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Feeling baby move for the first time: when and how?

A baby's first movements are imperceptible. They begin at the seventh week of pregnancy, but cannot yet be felt.
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The baby's first movements are imperceptible at the start of pregnancy.

 

They begin as early as the first trimester, at the seventh week of pregnancy, but cannot yet be felt in the womb. These include whole-body movements, stretches, isolated limb movements, breathing movements, head and neck movements, jaw movements (including yawning, sucking and swallowing) and hiccups from the tenth week of pregnancy [1]. 

A few tips

To feel your baby moving clearly, try: 

  • Lying down in a quiet place
  • In the afternoon or evening
  • Before eating 

When do you start to feel your baby move?

The first movements of your baby in the womb are generally felt during the second trimester, between weeks 18 and 20 of pregnancy. You may not feel them until week 20, or even week 24, particularly if this is your first baby, as you may not yet be aware of these movements. Those first little kicks can feel like flutters. If this is not your first pregnancy and you have been pregnant before, you may be able to feel your baby move as early as week 16[1]! 

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How do you recognise your baby's movements?

In general, expectant mothers experience sensations in these 3 categories [3]: 

  • Gentle: light, faint, difficult to notice, like a feather.
  • Gas: sensation of bubbles, wind, gas, stomach rumbling, gurgling, heartburn.
  • Flutter: heartbeat, butterfly wing, wave, tingling, buzzing, breath, itching, stomach spasm.

Your baby has sleep periods of 20 to 40 minutes, and sometimes up to 90 minutes, which means they won't be moving during those times. Additionally, when you are busy, you probably won't feel these movements [4]. 

On the other hand, if the placenta is located at the front of your uterus, you may find it harder to feel your baby's movements. If your baby's back is at the front of your uterus, you may feel fewer movements than if their back is alongside yours.

The type of movement you feel depends on what your baby is doing and their stage of growth and development. The first kicks you feel may resemble gas, bubbles, etc., but gas is short and intense, whereas movements are more regular and localised. 

Did you know?

A baby's first movements are imperceptible, and begin as early as the start of pregnancy, at week 7!

When will you feel your baby move the most?

Generally, the afternoon and evening are the periods of maximum activity for your baby. 

The number of movements tends to increase up to 32 weeks of pregnancy, then remains roughly the same, although the type of movement may change as you get closer to your due date. There is also less room to move, but you should continue to feel your baby move in the womb right up until you begin labour. Your baby should also move during labour [2].

If you are stressed, your baby will be more active

Greater motor activity was observed in the foetuses of pregnant women with higher levels of anxiety and stress during pregnancy [5].

It is best to try to be as stress-free as possible during pregnancy. To do so, make sure to monitor your intake of magnesium and do not hesitate to take a supplement magnesium pregnancy as needed. 

If you have low blood sugar (before eating), your baby will move even more

Researchers assessed foetal activity levels in utero in relation to maternal blood glucose in diabetic pregnant women between 36 and 40 weeks of pregnancy [6]. They noted a statistically significant increase in foetal activity during episodes of low blood sugar. 

Conversely, another group studied the effects of hyperglycaemia on the child and noted a significant decrease in foetal movements in cases of sustained maternal hyperglycaemia [7]. Similarly, a study of foetal motor activity in relation to blood glucose levels in mothers with gestational diabetes showed that foetal motor activity was faster when the mother's blood glucose level decreased and slower when it increased [8]. The fact that studies have reported foetal inactivity in the context of the maternal postprandial state (after a meal) raises the possibility that an increased glucose intake may have a suppressive effect on foetal activity [9]. 

Consequently, according to studies, you are more likely to feel your baby move when you are experiencing low blood sugar (before eating, for example) than when your blood sugar rises (after a meal). 

Our tips for feeling your baby move: lie down, in a quiet place, in the afternoon before eating a pregnancy snack

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What do my baby's movements mean?

There may be links between a baby's activity in the womb and their development. Feeling your baby move is a sign of foetal wellbeing. 

Please note that not feeling your baby move, or noticing fewer movements, does not necessarily mean your baby is in danger. 

A study of 46 pregnant women with diabetes established a link between foetal activity levels in utero and subsequent birth weight [10]. Glucose-related macrosomia (birth weight above 4 kg at term) was observed exclusively in babies considered "inactive" before delivery. Increased foetal activity may help minimise the impact of hyperglycaemia on subsequent birth weight. The inactive baby appears to be at higher risk of glucose-mediated macrosomia.

This information is not intended to worry you — it is simply something to discuss with your healthcare professional (midwife, gynaecologist, etc.) and will depend on your situation, particularly if you have gestational diabetes. 

