Is it normal if fetal movement is less than 10 times?

Patient's question:

The doctor suggested I should walk more, but I only walk about 500 meters, then I feel my lower abdomen getting hard, my stomach tightening, and I also get a lower backache. I am already 20 weeks pregnant and can feel fetal movements, but I can only feel them less than 10 times a day, sometimes even fewer. I had an ultrasound a month ago before I felt no fetal movements, and the doctor said it was normal. Is it necessary for me to have another ultrasound now?

Doctor's answer:

Hello: Fetal movement is generally about 3-5 times per hour, with approximately 30-40 movements within 12 hours. An ultrasound examination at the hospital is required.

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