Expectant parents often wonder about the activity levels of their baby as labor approaches and progresses. This curiosity stems from a natural desire to understand their baby’s well-being during this transformative period. Monitoring fetal movement is a long-standing practice that provides reassurance about the baby’s health. While general awareness of movement patterns is common throughout pregnancy, questions frequently arise about how these movements might change during the intense process of labor itself.
Fetal Movement During Labor
During labor, the nature of fetal movement often shifts rather than increasing in activity. Many women report that the distinct, strong kicks felt earlier in pregnancy may become less pronounced. Instead, movements might feel more like wiggles, squirming, or rolling as the baby navigates the birth canal. A study involving continuous observation during labor found that fetal movement was present during 17.3% of the total labor time. 65.9% of fetal movements occurred during uterine contractions. The proportion of time a fetus spent moving during contractions was higher (21.4%) compared to between contractions (12.9%).
Influences on Fetal Movement During Labor
Several factors can influence how fetal movement is perceived during labor. Uterine contractions themselves play a significant role, as their rhythmic tightening can temporarily compress the baby within the uterus, making movements harder to distinguish. This compression may lead to a perception of reduced movement or a change in its quality.
The baby’s position as it descends into the birth canal also affects perceived movement. As the baby moves through the pelvis, typically head-down and facing the mother’s back, there is less space for expansive movements.
Maternal position changes during labor can also influence how movements are felt. Different positions may open the pelvis, encouraging the baby’s descent and potentially altering the sensation of movement. Additionally, pain relief medications, such as epidurals, can influence maternal perception of fetal movement.
When to Contact Your Healthcare Provider
While changes in fetal movement patterns are expected during labor, a significant decrease or absence of movement is a concern that always warrants immediate medical attention. If you notice a substantial reduction in your baby’s typical movements, it is important to communicate this promptly to your healthcare provider.
It is recommended to contact your provider if you cannot count at least 10 movements within a two-hour period, especially in the third trimester. This “kick count” is a simple yet effective way to monitor fetal well-being. Trusting your instincts; if something feels different or concerning about your baby’s movements, seeking evaluation from a healthcare professional without delay.