Is it normal not to feel fetal movement at 21 weeks of pregnancy?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? Is it normal for fetal movement to be less noticeable at 21 weeks of pregnancy?

Doctor's answer:

Fetal movement usually begins around weeks 16-20 of pregnancy. Counting method: Count the fetal movements for 1 hour at fixed times in the morning, afternoon, and evening each day. If there are more than 3 movements per hour, it indicates that the fetus is doing well. Alternatively, you can multiply the sum of the fetal movement counts in the morning, afternoon, and evening by 4 to get the total fetal movement count for 12 hours. If the 12-hour fetal movement count is 30 or more, it indicates that the fetus is doing well. If it is less than 20, it suggests that the fetus may be abnormal. If the fetal movement is less than 10 times, it may indicate fetal hypoxia in the uterus. Pay attention to regular prenatal check-ups and fetal heart monitoring!

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