When does a mother feel fetal movement for the first time?

Most women begin to feel fetal movement for the first time between the 16th and 24th weeks of pregnancy [4]. In a first pregnancy, it may take the mother a little longer to clearly distinguish these movements, as these sensations often begin after the 20th week, whereas women who have been pregnant before may notice movements earlier in this period [4]. There is no specific number of movements that a mother must count daily; the most important thing is to recognize the individual, usual pattern of her fetus and note any changes that occur [5].

The Nature of Fetal Movement in Early Stages

In the early stages starting from week 16, pregnant women often describe the first fetal movements as feeling like a light flutter, a butterfly sensation, or simple ripples in the abdomen [5]. It is sometimes difficult for the mother to distinguish between these movements and bowel activity or gas at the beginning. As pregnancy progresses, these sensations evolve and become stronger and more distinct, gradually turning into clear kicks and nudges [4]. It is a misconception that the fetus moves less in the final weeks of pregnancy due to lack of space; in reality, the normal movement pattern should continue until the time of delivery [5].

Influencing Factors and Correcting Misconceptions

Many women wonder if the position of the placenta affects the sensation of movement. Medically, the location of the placenta does not affect the amount of movement felt or the actual strength of the fetus [5]. Furthermore, it is never recommended to rely on external stimuli, such as consuming sugars or cold drinks, to wake the fetus or ensure its well-being, as the fetus should move according to its own natural pattern [5]. For more details on physical and psychological changes, you can review our article on Stages of Pregnancy: A Comprehensive Guide to Physical and Psychological Changes from Beginning to Birth (Arabic).

When Should You Seek Immediate Medical Attention?

If a mother reaches 24 weeks and has not felt any fetal movement, she must consult a midwife or a specialist doctor immediately so they can check the fetus's heartbeat and movement [4]. You should also contact a maternity assessment unit or your healthcare provider immediately in the following cases:

• If you notice a decrease in the frequency of fetal movement compared to the usual.
• If the fetus's usual movement pattern changes suddenly.
• If you no longer feel the fetus move at all.

Always remember that a decrease in movement may be a sign that the fetus is not well, and immediate medical evaluation can be crucial in providing the necessary care [5]. It is strictly forbidden to use home fetal Doppler monitors to check on the fetus's well-being when reduced movement is felt; they are not reliable diagnostic tools and can provide misleading results that lead to a delay in obtaining urgent medical care that could ensure the fetus's safety [4].

Medical references

• Your baby's movements - NHS
• Reduced fetal movements in pregnancy - North Tees and Hartlepool NHS Foundation Trust