Always Im Feeling Only Light Movements of Baby Plus Size Pregnancy
- Research commodity
- Open Access
- Published:
Fetal movement in late pregnancy – a content analysis of women's experiences of how their unborn baby moved less or differently
BMC Pregnancy and Childbirth volume xvi, Article number:127 (2016) Cite this commodity
Abstruse
Background
Meaning women sometimes worry nearly their unborn infant's health, often due to decreased fetal movements. The aim of this report was to examine how women, who consulted health intendance due to decreased fetal movements, describe how the baby had moved less or differently.
Methods
Women were recruited from all vii delivery wards in Stockholm, Sweden, during 1/one – 31/12 2014. The women completed a questionnaire after it was verified that the pregnancy was feasible. A modified content assay was used to analyse 876 questionnaires with the women's responses to, "Try to draw how your infant has moved less or had changes in movement".
Results
Four categories and six subcategories were identified: "Frequency" (decreased frequency, absence of kicks and movement), "Intensity" (weaker fetal movements, indistinct fetal movements), "Character" (changed pattern of movements, slower movements) and "Duration". In add-on to the responses categorised in accordance with the question, the women too mentioned how they had tried to stimulate the fetus to move and that they had difficulty in distinguishing fetal movements from contractions. Further, they described worry due to incidents related to inverse blueprint of fetal movements.
Conclusion
Women reported changes in fetal movement concerning frequency, intensity, graphic symbol and elapsing. The challenge from a clinical perspective is to inform pregnant women about fetal movements with the goal of minimizing unnecessary consultations whilst at the same time diminishing the length of pre-infirmary delay if the fetus is at risk of fetal compromise.
Trial registration
Not applicable.
Peer Review reports
Background
It is widely acknowledged that a pattern of regular movements is associated with fetal wellbeing [1]. Fetal movements can exist defined as any discrete kick, flutter, classy or roll and are normally outset perceived by the mother between xviii and 20 weeks of gestation [two]. The frequency of fetal movements reaches a plateau in gestational week 32 and stays at that level until birth [3]. In that location is normally a variation in fetal movements with a wide range in the number of movements per hour [4]. The movements are unremarkably absent-minded during sleep and occur regularly throughout the twenty-four hour period and night, normally lasting for twenty–twoscore min. The sleep cycles rarely exceed ninety min in the normal and healthy fetus [5]. Although the movement design of the individual fetus is unique, it is general knowledge that decreased fetal movement is associated with adverse outcome, including stillbirth [6].
The grapheme of the movements changes when the pregnancy approaches delivery due to limited infinite in the uterus, but the frequency and intensity will not normally decrease [iii]. In an interview written report, 40 term pregnant women with an outcome of a healthy baby described fetal movements during the by calendar week. Virtually all experienced fetal movements equally "strong and powerful". Half of the women also described the movements as "large" (involving the whole trunk of the fetus). Another common description was "irksome" as in "slow motion" and "stretching" or "turning". Some of the women stated that they were surprised how powerfully the fetus moved [7].
Several maternal factors may impair the power to recognize fetal movement [eight]. Amniotic fluid volume [9], fetal position [10], having an inductive placenta [10, xi], smoking, beingness overweight [6] and nulliparity [6, 12] have been reported as such factors. Maternal factors which may enhance the ability to recognize movement are the opportunity to focus on the fetus and the absenteeism of distracting noises [13]. Most 50 % of the meaning women in a study from Kingdom of norway were sometimes worried about decreased fetal movements [14]. In a review article, it was institute that between four and xv percent of pregnant women consult wellness care considering of a decrease in fetal motion in the tertiary trimester [one]. The aim of the present report was to examine how women, who consulted health intendance due to decreased fetal movements after gestational week 28, describe how the baby had moved less or differently.
Methods
Settings and participants
Women were recruited from all seven commitment wards in Stockholm, Sweden from 1st January to 31st Dec 2014, and were asked to complete a questionnaire. The inclusion criteria were women in gestational week 28 or more than who consulted health care due to concerns over decreased fetal movements, with the ability to understand Swedish or English language and a normal cardiotocography (CTG). Non responders, inadequate answers, multiple pregnancies, undefined gestational calendar week and unknown personal identity number were exclusion criteria (Fig. 1). In total, 3555 questionnaires were completed during the data drove period. Information collection was in progress while the outset 1000 questionnaires were analysed. Twenty-viii women completed two questionnaires and 3 women filled in three questionnaires; they consulted health care more than than in one case during the data drove menstruation due to concerns over decreased fetal movements. Of the women, 672 (76.seven %) were aged twenty–35 years, 582 (66.4 %) had a college or university level of education and 650 (74.2 %) of the women were born in Sweden (Table i). All women gave birth to a live child.
