What to do to make the child move. If the fetus does not move

” №8/2014 02.06.16

Of course, all expectant mothers look forward to the first movements of the fetus. It is from this moment that many women truly realize the fact of their pregnancy. At this stage, many questions arise regarding the activity of the fetus in the mother's tummy. We will answer the most popular ones.

1. Your baby starts moving before you feel it.

The fetus begins to make its first movements early, already at 7–8 weeks of pregnancy. It is at this time that its first muscles and the rudiments of the nervous system are formed. From about 10 weeks of pregnancy, the baby begins to move more actively in the uterus, sometimes bumping into its walls. However, he is still very small, and these blows are very weak, so future mom can't feel them yet.

2. “As if a fish swam by”: during the first pregnancy, fetal movements are felt later

The first movements of the fetus will be soft and tickling, as if a fish has swam by. The expectant mother will be able to feel noticeable tremors a little later. If this is the first pregnancy, the first movements of the fetus can be noticed at 18–20 weeks, and with a second pregnancy – at 16–18 weeks (the woman is already familiar with this sensation, she can more accurately and earlier detect fetal movements).

In general, the manifestation of the first movements of the fetus is very individual and depends on how sensitive the expectant mother is, as well as on her physique. For example, thin women can feel fetal movements earlier - even at 15-16 weeks, and larger mothers - sometimes later than 20 weeks.

Women who lead an active lifestyle and work a lot usually feel fetal movements later, since when they are busy they usually listen less to their inner feelings.

3. From 24 weeks, the fetus already “communicates” with the mother through movements

Fetal movements are an indicator of a normal pregnancy, good growth, development and well-being of the baby. At first, when the expectant mother just felt the first movements of the fetus (18–20 weeks), movements may not even be felt every day. From 24 weeks of pregnancy, the expectant mother already feels how the fetus changes position, moves its arms and legs. The motor activity of the fetus increases gradually, and its peak occurs in the period from the 24th to the 32nd week of pregnancy. At this time, it becomes one of the indicators of the baby’s normal development; the child begins to “communicate” with the mother through movements, respond to the sounds of her voice and emotional state. From the moment he “grows up”, when the baby begins to actively move, he “talks” to his mother, thereby informing her about his anxiety, joy, pleasure or his well-being.

In turn, the fetus reacts very sensitively to changes emotional state future mother. For example, when she is excited, worried about something or happy, the baby may move more actively or, conversely, calm down for a while. Fetal movements can vary in quantity and intensity even throughout the day. And this is normal.

4. If there are no movements, the baby can just sleep

Starting from the 24th week of pregnancy, the baby should move on average 10–15 times per hour. If the baby does not make itself known for 3-4 hours, perhaps he is just sleeping. In this case, the expectant mother needs to eat something sweet and lie on her left side for half an hour. If these simple steps do not help, you should repeat them again after 2-3 hours. If the baby still does not make itself known, this is a reason to consult a doctor.

After 32 weeks of pregnancy, the number of fetal movements gradually decreases due to the fact that the baby is growing up and simply does not have enough free space. But their intensity and strength remain the same or increase. This becomes especially noticeable at the time of childbirth.

See your doctor immediately if:

  • No motor activity fetus for 12 hours or more,
  • the fetus was excessively active for several days, and then suddenly died down,
  • you notice only rare and weak movements of the fetus (this may be caused by a lack of oxygen - fetal hypoxia).

5. How to count fetal movements? 2 special tests

It is recommended for every expectant mother to count the number of fetal movements, especially in the third trimester of pregnancy (after the 28th week) - there should be at least ten of them during the day. There are 2 fetal movement tests to assess fetal activity

"Count to Ten". On a special chart (you can get it from your doctor or he will tell you how to draw it up), the number of fetal movements is recorded daily, usually from 28 weeks of pregnancy. The essence of the fetal movement test is that the expectant mother counts fetal movements for 12 hours, for example, from 9 am to 9 pm. If the fetus makes less than 10 movements per period, this is a reason to consult a doctor for an examination.

