Table of Contents
Introduction
Quickening is a term that describes the natural sensation of a baby's movements in the uterus. Quickening is usually felt in the middle of the pregnancy, around 16 to 20 weeks, but it may be felt sooner or later in some women. Quickening is a natural phenomenon that enhances the bond between the mother and the baby. Quickening is a pregnancy milestone and a sign of an active and healthy baby.
What Does Quickening in Pregnancy Mean?
Quickening is a natural phenomenon that pregnant women feel. It refers to sensation of the baby's movements in the uterus. It is usually felt as flutters, bubbles, or tiny pulses. Sometimes, these movements are confusing and thought to be hunger pangs or gas. It is initially a strange feeling because it cannot be distinguished from gastritis or bloating. However, a woman becomes familiar with the quickening movements over time. Once it is recognized as quickening movements, the baby's movements enhance the bond during pregnancy. In addition, quickening is an essential milestone in pregnancy as it reassures the growth and health of the unborn baby. These quickening movements become intense as the pregnancy progresses.
When Are the Quickening Movements Felt During Pregnancy?
An unborn baby will start moving around 12 weeks, but the pregnant mother cannot feel these movements. Quickening activities are not usually felt until 20 weeks of pregnancy for a first-time expectant mother. However, a second-time expectant mother can sense quickening movements by around 16 weeks of pregnancy. In addition, a few factors can impact the timing of quickening movements, which include:
- Previous pregnancies, in which the uterine muscles are more relaxed and sensitive to movements. And so, a second-time pregnant woman can feel these movements sooner.
- The timing of quickening can be influenced by the location of the placenta. An anterior placenta (placenta present between the uterus and the belly) makes it harder to feel the first quickening movements.
- The movements also depend on whether the baby is active or inactive.
Quickening movements are usually felt in the lower abdomen, near the pubic bone. Quickening movements are different for each person. It may be felt as fluttering, tiny pulses, bubbles popping, light rolls, or flickering movements. Early fetal movements are very mild and are difficult to explain. As the pregnancy progresses, the movements become more intense because the uterus moves more toward the belly button. But, the unborn baby's quickening movements are not painful and do not hurt the mother.
How Often Should Quickening Be Felt?
The intensity and timing of quickening vary by person. Quickening movements are generally felt between 20 to 24 weeks of pregnancy. At 28 weeks (third trimester of pregnancy), at least 10 movements should be felt in two hours. Sometimes, it can be less than this because the baby is inactive and at rest.
Also, it is normal to feel the movements on and off. Sometimes, movements are mild and may not be felt for a few days. However, quickening becomes intense, regular, and consistent as the pregnancy progresses. In addition, the baby also has periods of inactivity as the baby sleeps and rests, so it is normal if the movements are not constantly felt. However, if movements are very less, it can be discussed with the doctor to reassure that the baby is expected. The healthcare provider may take additional tests to confirm the baby's health if required.
Why Is Quickening Important?
Quickening is vital during pregnancy because the baby's movements in the womb are essential for developing muscles, bones, and joints. Movements like stretching and kicking help prepare the baby for life after birth and help with growth and development. If the baby does not move around in the womb, it can be due to problems with the placenta or the amniotic fluid levels. If the baby is not active or moving around, it is essential to consult a gynecologist or a midwife.
How to Track Quickening?
Initially, it may be challenging to track quickening movements. However, once the baby's movements become strong, they can be tracked. Also, a pattern of movements can be noticed over a period of time, and if there are any changes in the pattern, it can be discussed with the doctor. The baby also has a sleep-wake cycle, just like the mother. Hence, the baby moves constantly during active hours and rests during sleep. Sometimes, there may be slight variations in the pattern of movements. If at least ten movements are not felt within several hours, it is essential to contact the doctor. Ten movements or kicks within two hours is the commonly accepted range.
What Are the Abnormalities Associated With Decreased Fetal Movements?
Decreased fetal movement is a concern because a decreased fetal movement usually precedes a compromise. Therefore, if a decrease in fetal movement is noticed, it should be evaluated and treated to prevent the risk of adverse events. A decrease in fetal movements may be a sign of fetal impairment or risk. It is associated with several conditions such as abnormalities of the uterus and placenta, restrictions in fetal growth, and twin-to-twin transfusion syndrome. One more reason that could result in a reduction in fetal movements is when the umbilical cord wraps around the neck of the fetus, which is referred to as a tight nuchal cord. In some cases, a decrease in fetal movements may even lead to intrauterine fetal demise. The cause of reduced fetal movements can also be linked to insufficient supply of oxygen and nutrients to the fetus, leading to fetal compromise or stillbirth. Any decrease in fetal movements should be evaluated with a nonstress test. This assesses fetal breathing, movements, and amniotic fluid volume. Fetal movement count monitoring is another method that helps monitor fetal movements.
Conclusion
Quickening during pregnancy is exciting for pregnant women. It increases the bond between the mother and the fetus and reassures the mother that the baby is growing and gaining strength. However, the timing, frequency, and intensity of quickening vary by person. A healthcare provider can help determine the feeling of quickening movements during pregnancy. If there are changes in the pattern of movements or a decrease in these movements, it is essential to discuss with the doctor or midwife for proper evaluation and treatment.