Flow chart
Information collection
The questionnaire used in the study was adult from a spider web survey, an interview study [vii, 15] and clinical feel. The questionnaire was face up-to-face validated with ten women who consulted health care due to reduced fetal movements, not included in the written report. The final version of the questionnaire included a total of 22 questions with multiple-choice or open up-concluded response alternatives (Additional file 1). This study comprises the women's responses to the request: "Try to describe how your baby has moved less or had changes in move". The women were asked to draw their experiences in the space provided only could besides, if necessary, proceed on the back of the questionnaire.
Analysis
The women'southward descriptions (n = 876) of how their unborn babe had moved less or differently were analysed using a modified content analysis [16]. The material consisted of concise descriptions of movements, which were used without editing. The analysis was performed in three steps. Firstly, all the answers were read and re-read three times to gain a sense of content in the information. Codes were then revealed in accord with Malterud. Every quotation was read and sorted into codes. In the second phase of the analysis the material was organized. Units, the quotations, with the same code were divided into divers primary categories and categories. When appropriate the categories were divided into subcategories [17] The quotations could exist placed in more than one category. Withal, each statement was only placed in i subcategory. During the whole process the findings were continually discussed in the enquiry group in order to accomplish agreement. To validate the results, a sample of 50 quotations was randomly selected and re-analysed from the starting time of the assay procedure. Later consensus had been reached some of the quotations were transferred to other subcategories and iii quotations were deemed irrelevant and removed. Those conveying out the analysis did not know the gestational week.
Results
Four primary categories and six subcategories were identified: "Frequency" (decreased frequency, absenteeism of kicks and movement), "Intensity" (weaker fetal movements, indistinct fetal movements), "Character" (changed pattern of movements, slower movements) and "Elapsing". The number in each category and subcategory as well as an presentation of the figures for women seeking health care in gestational week 28–32, gestational calendar week 33–36 and during gestational week 37+, are shown in Tabular array two.
Frequency
The most commonly experienced deviation of fetal movements concerned frequency, which was described in 746 (85 %) of the questionnaires. This category was divided into two subcategories; "Decreased frequency" and "Absence of kicks and movement".
Decreased frequency of fetal movement
This subcategory comprises 609 (69 %) statements. These statements referred to movements condign less frequent and indicating to the women a generally decreased liveliness in the fetus. The movements were described with words like, "a few", "seldom", "less frequent", "non as many" and "decreased activity".
"Less frequent during the day"
"From being very active and kicking a lot to very few movements during some days"
Absence of kicks and motility
Amid the answers well-nigh the frequency of fetal movements, 137 (16 %) statements were about not feeling any motility at all.
"I haven't felt any kicking for about 12 hours"
"Take not felt any motion during the whole 24-hour interval"
Intensity
A total of 343 (39 %) responses were perceptions that the movements had altered in intensity. 2 subcategories were formed: "Weaker movements" and "Indistinct movements".
Weaker fetal movements
This subcategory comprised 277 (32 %) statements. Words frequently used were: "Weaker", "Softer", "Less precipitous" and "With less power".
"From obvious, strong movements and nudging to feathery tickling a few times a twenty-four hour period"
"… The movements of the baby felt weaker the few times I have felt my baby"
Indistinct fetal movements
Sixty-six (8 %) statements fell into this subcategory. Some women were uncertain as to whether they felt anything at all but thought they could imagine movements.
"…The only matter I felt was non-specific movements deep inside my tummy…"
"Have previously felt apparent kicks which can be both felt and seen distinctly. Since yesterday evening only minor occasionally twisting movements"
Character
This category comprised 252 (29 %) statements describing experiences of the fetal movements changing in character. The category revealed two subcategories: "Changed pattern of movements" and "Slower movements".
Inverse design of movements
This subcategory comprised 141 (sixteen %) statements. The women described the fetal movements every bit having inverse in pattern and decreased in activity.