There is another way to count fetal movements - Sadowski technique. It is carried out like this: in the evening after dinner, the woman lies down on her left side and counts the movements of the fetus. In this case, everything must be taken into account, even the most small movements fetus If 10 or more fetal movements are observed within an hour, this indicates that the baby is feeling well. If the fetus moved less than 10 times in an hour, then its movements are counted over the next hour. The evening time for this assessment method was not chosen by chance. It is in the evening, especially after dinner and the associated increase in glucose, that the greatest activity of the fetus is observed. If the number of fetal movements is less than 10 times in 2 hours, this should be considered as a sign of a violation of its condition and additional research should be carried out.

6. Fetal movements may be a little painful.

Sometimes the baby's movements cause pain to the expectant mother. In this case, she needs to change her body position (lie on the other side, walk, etc.). After that discomfort must pass. If fetal movements remain painful for a long time, for several hours, the expectant mother should definitely inform the doctor about this, as this may be a sign of problems during pregnancy (for example, with oligohydramnios). In addition, most expectant mothers note some pain in the hypochondrium, especially in the third trimester of pregnancy- and this is not a deviation from the norm, since the uterus has risen high enough for the baby to “reach” into these areas.

7. Nimble baby: why are fetal movements too active?

The baby may move too actively, as already mentioned, when the emotional state of the expectant mother changes, in addition, this is how he can react to external noises (from about the 20th week of pregnancy, when the hearing aid is formed and the bones in it begin to ossify in order to conduct sound ). Therefore, if an expectant mother comes to an apartment where renovations are underway, or watches a movie with strong noise effects in a cinema, she will most likely feel quite frequent tremors in her tummy.

8. How is oxygen starvation of the fetus expressed?

There is a widespread belief that increased fetal activity is a sign of oxygen starvation, but this is not always the case. Indeed, during the initial stages of fetal hypoxia, the baby’s restless behavior is noted, which consists of increased frequency and intensification of his movements. However, with a prolonged or increasing lack of oxygen, the little person’s movements weaken and may even stop altogether. Therefore, rare (less than 10 per day), weak fetal movements (especially after 30 weeks) or increased activity after a “quiet period” should cause alarm, which requires urgent consultation with a doctor. If the doctor suspects something is wrong, he will refer the expectant mother for an ultrasound or CTG (cardiotocography), with the help of which you can figure out why the baby is behaving this way. And if necessary, the doctor will prescribe treatment to normalize the condition of the fetus.

It is very important to listen to the sensations in your tummy and notice how often and intensely the baby moves. Then you will be able to feel changes in the nature of his movements and consult a doctor in time to make sure that everything is fine with the baby.

9. The little “astronaut” is always on the move

At the 20th week of pregnancy, the fetus makes about 200 movements per day, and between the 28th and 32nd weeks their daily number reaches 600. Naturally, future mommy does not sense all the baby’s movements, but only a small part of them. So, after 28 weeks, the frequency of fetal movement, as a woman feels, is usually from 4 to 8 times per hour, with the exception of periods of his sleep (3-4 hours in a row). During the third trimester, a pregnant woman may notice that her baby has certain sleep and wake cycles. Children are usually most active from 19:00 to 4:00 in the morning, and the “rest” period occurs most often from 4:00 to 9:00 am.

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The most thrilling, unforgettable feeling during pregnancy is the first long-awaited movement under the baby’s heart. When can we expect it? What do periods of activity and rest mean? How to conduct a movement test yourself and what studies can confirm that everything is fine with the baby?

Signs of new life: fetal movements

Sensitivity degree

When does a child make itself known? It is believed that during the first pregnancy this occurs in , and during the second pregnancy - two weeks earlier. But the timing is approximate and depends on many reasons.

If you are an experienced mother and are familiar with similar sensations from previous pregnancies, you will recognize them earlier. Thin girls are also highly susceptible. For a woman with weight, subcutaneous adipose tissue prevents her from feeling the first movements, and sometimes she mistakes them for features of intestinal motility.

The placenta plays an important role. If it is located on the front wall of the uterus, the baby’s movements will become obvious to you later.

Note to the doctor

So, the day came when you realized: the baby is moving. Remember the date. The doctor will definitely ask about it and note it on the exchange card. Using this parameter, he will calculate the expected due date. During the first pregnancy, 20 weeks will be added to the date, with a second pregnancy - 22.

By movement you can determine the position of the fetus. The limbs are usually located in the place of its greatest activity. If the kicks are mainly felt closer to the diaphragm, the baby is lying head down. If in the lower abdomen - probably. Before the child has the opportunity to take the correct position.

