What to do if you are 12 weeks pregnant and have a fetal heart rate of 181 beats per minute

Hello! First of all, I wish you an early birth to a precious son! For the fate of you and me, let me talk to you about the "fetal heart rhythm".

The fetal heart rate is regulated by the sympathetic and parasympathetic nerves, and the monitoring pattern formed by the signal tracing of the instantaneous fetal heart rate changes can be used to understand the response of the fetal heart rate during fetal movements and contractions, so as to infer whether the fetus has hypoxia in the uterus.

For normal pregnancies, fetal heart rate monitoring should be done once a week from the 37th week of pregnancy, and if there are comorbidities or complications, it can be done from the 28th to 30th week of pregnancy. Attention should be paid to whether the rhythm of fetal heart sounds is fast and slow.

Under normal circumstances, the fetal heart rate is generally maintained at 120-160 minutes, and the gestational age is small. rapid fetal heartbeat; Gestational age is large, and the fetal heart rate is slow.

The loudest fetal heart sounds are usually heard in the abdominal wall of the pregnant woman, above the baby's back, and the loudest heart sounds vary depending on the position of the fetal head.

It is beneficial for pregnant women to learn to count the fetal heart rate per minute, if the fetal heart rate is 120 minutes or 160 minutes, it means that the fetal heart rate is abnormal and further monitoring is required.

In addition to the above reasons, the possibility of congenital heart disease should also be considered.

The fetal heart rate is very unstable (usually fast) and does not stabilize until at least 18 weeks (range 120 to 160 beats), so you don't have to worry too much about it now.

Prevention by preoxia is recommended:

1. Pregnant women should try to avoid strenuous exercise, walk less, and walk slowly;

2. Pregnant women should take more deep breaths to increase the oxygen content of the mother's blood;

3. The living environment should keep the air fresh, and there should be few occasions with heavy air pollution;

4. When lying in bed, avoid maintaining a posture for a long time, and change the sleeping position frequently (don't be too superstitious and have to lie on the left side) to prevent local pressure on the uterus for too long;

5. Eat more collagen and unsaturated fatty acid-rich foods (such as fish), supplement vitamin E, and do not over-supplement calcium, which can prevent premature aging of the placenta.

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Is it normal for a fetal heart rate of 178 at 12 weeks? 12 weeks of pregnancy is almost three months pregnant, and the fetus is not stable during this period, if the mother does not pay much attention, it is likely to be miscarried. The fetal heartbeat also appeared during this time, which surprised many mothers very much.

So what is the normal heart rate at this time?

12 weeks of pregnancy, which is the first trimester. Pregnant women are usually nervous during this time. Many pregnant women are very concerned about the normal heartbeat of the fetus.

At around 12 weeks of pregnancy, you can hear the baby's powerful heartbeat with the help of an instrument, which is a fetal heart rate check, which every expectant mother has to do. If it lasts for more than 160 minutes, or less than 110 minutes, it is an anomaly. Emotional stress or excessive tiredness can cause a rapid fetal heartbeat.

At this time, lying on the left side can alleviate the phenomenon of rapid fetal heart rate. If it is still too fast, it is necessary to consider whether the fetus is hypoxic in utero, and it is best to consult a doctor for advice.

In general, self-monitoring is not possible before 15 weeks of pregnancy. For pregnant women between 15 and 28 weeks of pregnancy, it is safe to test 3 times a day for 1 minute. For pregnant women after 28 weeks' gestation, the fetus is fully differentiated, and the duration and frequency of monitoring can be extended.

For high-risk pregnant women after 35 weeks of pregnancy (e.g., pregnant women with pregnancy-induced hypertension, hyperthyroidism, etc.), the fetal heart rate should be continuously monitored with a fetal heart rate monitor in the hospital, and if necessary, continuous monitoring for a long time (more than l hours). In addition, in the case of umbilical cord entanglement, the fetal heart rate will continue to increase due to the movement of the fetus, which may be aggravated and the fetal heart rate will continue to increase.

If this occurs before 36 weeks, the fetus can swim freely in the womb because of its small size, and the entanglement can be transient; If it occurs after 36 weeks, this kind of entanglement can cause fetal distress and even death because the fetus is in a more fixed position. Pregnant women carefully count fetal movements at home and carefully monitor the fetal heartbeat can help detect problems in time and take timely measures to save the baby's life.