"Not the aforementioned pattern of movements as earlier and not agile at the same fourth dimension"
"The infant has not moved at the times that she had moved earlier, post-obit the pattern that she had previously. This has been going on for about 2 days. When she has moved, the movements felt weaker the past ii days compared to before."
Slower movements
This subcategory included 111 (13 %) statements. When talking about the movements women used words such as: "sluggish", "indolent", "wearisome and sweeping".
"Calmer more tired movements as if it were tired…"
"Deadening and smoother movements"
Duration
Thirty-8 (4 %) were included in this category. Women reported that the periods of movement had become shorter and had been reduced from several kicks in a row to occasional ones. Notwithstanding, the frequency of how often the baby had moved had not decreased.
"… the periods when it has moved have been shorter"
"No more than lively periods."
Differences according to gestational age
Women in gestational weeks 33–36 experienced changes more than frequently than women at term regarding the category Frequency (92 % vs. 81 %), the subcategory Decreased frequency (75 % vs. 67 %), and the category Intensity (42 % vs. 35 %). Compared to women at term, those in gestational weeks 28–32 expressed changes to a lesser extent inside the category Character and the subcategory Slower movements (five % vs. 15 %) (Table 2).
Four percent, 32/876, of the full number of women in this study only stated a change in the graphic symbol of the movements, not included in whatsoever other category. The distribution regarding length of pregnancy was; gestational calendar week 28–32, 1/190 (0.five %), 33–36, 1/263 (0.four %) and gestational weeks 37+, xxx/423 (7 %). There were no statistically meaning differences in the other categories (Non in table).
In add-on to the responses categorised in accordance with the question, the women also mentioned how they had tried to stimulate the fetus to movement and that they had difficulty in distinguishing fetal movements from contractions. Further, they described worry due to incidents related to changed pattern of fetal movements.
Stimulation due to less movement
Nosotros identified 146 (17 %) statements most trying to provoke movement by triggering the fetus. Most of the women reported that they did this when non having felt movements for a while. When they did not succeed they consulted health care. The methods used to trigger movements were to pull, nudge or button on the stomach, stimulate with low-cal or noise, accept a shower or bath or to drink cold, sweet drinks. Others said that they had diverse positions they used to experience the babe more distinctly. Some women described not feeling movements without stimulating the baby.
"No pushes" back when I am pulling on the tummy, no reaction when drinking a drinking glass of lemonade. Otherwise he has been quite agile and you have been able to see my stomach moving"
"Even if I touch my tum, consume, drink, at that place is not much difference. He is moving considerably less"
Difficult to distinguish fetal movements from contractions
The women stated that the fetal movements ceased or changed in relation to contractions or that it was hard to distinguish movements from contractions. Some women also described that the movements decreased in relation to contractions, pain in the tummy or the back. We identified xl statements (five %) concerning difficulties in distinguishing fetal movements from contractions.
"Not felt whatever movements since the contractions became more intensive"
"It has been more difficult to perceive movements. Hard to distinguish movements from contractions… previously the movements have been very distinct"
Worry due to incidents related to changed design of fetal movements
We identified 25 (3 %) statements near external factors, such every bit the woman was sick and perceived less fetal movement. Six women stated that they consulted health care due to pain in relation to changed patterns of fetal movement. Two statements referred to the adult female having taken a fall and wanting to be reassured that the fetus had not been damaged. Other reasons related to increased worry were: post maturity, following an expelled mucus plug, an external cephalic version attempt, rupture of the membranes and previous stillbirth in the same gestational week.
"Used to move a lot during both twenty-four hours and night. Accept been ill with fever for iii days and and then at that place accept been movements iv–5 times every twenty-four hours"
"Not as oft every bit earlier but I still experience him daily. Nosotros're extremely worried as we lost our showtime child in gestational week 33 in utero then it may be imagination"
Discussion
We are not aware of whatsoever studies that accept categorized how women depict the changes they take perceived apropos fetal movements when they seek health care due to worry nearly their unborn babe.