Methods for diagnosing a baby’s well-being

CTG helps to monitor the baby’s well-being. A sensor is placed on the abdomen, where heart sounds can be heard better. The second is installed on the upper part of the uterus to record uterine tone. In your hand you will hold a special button that you must press every time you move. The signal is recorded on paper.

The interaction of the nervous, muscular and cardiovascular systems is also checked. If the child moves and his heartbeat increases, the reaction is correct. If the heartbeat does not change when moving, this indicates the first signs of hypoxia and the need for close medical monitoring. This type of research is planned. It is carried out twice a month.

The state of blood circulation in the “mother-placenta-fetus” system makes it possible to assess ultrasonography with Doppler. This ultrasound makes a qualitative and quantitative analysis of blood flow in the uterine arteries, umbilical cord vessels, aorta and cerebral arteries of the fetus.

cramped house

You will feel your baby more active at term. During this period, he grows quickly, develops, and there is still enough space in his “house”. Later, the baby becomes cramped in the uterus and his energy levels decrease. Especially before giving birth. With growth, the nature of movements also changes. WITH nervous system The fetus is already quite developed, the formation of the “activity - rest” cycle occurs. The baby may move vigorously for an hour, and then calm down.

Many pregnant women complain about the obstinate nature of the baby. During the day he behaves calmly, but as soon as he lies down to rest or fall asleep, the “dancing” begins. And the child just likes the pleasant swaying of his belly when you go to the store or do chores around the house. In addition, when you are in a relaxed state, blood circulation improves, and the baby has more strength to play mischief. And with his energetic movements he forces you to stand up and change your body position. Don't worry. At longer stages of pregnancy, your sleep and wakefulness rhythms will most likely coincide.

Do you feel rhythmic twitching in your stomach? It's your baby who's hiccupping. Don't worry. The relationship between fetal hiccups and disturbances in its intrauterine state has not been established.

Monitoring the child's activity

What matters is the change in the child’s physical activity over several days. Unusually strong, erratic, threshing movements will indicate a violation of his condition. Possible reason This increase in reflex activity is an increase in the carbon dioxide content in your blood. The doctor will order additional laboratory tests and give recommendations.

A decrease or cessation of the baby’s movements after vigorous physical activity may be a sign of hypoxia, when the child lacks nutrients and oxygen. provoke placental insufficiency may cause unsatisfactory health conditions for both you and your child. We will have to establish the degree of development of hypoxia. At acute form emergency needed health care, in chronic cases - constant monitoring and treatment.

Baby moves: count to 10

This is the simplest and most common test of baby D. Pearson's movements. It is recommended by the Ministry of Health of the Russian Federation and is indicated in official documents on the management of pregnancy in our country. It can be used by everyone at home to independently monitor the child’s condition. In a special table, every tenth movement is noted from 9:00 to 21:00. This is how the characteristics of his motor activity are determined. Under normal conditions, the tenth movement is noted before 17:00. If the number of movements within 12 hours is less than 10, it is advisable to inform your doctor. If the baby does not make itself known within 12 hours, it is an emergency, see a doctor immediately!

If the baby does not move for three hours, there is no reason to worry. He might just be sleeping.

Movement language

Sometimes movements become especially intense in a short period of time. This baby is “protesting” because of your uncomfortable position. If you lie on your back for a long time, the large vessels of the uterus are compressed and blood flow to the fetus is reduced. By his actions he is trying to force you to change your position.

The baby calms down during the cold spell, when you are worried, worried, sitting in one position for hours. Try eating something sweet - he should respond to the treat. He benefits from walks fresh air at least three hours a day, good food, long sleep, reasonable alternation of work and rest.

The child also really wants you to communicate with him. In the last weeks of pregnancy, his movements can sometimes cause pain and discomfort. Change your body position, pat your belly, say a few kind words prankster, and everything will return to normal.

girls, how to make the fetus move???? and got the best answer

Answer from Feliz[guru]
In theory, it should start moving on the 21st. but why specifically “force” him? if doctors say that everything is fine, then there is no need to interfere with natural processes. In my opinion, the main thing is that the child is healthy, and not do everything as if on command, exactly on time.

Answer from 2 answers[guru]

Hello! Here is a selection of topics with answers to your question: girls, how to make the fetus move????

