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Movements such as kicking continue, and the mother usually feels movement for the first time, an event called quickening, during the fifth month. [17] Around this time, limb movements become more complex, with flexing of the joints and ribs. This activity assists with proper joint development. [15]
In pregnancy terms, quickening is the moment in pregnancy when the pregnant woman starts to feel the fetus's movement in the uterus. [1] It was believed that the quickening marked the moment that a soul entered the fetus, termed ensoulment .
A more recent trend in the United Kingdom has been the replacement of the kick chart with jewelry-based counters. A pregnancy bracelet is a wearable form of kick counter. The bracelets available work on similar principles: the baby kicks, the mother moves a marker. The idea is that this is more practical than using a pen and paper.
During pregnancy, the enlarged abdomen and gravid uterus place additional strain on lumbar muscles and shift the pregnant woman's center of gravity. These postural compensations culminate in an increased load on both lumbar spinal musculature and the sacroiliac ligaments, manifesting as low back pain and/or pelvic girdle pain. [ 12 ]
Fetal distress, also known as non-reassuring fetal status, is a condition during pregnancy or labor in which the fetus shows signs of inadequate oxygenation. [1] Due to its imprecision, the term "fetal distress" has fallen out of use in American obstetrics.
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However, as the end of a pregnancy approaches, Braxton Hicks contractions tend to become more frequent and more intense. [1] On a physical exam, some uterine muscle tightening may be palpable, but there should be no palpable contraction in the uterine fundus and no cervical changes or cervical dilation. [1]
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