Women who consulted wellness care due to decrease fetal movements described changes in frequency, intensity, grapheme and elapsing of the movements. Withal, all women in this report were reassured after an examination of their unborn babe. In Norway, as many as 51 % of women reported that they were concerned about decreased fetal movements in one case or more than in pregnancy [14]. In unlike populations, between 4 and xv % consulted health care facilities considering of decreased fetal movements in the third trimester [i]. There are several factors which may impair the power to recognize fetal movements [8]. However, nosotros have no data apropos amniotic fluid volume, fetal position, placenta position, smoking, overweight and nulliparity among the women participating in this study. These factors may explain some of the women'south perceptions of decreased fetal movements. Also, the plateau in gestational week 32 [3] may be perceived as a decrease. In a study by Sheikh and colleagues (2014), 729 women counted and registered fetal movements for one hour three times per 24-hour interval. Eight percentage of the meaning women in the third trimester, who in the end gave nascency to a healthy child, experienced reduced fetal movements. Further, the researchers constitute that among women who consulted health intendance for reduced fetal movements only later gave nascency to a healthy child, more of them were working than those who did not perceive reduced fetal movements [eighteen]. We do not take data as to work status among the women participating in our study.
Placental dysfunction is one main reason for decreased fetal movements in belatedly pregnancy [nineteen]. Information technology is thus important for the meaning women to recognize the pattern of motion. A change may be a sign of asphyxia due to the redistribution of the circulation which gives priority to the brain over peripheral parts [20]. All fetuses in the present report were examined and no symptoms of asphyxia or placental dysfunction were identified at the time when the woman consulted health care. The women's worry about their unborn baby'due south health due to decreased fetal movements in this study did not result in a diagnosis or actions to induce the commitment.
Our results indicate that some women at term seek health intendance due merely to a change in the character of the fetal movements. Although these women were asked to describe how their babe had moved less or differently, they did not mention a subtract in frequency in the fetal movements or a change in intensity. Slow, every bit in slow move, stretching and turning, are descriptions of the character of fetal movements used past women in full term pregnancy, pregnancies that resulted in a healthy child [7]. The women in our study who consulted wellness care simply due to a change in the character of the movements and not considering of altered frequency and intensity might not accept been aware of normal changes in the fetal movement patterns in late pregnancy. The changes they reported as different can be physiological due to limited space in the uterus at term [three]. There is no routine in Swedish antenatal health intendance for giving information nigh fetal movements but women are recommended to consult wellness care if they experience decreased fetal movements [21]. Notwithstanding, pregnant women inquire for data nigh fetal movements in full general and for information about the number and type of fetal movements they tin can expect, likewise as how the movements are supposed to alter over fourth dimension in pregnancy [22].
In that location were no stillbirths among the women in this study. Thus, nosotros tin can only speculate that information technology is possible that women who consult health intendance due to decreased or changed patterns of fetal movement may be aware of the importance of detecting fetuses at risk as early as possible. Detection of decreased fetal movements can improve the outcome and reduce delay in consulting health intendance [23, 24]. Further, the fetuses in this study who could be at take chances were examined and risk factors such equally placental abruptions, growth retardation or malformations [25] may have been detected. The primary reason for consulting health care due to decreased fetal movements is worry near the health of the infant [fourteen]. None of the women in our written report consulted wellness care without crusade, just their worry was manifestly unfounded from a medical perspective in the brusque term.
Strengths and limitations
Women in this study had a normal CTG before they completed the questionnaire. Still, bated from no stillbirths among the participating women, nosotros have no data regarding the health condition of the baby after birth. This is a major limitation of the study. There is also only sparse information about the women's' sociodemographic background.
One strength of the study is the large number of participants. Another strength is that all delivery wards in Stockholm participated in the study. However, all women came from the majuscule city in Sweden where women in generally are older and well educated compared with women outside the majuscule. Further, the number of those who declined to participate and their reasons for doing so are not known.
The wording of the request, "Endeavor to describe how your babe has moved less or had changes in motility" might have influenced the responders to use the words "decreased" and "differently" in their descriptions of their experiences. The results may have yielded fifty-fifty more if the initial request had been broader or more than open, for instance, "Try to describe how your baby has moved". However, the context in which the women completed the questionnaire was 1 of already perceived decreased fetal movements.