Answer from Ozzy[guru]
It’s different for everyone, some feel it at 14 weeks, some at 24, in any case, not feeling it until 24 weeks is normal. Do not worry.


Answer from Olga Vovk[newbie]
I tried it myself - it helped me, read poems to yourself - any, the ones you remember, and he will move in 5-10 minutes


Answer from Lelka[guru]
Everything has its time. It begins to move from the 25th week. And you won’t be able to feel it - then he will not just move, but fight and push.


Answer from Ice-cream[guru]
and you don’t feel gurgling in the intestines - at first the movements are felt, maybe you just don’t notice them. And you shouldn’t worry - go to the doctor and make sure everything is fine.


Answer from Irese[guru]
During the first pregnancy, the fetus actually begins to move a little later. Onset averages around 20-22 weeks. For overweight people, it happens unnoticed, it’s true. The main thing is not to worry!! ! If you're REALLY worried, go see your doctor again. Good luck!


Answer from PAY[guru]
Actually, you should already, but you still need to wait, and if this continues, then run to the doctor.


Answer from Zhanna[guru]
at 20 weeks, but it will just start to move, the sensation is very weak. And he will begin to push towards the end of the term. With a lot of weight at this time, you may not feel any movement even if it is there. Take more walks in the fresh air


Answer from Larisa[guru]
Of course you need to ask a doctor, but at 20 weeks you should already be moving


Answer from Nephela[guru]
If I’m not mistaken, at 22 they do an ultrasound, they will say everything is wrong with the child, or maybe because of obesity. Good luck.


Answer from Youdi_Lee[expert]
if you’re overweight, you may not feel just anything, but you may think that it’s gurgling in the intestines (it seems)). If ultrasound is at 17-18 weeks. I did it and everything was fine and the temperature was normal - don’t worry!))


Answer from Madame Bovary[guru]
Movement is felt from the middle of pregnancy, i.e. on average it is 19 weeks, but everything is individual, in the first pregnancy it is usually felt later, in subsequent ones - earlier. You can do an ultrasound just in case to make sure that he is moving there. There is no need to make him move on purpose, because all methods of artificially making him move are harmful: in a stuffy room this happens or if the mother dyes her hair with ammonia - she immediately jumps there, poor thing... I'm in my second pregnancy because of this I didn’t even dye my hair. It’s better to have an ultrasound for peace of mind and wait until you feel movement yourself - maybe the sensitivity in your uterus is not high yet.


Answer from Irina Pintelina[master]
If the birth is the first, 20-21 weeks, if the second, 18-19 weeks. Do not worry. Everything will be fine. For another two weeks, firstborns confuse intestinal peristalsis with the movement of the baby. Wait! This is where everything will happen.


Answer from Kat[guru]
You know, I felt the movement very early, but the girl worked for us, so she also felt the first tremors very late and she was not plump.
Don’t worry, everything is fine, if there was something wrong, you would understand it for health reasons.
I understand how you want to feel it as quickly as possible, but.... such is fate. Be healthy!!


Answer from Helen Chaton[guru]
Actually, similar questions are asked to the doctor. And stop gaining weight. Take pity on your own health. The child does not need your fat, he needs vitamins and minerals. Listen to the doctor.


Answer from Igor[guru]
In firstborns, this can happen from 16 to 22, 23 weeks. For those giving birth again starting from the 13th week. It's different for everyone. I (a firstborn, thin) felt it at 16 weeks and 2 days. My sister (firstborn, overweight) at 21 weeks. I just have a very high sensitivity threshold, that’s why so early, everyone was even surprised at this, they didn’t believe that I could feel his movements.
In general, you should have undergone a 2nd planned ultrasound from 19 to 21 weeks. I think that if they didn’t say anything bad, then everything is fine.
In general, in the evening, just lie on your back for a while, preferably without lifting up too much on the pillow, put your hand on the lower abdomen (from the navel and below), you don’t need to press hard - then you can feel the baby moving. This (at your term), if you are overweight, may resemble a light-light pushing, not often, 2-3 times an hour, or as if you are gurgling inside (like, say, letting air through a straw into a glass of juice), or stroking, pumping (if you were in a full bathtub turning over from one side to the other, only much, much weaker).
And further. There is no need to do anything to make the fetus move. He has been moving since week 8. You just don't feel it. These movements are very, very weak. So don’t worry, when he gets strong enough to reach you, then you will hear.