A study examined the relationship between the number of movements felt by the mother during pregnancy and the health outcomes for the future child [11]. Maternal perception of increased strength and frequency of foetal movements, foetal hiccups, and vigorous and frequent foetal activity was associated with a reduced risk of late stillbirth (beyond 28 weeks of pregnancy). Conversely, the perception of reduced foetal movement strength was associated with a more than doubled risk of late stillbirth. 

This study therefore suggests that maternal perception of increasing foetal activity throughout the last 3 months of pregnancy is a sign of foetal wellbeing, whilst the perception of reduced foetal movements is associated with an increased risk of late stillbirth. 

Don't worry if you feel your baby moving less — this can be completely normal, particularly in the third trimester towards the end of pregnancy when there is less room. If you are ever concerned, don't hesitate to consult your healthcare professional (midwife, gynaecologist, etc.). 

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Feeling baby move for the first time: when and how?

Conclusion

Every pregnancy is different; what matters is learning to recognise your baby's usual movements day by day.

If you notice that your baby is moving less than usual, do not hesitate to consult your healthcare professional (midwife, gynaecologist, GP, etc.). 

[1] Nowlan, N. C. « Biomechanics of Foetal Movement ». European Cells & Materials 29 (2 janvier 2015): 1‑21; discussion 21.https://doi.org/10.22203/ecm.v029a01.

[2] Royal college of obstetricians and gynaecologists.

[3] Raynes-Greenow, Camille H, Adrienne Gordon, Qiushuang Li, et Jon A Hyett. « A cross-sectional study of maternal perception of fetal movements and antenatal advice in a general pregnant population, using a qualitative framework ». BMC Pregnancy and Childbirth 13 (5 février 2013): 32. https://doi.org/10.1186/1471-2393-13-32

[4] Jakes, Adam D., Rebecca Whybrow, Clare Spencer, et Lucy C. Chappell. « Reduced Fetal Movements ». BMJ 360 (6 mars 2018): k570.https://doi.org/10.1136/bmj.k570.

[5] DiPietro, Janet A., Katie T. Kivlighan, Kathleen A. Costigan, et Mark L. Laudenslager. « Fetal motor activity and maternal cortisol ». Developmental psychobiology 51, no 6 (septembre 2009): 505‑12. https://doi.org/10.1002/dev.20389.

[6] Holden, K. P., L. Jovanovic, M. L. Druzin, et C. M. Peterson. « Increased Fetal Activity with Low Maternal Blood Glucose Levels in Pregnancies Complicated by Diabetes ». American Journal of Perinatology 1, no 2 (janvier 1984): 161‑64. https://doi.org/10.1055/s-2007-999994.

[7] Edelberg, S. C., L. Dierker, S. Kalhan, et M. G. Rosen. « Decreased Fetal Movements with Sustained Maternal Hyperglycemia Using the Glucose Clamp Technique ». American Journal of Obstetrics and Gynecology 156, no 5 (mai 1987): 1101‑5. https://doi.org/10.1016/0002-9378(87)90118-9.

[8] Robertson, Steven S., et LeRoy J. Dierker. « Fetal Cyclic Motor Activity in Diabetic Pregnancies: Sensitivity to Maternal Blood Glucose ». Developmental Psychobiology 42, no 1 (janvier 2003): 9‑16. https://doi.org/10.1002/dev.10045

[9] Bradford, Billie, et Robyn Maude. « Fetal response to maternal hunger and satiation – novel finding from a qualitative descriptive study of maternal perception of fetal movements ». BMC Pregnancy and Childbirth 14, no 1 (26 août 2014): 288. https://doi.org/10.1186/1471-2393-14-288.

[10] Zisser, Howard, Lois Jovanovic, Ashley Thorsell, Asher Kupperman, Larisa J. Taylor, Paulina Ospina, et Mosha Hod. « The Fidgety Fetus Hypothesis: Fetal Activity Is an Additional Variable in Determining Birth Weight of Offspring of Women with Diabetes ». Diabetes Care 29, no 1 (janvier 2006): 63‑67. https://doi.org/10.2337/diacare.29.1.63.

[11] Stacey, Tomasina, John M. D. Thompson, Edwin A. Mitchell, Alec Ekeroma, Jane Zuccollo, et Lesley M. E. McCowan. « Maternal Perception of Fetal Activity and Late Stillbirth Risk: Findings from the Auckland Stillbirth Study ». Birth 38, no 4 (2011): 311‑16. https://doi.org/10.1111/j.1523-536X.2011.00490.x.

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