Pregnant at 23 weeks, coughing from inhaling smoke, experiencing urine leakage, feeling no fetal movement, but

Patient's question:

Please summarize your issue here: I am 23 weeks pregnant. There is burning garbage in the neighborhood, which has made me cough severely. The coughing was so intense that it shook me so hard that I accidentally peed. However, it didn't last long—about 1 minute. Since then, I haven't been able to feel the baby move. A day later, I went to the hospital to listen for the fetal heartbeat, and it was normal. But why can't I still feel the baby move? Could the baby have been harmed by the coughing or the shaking? I'm so worried...

Doctor's answer:

Hello, a 27-year-old female, 23 weeks pregnant. Based on your description, the fetal heartbeat is normal, so the baby should be fine. Lack of fetal movement might be due to your being too tense or psychological factors. Your fetal heartbeat check is normal, so there is no need to worry. Rest more, and also avoid contact with dirty things or air as much as possible during pregnancy.

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