Clinical implications
Increased cognition about the normal changes in the fetal movement patterns in late pregnancy tin can be one style to lessen the number of visits to obstetric clinics from women over concerns that plough out to be unnecessary from a medical perspective. The challenge from a clinical perspective is to inform and advise pregnant women near fetal movements with the goal of diminishing the length of pre-hospital delay if the fetus is at take a chance and at the same time reduce worry leading to unnecessary consultation. Reducing the pre-hospital delay when the intrauterine environment is a threat to the unborn baby'due south life volition provide a window of opportunity to relieve a greater number of children from death or compromised health. Further, fewer visits to obstetric clinics, over business organisation that turns out to exist unnecessary from a medical perspective, volition have health economic benefits. Earlier giving definitive advice that tin can reduce unnecessary controls at the end of the pregnancy, distinct differences must be identified regarding how women who lost their child intrauterine or have given birth to a hypoxic or anaemic kid, study the changes in character of movements equally only symptoms when they seek care for decreased fetal movements. Future studies are needed.
Conclusions
Women reported changes in fetal motility concerning frequency, intensity, character and elapsing; they described decreased, absence, weaker, slower and changed pattern of the movements.
References
-
Froen JF. A kicking from within--fetal movement counting and the cancelled progress in antenatal care. J Perinat Med. 2004;32(1):13–24. doi:10.1515/JPM.2004.003.
-
Neldam S. Fetal movements equally an indicator of fetal wellbeing. Lancet. 1980;1(8180):1222–4.
-
RCOG. Green-top guideline No.57: reduced fetal movements. London: Regal Higher of Obstetricians and Gynaecologists; 2011. http://www.rcog.org.uk/womens-wellness/clinical-guidance/reduced-fetal-movementsgreen-top-57. Accessed 17 May 2016.
-
Nowlan NC. Biomechanics of foetal motility. Eur Prison cell Mater. 2015;29:i–21. discussion.
-
Patrick J, Campbell M, Carmichael Fifty, Natale R, Richardson B. Patterns of gross fetal body movements over 24-hour observation intervals during the terminal 10 weeks of pregnancy. Am J Obstet Gynecol. 1982;142(four):363–71.
-
Holm Tveit JV, Saastad E, Stray-Pedersen B, Bordahl PE, Froen JF. Maternal characteristics and pregnancy outcomes in women presenting with decreased fetal movements in late pregnancy. Acta Obstet Gynecol Scand. 2009;88(12):1345–51. doi:x.3109/00016340903348375.
-
Radestad I, Lindgren H. Women's perceptions of fetal movements in full-term pregnancy. Sexual practice Reprod Healthc. 2012;3(three):113–half dozen. doi:10.1016/j.srhc.2012.06.001.
-
Hijazi ZR, East CE. Factors affecting maternal perception of fetal movement. Obstet Gynecol Surv. 2009;64(7):489–97. doi:10.1097/OGX.0b013e3181a8237a. quiz 99.
-
Ahn MO, Phelan JP, Smith CV, Jacobs North, Rutherford SE. Antepartum fetal surveillance in the patient with decreased fetal movement. Am J Obstet Gynecol. 1987;157(4 Pt 1):860–4.
-
Fisher ML. Reduced fetal movements: a inquiry-based project. Br J Midwifery. 1999;7:733–vii.
-
Fried AM. Distribution of the bulk of the normal placenta. Review and nomenclature of 800 cases by ultrasonography. Am J Obstet Gynecol. 1978;132(six):675–80.
-
Mohr Sasson A, Tsur A, Kalter A, Weissmann Brenner A, Gindes L, Weisz B. Reduced fetal move: factors affecting maternal perception. J Matern Fetal Neonatal Med. 2015:1–iv. doi:ten.3109/14767058.2015.1047335.
-
Johnson TR. Maternal perception and Doppler detection of fetal movement. Clin Perinatol. 1994;21(4):765–77.
-
Saastad East, Ahlborg T, Froen JF. Low maternal awareness of fetal move is associated with minor for gestational age infants. J Midwifery Womens Health. 2008;53(4):345–52. doi:10.1016/j.jmwh.2008.03.001.
-
Linde A, Pettersson K, Radestad I. Women'southward experiences of fetal movements earlier the confirmation of fetal death--contractions misinterpreted as fetal movement. Nascence. 2015;42(ii):189–94. doi:x.1111/birt.12151.
-
Malterud K. Shared agreement of the qualitative research process. Guidelines for the medical researcher. Fam Pract. 1993;ten(ii):201–6.
