5kg. What should I do if the palace height is too high? If the measurement result of a pregnant woman shows that the uterine height value is too high, it means based on the expected date of delivery. If the uterine height is more than 2cm larger than the average value of the corresponding pregnancy weeks, the doctor may arrange for the pregnant mother to have a B-ultrasound examination to find out the reason, and then Advice is given based on individual circumstances. Danger sign 9: Too much or too little amniotic fluid – Danger warning: Abnormalities in the central nervous system and cardiovascular system. Amniotic fluid is considered the \”water of life\” for the fetus, and it is also one of the elements that maintains the survival of the fetus. Too much or too little amniotic fluid may be a warning sign of fetal pathology. Once the amount of amniotic fluid is abnormal, pregnant women need to be more vigilant. Amniotic fluid is mainly formed by the placental tissue permeate in the uterus of pregnant women and the urine of the fetus. It begins to appear at ten weeks of pregnancy and then increases with the increase of pregnancy weeks. Generally, the normal amniotic fluid volume at term is about 800-1000ml. If the amniotic fluid volume reaches 1500ml or even more than 2000ml, it is called polyhydramnios. The fetus will drink amniotic fluid. Polyhydramnios may mean that the fetus is unable to swallow amniotic fluid, increases urine production, or has gastrointestinal obstruction. In addition, polyhydramnios may also indicate abnormalities in the fetal central nervous system, cardiovascular system, etc. If the amniotic fluid is less than 400ml, it is called oligohydramnios, which may indicate incomplete development of the fetal kidneys or lungs. The corresponding treatment for polyhydramnios mainly depends on whether the fetus is malformed, the gestational age and the degree of polyhydramnios. For those with fetal malformations, the decision on whether to terminate the pregnancy will be based on the degree of the malformation; when the fetus develops normally, mild or moderate polyhydramnios does not require treatment, and severe polyhydramnios does not require treatment.Many can be treated. Indomethacin is a very effective drug for treating polyhydramnios, but it has obvious side effects. Amniocentesis may be performed when polyhydramnios causes abdominal pain or difficulty breathing. Corresponding treatment for oligohydramnios When it is discovered that a pregnant woman has premature labor and water rupture, it must be tested whether the fetus can be continued, or whether the infection is quite serious and early delivery is necessary; when fetal abnormalities are found, it must be determined whether intrauterine treatment or early delivery is needed. Or full-term delivery and then treatment, etc. If oligohydramnios is combined with fetal growth retardation, early delivery must be considered, because this already means there is a certain degree of fetal distress, and continued pregnancy cannot ensure safety. In addition, long-term oligohydramnios can also cause compression of the fetus, resulting in facial deformity or incorrect posture of hands and feet. Therefore, amniotic fluid perfusion should be given when necessary to increase the amount of amniotic fluid. Danger Sign 10: Early Labor – Danger Warning: Threatened abortion, ectopic pregnancy, mid- to late pregnancy, if abdominal distension and pain, water rupture, or vaginal area are red, the uterus contracts strongly and causes a sinking feeling, and the belly becomes obviously hard, these are premature births sign. If a pregnant woman gives birth between 28 weeks of pregnancy and less than 37 weeks of pregnancy, we call it premature birth. Common causes of premature birth include: ▶Pregnant women suffering from reproductive tract malformations or uterine fibroids. ▶Pregnant women with acute and chronic diseases, such as heart disease, severe malnutrition and sexually transmitted diseases. ▶Twin pregnancy, polyhydramnios, premature rupture of membranes, placenta previa and other factors can easily induce premature birth. Danger letter: 11: Expired pregnancy – Danger warning: Threatened abortion and ectopic pregnancy if the menstrual cycle is regular and the pregnancy reaches or exceeds 42 weeks (that is, 2 weeks beyond the expected date of delivery), it is medically called an expired pregnancy, and its incidence rate is about 8 % to 10%. After pregnancy, the placenta undergoes the following two changes: 1. Degenerative changes occur due to aging of the placenta, which significantly reduces the blood flow in the placental intervillous space, causing infarction, further reducing blood flow, reducing the supply of oxygen and nutrients to the fetus, and causing the fetus to no longer If it continues to grow, the amniotic fluid will decrease, and it is easy to become hypoxic or die. 2. The placenta function is normal. The fetus in a post-term pregnancy continues to grow. During delivery, the fetus is too large and the fetal head is too hard, which may cause dystocia. Therefore, perinatal mortality in postterm pregnancies is significantly increased. Therefore, pregnant women should go to the hospital for prenatal check-ups when they are close to the expected date of delivery. If uterine contractions do not occur after the expected date of delivery, further examinations should be carried out. At this time, it is very necessary to conduct placental function tests and fetal status checks, and to formulate a treatment plan.