Answer from Anna[guru]
Well, don't worry so much! Go to the doctor, there is a fee for an ultrasound to calm down; they will listen to the heart at this time; this is the main indicator of the baby’s well-being and not at all movement. Firstly, it’s different for everyone; secondly, the timing may not be exact; thirdly, plump girls really feel it later. The doctor told me that in general you may or may not feel anything until 24 weeks without worrying, but after that it’s for sure.
and there is no way you can make him move at this time. Here's to more later 26-28 and further Masiki react to cold drinks, sweets, salty immediately and move. Orange juice is still respected. It is too early. be patient and find other ways to make sure everything is ok with him.
Good luck!


Answer from (Witch)[guru]
take the cream, spread it on your stomach, rub it carefully and gently for 30 minutes, you will definitely feel it move


Answer from Elena Tsygankova[guru]
and it has been moving for a long time, but you just don’t feel it! He is still small! He’ll grow a little more and then his movements will be clearly felt, and since you’re fat, you’ll feel it even more later than if you’re thin! he just has a lot of room left now!


Answer from Anyushka!![guru]
and you lie down on your back, my miracle is already doing this there... We're 20 weeks 🙂


The baby's first kicks occur at 13 weeks of pregnancy, but they are so small that the mother does not notice it. Primiparas notice the first movements at 19-20 weeks, and mothers with experience at 17-18. Fetal movement is an indicator that the baby is developing, but the absence is alarming.

What determines the frequency of fetal movements?

The frequency of movements the baby makes depends on many factors. Conventionally, they can be divided into physiological and abnormal.

Physiological ones include:

  • emerging character;
  • desire to eat;
  • mother staying in a stuffy room;
  • presence of loud bass in the room. For example, when listening to high frequency music;
  • the mother's position is comfortable or uncomfortable for the child.

Smooth, painless kicks are an indicator of the baby’s normal well-being. Their number depends on the length of motherhood.

From abnormal reasons:

  • acute hypoxia;
  • threat of premature labor;
  • polyhydramnios;
  • infection.

The tremors are rough and painful, in later stages one can suspect pathological process due to the child's violent behavior. However, you can determine the cause of activity or lull after consulting a doctor and.

In the first trimester, there are no tremors due to the baby’s small height and weight.

In the second trimester, starting from the 18th week, the first weak movements appear, intensifying as pregnancy progresses. From 24 weeks the baby is active.

At the end of the second trimester, the mother is able to control the movements of the fetus by stroking the belly and talking to the unborn child.

During the trimester, activity gradually fades away - the fetus grows, enlarges and it is difficult and tight for it to make movements, but they do not disappear completely.

The child has a clearly developed wakefulness and sleep pattern.

Norms and control over the child’s movements

From the 24th week of gestation, the average fetal kicks are 10-15 times a day.

Active movements appear in the afternoon, and often at night.

Sleep is 18 hours, and the duration of 1 sleep period is from 3 to 4 hours. At this time, the baby makes a minimum number of movements that the woman does not feel.

You can monitor the number of fetal movements yourself. There is a whole scheme for this.

  1. Keep a diary for notes;
  2. Starting at 28 weeks, perform a movement test.

The essence of the method is to count 10 fetal movements twice a day. From 9am to 9pm, and from 9pm to 9am. The test can be performed daily.

Example, the first fetal activity is at 9.20, then at 11.40, 3 - at 12.15, etc. 10 movement - at 17.35 - 1 part of the test is over, the table indicates 2 times 9.20 and 17.35. The second part of the test is counting from 9 pm to 9 am.

According to this technique, constant monitoring of the baby’s activity is possible. Alarm signal– complete absence of movement for 12 hours, or excessive activity.

The bigger the baby gets, the stronger its movements, and it feels like the baby is dancing in the womb.

Such frequent occurrences indicate a pathological course of pregnancy.

What to do if there is no movement, and why the baby does not move in the stomach

The absence of movements heard by the mother does not indicate that the baby is not active. Quite often, movements are recorded on ultrasound, but for some reason the mother does not feel them.

