Movements Matter

Being aware of your baby’s movements throughout pregnancy is one of the simplest ways to monitor our baby’s health and wellbeing.

***Key Points***

  • Regular and healthy movements are a good indication of your baby’s wellbeing.
  • You should continue to feel your baby move right up to the time you go into labour and whilst you are in labour too.
  • If at any point you are concerned about your baby’s movements, or if you notice a change in your baby’s movements  contact your doctor or midwife immediately.

***Key Points***

***Movements Matter***

You will start to feel your baby move between weeks 16 and 24 of pregnancy.

This should happen regardless of where your placenta lies.

You should feel your baby’s movements right up until they are born,

There is no set number of normal movements. You should get to know your baby’s movements and what is normal for them.

A baby’s movements can be described as anything from a flutter or kick, to swish and roll. These are signs that your little one is well!

When babies become unwell, they may slow down their movements in order conserve energy- this could be an early indication of something being wrong with them so contact your care provider immediately if you have any concerns about changes in activity levels.

It’s important that this information be shared with partners, family and friends so that they too can understand the importance of your babies’ movements.

***Movements Matter***

***Common myths***

It is not true that babies move less towards the end of pregnancy. You should continue to feel your baby move right up to the time you go into labour and whilst you are in labour too.

If you are concerned about your baby’s movements, having something to eat or drink to stimulate your baby does not work. This is outdated advice. You should always phone your care provider.

***Common myths***

***Monitoring your baby movements***

Sit or lie down in a quiet place, try to relax, and focus on feeling your baby’s movements

Get to know your baby’s movements. The easiest way to learn your baby’s normal pattern of movement is to choose a time when baby is usually active and be mindful of their movements at this time.

If you are still concerned about your baby’s movements after doing this, contact your doctor of midwife that very day or night.

***Monitoring your baby movements***

***If I am concerned***

If at any point you are concerned about your baby’s movements, please contact your doctor or midwife. It is very common for pregnant women to have concerns about their baby at some point in their pregnancy. It is part of the natural role of a mother or mother-to-be to do things to look after your baby and your midwife or doctor is there to help you, no matter what time of night or day.

Please don’t feel silly about contacting your doctor or midwife if you ahve concerns.  Remember that no one knows your baby better than you do. It’s your body and your baby, so trust your instincts.

***If I am concerned***

***What will happen in hospital?***

If you have contacted your doctor or midwife and your doctor or midwife suggests that you come in to hospital, there are a few things that you can expect to happen.

First, your doctor or midwife will likely ask you questions about any known risk factors or issues you might have had during pregnancy.

Then he or she may do a CTG (cardiotocograph)This will involve placing an elastic belt around your belly to measure your baby’s heart rate. Your doctor or midwife will also feel your belly to see where your baby is positioned and to check his or her growth.

After this, your doctor or midwife might do an ultrasound of your baby.  Ultrasound scans can also be used to measure your baby’s heart rate and blood flow, and to check on growth.

***What will happen in hospital?***

Resources

The Safer Baby Bundle

 

Routine Antenatal Visit 30-33

Regular antenatal care is a key component of a healthy pregnancy and provides an opportunity to receive advice, information and support, while engaging in shared decision making about your  pregnancy that is designed to suit your individual pregnancy needs.

KEY POINTS

Antenatal care should be woman centred acknowledging pregnancy is a normal life event for most.

Antenatal care improves pregnancy outcomes for both mother and baby by recognising potential problems in pregnancy early.

The range of routine antenatal care visits range from 7 – 12 throughout the course of pregnancy with the average being around 10 visits.

During each visit your midwife or doctor will discuss screening test and arrange these as required.

It’s good if your partner, a friend or a family member can go with you to antenatal appointments.

Antenatal appointments keep track of your health and your baby’s health and are a great time to ask questions, discuss concerns and get health and lifestyle support throughout your pregnancy.  All antenatal visits require a directed clinical assessment at each visit, with a focus on general wellbeing and early diagnosis of pregnancy complications.

The clinical assessment should include a –

  • blood pressure check
  • urine dip stick, usually you do this yourself
  • weight and how you can achieve a healthy weight gain
  • measure your tummy, otherwise called a symphysis-fundal height (SFH) measurement
  • listen to your baby’s heartbeat using a handheld doppler, this is always lovely to hear
  • and ask about your baby’s movements from approximately 20 weeks of pregnancy onwards.

The midwife or doctor may also

Many women attend antenatal visits every 4-6 weeks until 28 weeks of pregnancy, then every 2-3 weeks until 36 weeks of pregnancy. After this, you’ll probably have weekly or fortnightly visits until birth.  The number and timing of pregnancy appointments could be more or less than this, depending on your health and your baby’s health. For example, if you have a high-risk pregnancy you might have more pregnancy appointments. Your midwife or doctor will talk with you about the appointments you need and why.

Having access to maternity care that is culturally appropriate and personally acceptable is important throughout antenatal care. Your midwife or doctor will ideally provide informed choice, and where possible include you in both the planning and monitoring of your pregnancy care.

Choice in pregnancy care is important and your midwife or doctor will provide access to appropriate information about the benefits and potential risks of each and every option of your pregnancy care as it applies to yours and your baby’s individual needs at each antenatal visit appointment. Be sure to ask questions at each visit too.

 

Safe Sleep in Pregnancy

Sleeping on your side from 28 weeks of pregnancy has been shown to have to reduce the risk of stillbirth.

***Key Points***

  • Sleep on your side after 28 weeks of pregnancy for any episode of sleep. 
  • Including sleeping overnight or taking a nap during the day time.
  • Either on your right or left side.

***Key Points***

***Sleeping on your side***

There have been several international research studies about women’s sleeping position during pregnancy. These studies have shown that women who go to sleep on their back have a higher chance of having a stillborn baby compared women who sleep on their backs after 28 weeks of pregnancy.

Research shows that going-to-sleep on your side from 28 weeks of pregnancy can halve your risk of stillbirth, compared to going-to-sleep on your back.

After 28 weeks of pregnancy, lying on your back presses on major blood vessels which can reduce blood flow to your uterus and the oxygen supply to your baby.

Either your left or right side is fine. It’s normal to change position during sleep and many pregnant women wake up on their back. It happens a lot.  The important thing is to start every sleep lying on your side (both for daytime naps and at night). If you wake up on your back, just roll over on your side.

Go to sleep on your side for anytime you sleep:

  • Going to sleep at night
  • Returning to sleep after any night wakenings
  • Naps during the daytime

***Sleeping on your side***

***Tips***

Tips for going to sleep on your side in the last three months of pregnancy

  • You can make it more comfortable, and easier to stay on your side, by bending your knees then putting a pillow between them.
  • If you wake during the night, check your position and go back to sleep on your side. Either left or right is fine.
  • Pay the same attention to sleep position during the day as you would during the night.

***Tips***

Resources

Side Sleeping