At 28 weeks pregnant, I feel the fetal movements very low, as if the baby is about to come out.
Jan 26, 2024
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, feeling fetal movements very low at 28 weeks of pregnancy may be caused by a low fetal position, large fetal movements, fetal hypoxia in utero, threatened miscarriage, vaginitis, or other reasons. Patients should promptly seek medical attention at a正规 hospital to determine the underlying cause and receive appropriate treatment. In daily life, pregnant women should maintain regular eating and sleeping habits.
Generally, feeling fetal movements very low at 28 weeks of pregnancy—giving the sensation that the baby might come out—may be caused by a low fetal position, large-amplitude fetal movements, fetal intrauterine hypoxia, threatened miscarriage, or vaginitis. Patients should promptly visit a正规 hospital to determine the underlying cause and receive targeted treatment. Specific analyses are as follows:
1. Low Fetal Position
When the fetus is positioned relatively low within the uterus, pregnant women may perceive fetal movements as occurring very low, with a sensation that the baby might emerge. This condition is generally normal and represents typical fetal movement.
2. Large-Amplitude Fetal Movements
Some fetuses may exhibit particularly vigorous movements, especially when there is ample space within the uterus. Intense movements can lead to the aforementioned sensation. This situation is usually considered normal fetal activity and does not require special treatment.
3. Fetal Intrauterine Hypoxia
Fetal development in utero requires sufficient oxygen. If maternal oxygen supply is inadequate, it may result in intrauterine hypoxia, leading to changes in fetal movement patterns. If fetal heart rate increases abnormally, the mother should promptly receive supplemental oxygen to prevent severe intrauterine ischemia and hypoxia, which could lead to fetal asphyxia and endanger the fetus's life.
4. Threatened Miscarriage
Frequent sexual intercourse during pregnancy may stimulate the uterus and lead to threatened miscarriage, resulting in symptoms such as light vaginal bleeding and lower abdominal pain. In severe cases, this may also be accompanied by the aforementioned sensations. Pregnant women are advised to seek timely medical evaluation at a正规 hospital and, under physician guidance, take medications such as dydrogesterone tablets, progesterone capsules, or Baotai Wuyou tablets for fetal preservation. Additionally, bed rest and avoidance of strenuous activities are recommended.
5. Vaginitis
Poor personal hygiene during pregnancy may allow bacteria to invade the vagina and trigger inflammation, potentially irritating the vaginal mucosa and causing the described sensations. This may also be accompanied by increased vaginal discharge and itching. Pregnant women can clean the external genital area with warm water and, under medical supervision, use medications such as metronidazole suppositories, Bao Fu Kang suppositories, or clotrimazole vaginal tablets for treatment.
In daily life, pregnant women should maintain regular eating and sleeping habits, avoid excessive fatigue, and strive to keep their emotions stable.