There are ways to “wake up” your baby:

  1. Pat the belly with patting movements. If the pregnancy is over 28 weeks, the baby understands the warmth from touch and pushes to the place where the hand of mom or dad is located.
  2. You can enjoy the sweet hour with a chocolate bar or chocolates. The glucose present enters the baby's bloodstream and will cause his activity, but sometimes this method is ineffective.
  3. A glass of cold water should cause a change in internal temperature and provoke the baby to move.
  4. Play loud music that your child likes.

If it is not possible to induce fetal activity for two or more hours, you should go for a consultation with an obstetrician-gynecologist. He will be able to listen to the fetal heartbeat and measure its activity using a device for.

The most terrible reason for the absence of tremors is intrauterine fetal death.

Causes of fading

In subsequent trimesters

  • Infectious processes, in particular sexually transmitted ones;
  • Acute fetal hypoxia. These include: entanglement with the umbilical artery, oligohydramnios, polyhydramnios;
  • with the development of severe;
  • cardiac pathologies, especially those that poorly supply blood to the fetal heart muscle;
  • genetic diseases;
  • Endocrine disorders (,).

The main cause can be identified after ultrasound diagnostics and pathological examination of post-mortem biomaterial.

If the baby doesn’t move much in the womb, there are several reasons:

Symptoms

  • complete absence of fetal movements throughout the day;
  • pain in the lower abdomen;
  • frequent urge to go to the toilet;
  • appearance bloody discharge;
  • feeling of nausea with bouts of vomiting;
  • rise in temperature;
  • soreness of the mammary glands.

Pregnancy after death

It is possible to become pregnant and give birth after a frozen pregnancy. However, the process of pregnancy planning should be entrusted to a doctor.

First of all, it is necessary to identify the cause of intrauterine fetal death.

The result is clarified in a histological examination of the specimen and a pathological autopsy. Only after the cause has been established should treatment begin.

It is important to note that recurrent miscarriages increase the risk of repeat fetal failure by 38%.

After ST, you should not rush to get pregnant. It is necessary to undergo a full examination, restore hormonal levels, and undergo treatment if necessary.

In the recovery stage, she needs physical and moral support.

Optimal time repeat pregnancy is 24 months, but it can decrease or increase.

This depends on the gestational age when the pregnancy was terminated and the reasons for its termination.

The baby rarely moves in the stomach - this is a reason for concern for many mothers, especially those who are expecting their first baby, because from the 18-20th week of pregnancy the movements of the fetus are already noticeable and, perhaps, quite active; the baby makes itself known at least 10 times a day - this is how often the baby should move in the stomach.

At first, the mother feels erratic movements, but over time, closer to childbirth, with their help the baby begins to communicate with the mother, expressing his pleasure or joy, anger or anxiety. Depending on the time of day, the child becomes less or more active, but if you are concerned that the child is not moving much, or the previously active fetus has “calmed down,” this may be a reason to consult a gynecologist for advice. In the meantime, let's look at the main reasons why the baby stopped actively moving in the stomach.

For what reasons does a child rarely move?

Perhaps your concern is completely in vain, because, for example, leading an active lifestyle during pregnancy, you may simply not notice how the baby is kicking in your tummy. This applies to the second trimester. But there are other reasons why the baby is not actively moving in the uterus.

1. The baby’s character manifests itself in the womb; there are restless children who make themselves known every hour, and there are also calm children who do not move too actively from the very beginning. You should sound the alarm precisely when the baby’s activity sharply declines.

2. In the last weeks of pregnancy, the fetus is already quite large, and there is very little room for it in the uterus - this can also explain why the baby does not move well in the mother’s belly.

3. Know that your future son or daughter is sensitive to your mood - if the pregnant woman is calm, then the child may also become quiet. It also happens that due to the active movements of the mother, the fetus, especially a 6-7 month old one, simply falls asleep and therefore stops moving.

Diagnosis of fetal activity and heartbeat

If the baby is not actively moving in the stomach, or you notice that there is no fetal movement for more than 12 hours, you need to urgently consult a doctor and undergo a CHT procedure. It is done starting from the 26th week of pregnancy, it is completely safe and allows you to record your baby’s heartbeat. After CHT, the doctor will give an opinion on the child’s condition and, if necessary, prescribe the necessary therapy or recommend preservation. One way or another, accept the state of pregnancy with joy, eat healthy food, get positive emotions and walk more in the fresh air. And then, within the period prescribed by nature, you will give birth to a healthy and active baby.

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