孕晚期的胎动好难受怎么回事，What to do

Jan 04, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, discomfort from fetal movements in the late stages of pregnancy may be caused by factors such as uterine expansion, large fetal movements, oligohydramnios (low amniotic fluid), gestational hypertension, or gestational diabetes. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. Besides these common causes, it could also be due to placental abruption.

In general, uncomfortable fetal movements in the third trimester may be caused by uterine expansion, large fetal movements, oligohydramnios (low amniotic fluid), gestational hypertension, or gestational diabetes. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Uterine Expansion

As pregnancy progresses, the uterus gradually enlarges to accommodate the developing fetus. The expansion of the uterus and its pressure on surrounding organs—especially during frequent fetal movements—can lead to discomfort. This is usually a normal phenomenon; getting adequate rest can help alleviate symptoms.

2. Large Fetal Movements

In late pregnancy, the fetus is larger and stronger. If the fetus makes vigorous movements within the uterus, it may cause discomfort or pain during fetal movement. This is also considered normal and generally does not require special treatment.

3. Oligohydramnios (Low Amniotic Fluid)

Due to the increased size of the fetus in late pregnancy, abnormally low levels of amniotic fluid may lead to more frequent fetal movements and cause discomfort. It is recommended to seek timely medical care. Under a doctor's guidance, delivery may be indicated to ensure fetal well-being.

4. Gestational Hypertension

Damage to vascular endothelial cells may lead to gestational hypertension, which reduces uterine blood flow and potentially affects fetal activity. In such cases, pregnant women may notice decreased or irregular fetal movements, causing discomfort. Symptoms can be managed with medications such as methyldopa tablets, nifedipine tablets, or atorvastatin calcium tablets, as prescribed by a physician.

5. Gestational Diabetes

Physiological changes during pregnancy increase the body’s demand for glucose, which may lead to gestational diabetes. This condition can result in excessive fetal growth, causing maternal discomfort during fetal movements. Treatment may include medications such as insulin aspart injection, insulin degludec injection, or acarbose capsules, used under medical supervision.

Besides the common factors listed above, placental abruption could also be a possible cause. Regular prenatal checkups and close monitoring of fetal development are essential.

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