-
Malterud Chiliad. Kvalitativa metoder i medicinsk forskning. 3rd ed. Lund: Studentlitteratur; 2014.
-
Sheikh M, Hantoushzadeh S, Shariat Thou. Maternal perception of decreased fetal movements from maternal and fetal perspectives, a accomplice study. BMC Pregnancy Childbirth. 2014;14:286. doi:10.1186/1471-2393-14-286.
-
Scala C, Bhide A, Familiari A, Pagani Grand, Khalil A, Papageorghiou A, et al. Number of episodes of reduced fetal motion at term: association with adverse perinatal outcome. Am J Obstet Gynecol. 2015. doi:10.1016/j.ajog.2015.07.015.
-
Jensen A, Garnier Y, Berger R. Dynamics of fetal circulatory responses to hypoxia and asphyxia. Eur J Obstet Gynecol Reprod Biol. 1999;84(2):155–72.
-
SFOG. In: Lars-Åke M, editor. Mödrahälsovård, Sexuell och Reproduktiv Hälsa. Stockholm: Svensk Förening för Obstetrik och Gynekologi; 2008. p. 52.
-
McArdle A, Flenady V, Toohill J, Gamble J, Creedy D. How significant women learn most foetal movements: sources and preferences for information. Women Birth. 2015;28(1):54–9. doi:10.1016/j.wombi.2014.10.002.
-
Froen JF, Arnestad G, Frey K, Vege A, Saugstad OD, Stray-Pedersen B. Risk factors for sudden intrauterine unexplained death: epidemiologic characteristics of singleton cases in Oslo, Norway, 1986–1995. Am J Obstet Gynecol. 2001;184(four):694–702.
-
Grant A, Elbourne D, Valentin L, Alexander S. Routine formal fetal movement counting and risk of antepartum belatedly death in normally formed singletons. Lancet. 1989;two(8659):345–9.
-
Flenady V, Koopmans Fifty, Middleton P, Froen JF, Smith GC, Gibbons K, et al. Major risk factors for stillbirth in loftier-income countries: a systematic review and meta-analysis. Lancet. 2011;377(9774):1331–twoscore. doi:ten.1016/S0140-6736(ten)62233-vii.
Funding
The Little Kid's Foundation, Sophiahemmet Foundation, The Swedish National Infant Foundation and Capo's Research Foundation funded this study.
Availability of data and materials
The information will non be fabricated available in guild to protect the participant's identity.
Authors' contributions
AL, KP and IR participated in the pattern of the study. AL, SG and IR performed the qualitative analyses. SH and EN carried out the start and main office of the analysis. KP contributed to the give-and-take of the assay. AL, SG, KP and IR drafted all versions of the manuscript. AL, SG, KP, SH, EN and IR commented on the draft. All authors read and approved the last manuscript.
Competing interests
The authors declare that they take no competing interests.
Consent for publication
Non applicable.
Ethics approval and consent to participate
The women gave consent to participate and permission to access supporting information when receiving information nearly the study. The data will not be made available in society to protect the participant'due south identity. The study was approved past the Regional Ethical Review Board in Stockholm: DNR: 2013/1077-31/three.
Author data
Affiliations
Corresponding writer
Additional file
Rights and permissions
Open Admission This article is distributed under the terms of the Artistic Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted apply, distribution, and reproduction in whatsoever medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Eatables license, and indicate if changes were fabricated. The Artistic Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/aught/i.0/) applies to the data fabricated available in this article, unless otherwise stated.
Reprints and Permissions
Nearly this article
Cite this article
Linde, A., Georgsson, S., Pettersson, K. et al. Fetal movement in belatedly pregnancy – a content analysis of women'southward experiences of how their unborn baby moved less or differently. BMC Pregnancy Childbirth 16, 127 (2016). https://doi.org/10.1186/s12884-016-0922-z
-
Received:
-
Accustomed:
-
Published:
-
DOI : https://doi.org/10.1186/s12884-016-0922-z
Keywords
- Pregnancy
- Fetal movement
- Decreased fetal movements
- Content assay
grazianohavol1937.blogspot.com
Source: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0922-z
0 Response to "Always Im Feeling Only Light Movements of Baby Plus Size Pregnancy"
Post a Comment