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ASSESSMENT OF FETAL ACTIVITY
This assessment is a non-invasive method of monitoring the well-being of the fetus in utero. It has been observed that when something is wrong with the fetus. This is because the baby is conserving needed energy for vital functions in a weakened state.
However, the quality of fetal motions usually changes from small sharp movements to larger, smoother movements as space in the uterus is taken up in late pregnancy. You and your midwife will be checking to see if there is an overall reduction of your baby's NORMAL pattern of movement. In many cases this is a sign that the baby needs to be born soon.
USING THE ASSESSMENT CHART
Counting every move your baby makes is not very practical, so select a time during the day when you can count fetal movements for six consecutive hours. It is best to use the same hours every day. Do not select a time when the baby seems to sleep regularly.
You will begin by counting the first 5 movements in the six hour period. Mark the time you feel the fifth movement in the appropriate time block on your chart. If fewer than 5 movements are felt, note how many you detected in the space below the time slots. Should the baby have periods of constant movement, count one movement for each full minute of activity. Here is an example of how to use the chart:
1. Hours you choose to count movements (you may engage in any normal activity which will still allows awareness of fetal motion). Write in times in 1/2 intervals. This mother started counting at 9 am.
Monday she felt the 5th movement at 11:15 am, so she marks the 11:30 am block on her chart.
On Tuesday she felt the 5th movement at 12:30 am.
Wednesday she did not feel 5 movements in the 6 hour period, she marks the "4" box in Wednesday's space.
On Thursday, she felt 5 movements by 1:30 pm.
2. Notes on special situations or sensations are recorded here.
NOTE: If less than 5 movements are felt in your counting period for any two days in a week, call your midwife immediately.
Example of blank charts to be used for assessments:
MoonDragon's Pregnancy Information: Pregnancy Survival Tips & Information
This information obtained from Understanding Lab Work in the Childbearing Year by Anne Frye
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