Generally, Down's screening is performed at 14-20 weeks of pregnancy, and 3D color ultrasound or 4D color ultrasound is performed at 23-26 weeks of pregnancy. If the results are high-risk, further amniocentesis or cord blood should be done. It is true that fasting examination is required, and the examination work must be comprehensive and careful, if there is no problem with the examination, you can get pregnant with peace of mind, but the regular pregnancy test work in the future still needs to be continued.

Pregnant women should not consider the price first, but should first consider the safety when doing Down screening, the Down's screening done by regular hospitals is safe and accurate, and it is recommended that pregnant mothers must go to regular hospitals for examination.

First, a phase I Down syndrome screening was conducted, and the risk of fetal Down syndrome was estimated by ultrasound and blood sampling at 9-13 weeks of pregnancy. In the second phase of screening, blood is drawn at 15-20 weeks of pregnancy and estimated in combination with the results of the first phase. If the risk is high, chorionic villus sampling may be done, which is an invasive test that requires careful communication with the doctor, or amniocentesis, which is also invasive but less risky than chorionic villus sampling. Through the above procedures, it is generally possible to know a more accurate result.

After the 12th week of pregnancy, every time a pregnant woman goes to the prenatal checkup, the doctor will use an instrument to listen to the fetal heartbeat. Fetal heartbeat is an indicator that reflects the health of the fetus and is more important, so expectant mothers are also very concerned about whether the fetal heartbeat is within the range of normal heartbeat every time they have a prenatal checkup. Let's find out together, how much of a normal fetal heartbeat is in the third trimester of pregnancy?

1. Fetal heart rate can reflect the health of the fetus, with an average of 139 beats per minute after 31 to 40 weeks of pregnancy. Therefore, in the third trimester, the fetal heartbeat is normal at about 139 times, but there will be differences, as long as it is not very low or very high, pregnant women do not need to be too nervous.

2. Listening to the fetal heart sound on the abdominal wall of the pregnant woman with an instrument is the loudest, because the position of the fetal head is different, so the part of the heart sound is also different. Pregnant women themselves also learn to calculate what the fetal heart rate is per minute, if the fetal heart rate is calculated to be below 120 beats per minute, or more than 160 beats per minute, it means that the fetal heart rate is problematic and needs to be further monitored.

In addition to paying attention to the fetal heartbeat, pregnant women in the third trimester should also pay attention to the fetal movement. After a pregnant woman enters the third trimester, she should count the fetal movements every day, and if the fetal movements are abnormal, she should go to the hospital in time to avoid accidents.

Fetal heart rate of 121 beats per minute is normal, fetal heart rate between 120 and 160 beats per minute is normal, if the fetal heart rate is too low or too high indicates that the fetus is hypoxic in the womb, we should pay attention to the frequency of monitoring the frequency of fetal movements.

If it is the fetal heart rate, you put 21 as a normal phenomenon. Generally speaking, only boys have such a low heart rate. Girls are generally above 140, that is, girls are generally below 140, and more than 120 are basically little boys.

Congratulations!

A fetal heart rate of 110 to 160 beats per minute is normal, and too high or too low is abnormal, but it is still judged on a case-by-case basis. If the fetal heart rate is too slow, it is necessary to see if it is transient, the probe falls off during the process of detecting the fetal heartbeat, moves or suddenly the baby, and the probe does not monitor the position of the fetal heart rate after turning, resulting in the fetal heart rate being too slow.

In addition, it is necessary to see if the fetal heart rate probe is just right, attached to the place where the mother's stomach artery pulses, if the fetal heart rate is too slow and consistent with the mother's pulse, it can be able to monitor the mother's pulse, not the state of the fetal heartbeat. Therefore, it is necessary to adjust the fetal heart rate probe in time, if the fetal heart rate is too fast, it also depends on what kind of state the baby is, if the baby is moving, the fetal heart rate is naturally too fast.

There are many causes of high and low fetal heart rate, some of which are physiological abnormalities, such as a brief increase in fetal heart rate during fetal movements or contractions, and then return to normal. In addition, the fetal heart rate will also be high in the first trimester and slowly decrease in the second and third trimesters.

Some are caused by maternal reasons, such as nervousness, fever or hyperthyroidism, and the fetus's heart rate is generally faster. If a pregnant mother takes certain medications, it can also cause changes in the fetal heart rate.

Others are caused by the fetus itself, such as hypoxia, nervous system development, congenital heart disease, etc.

What to do?

If there is an abnormal fetal heartbeat, it is recommended that pregnant mothers rest for a while and then have a check-up.

Generally speaking, physiological abnormalities do not need to be **, but usually pay attention to counting fetal movements, and go to the hospital as soon as possible if abnormalities are found.

If it is caused by the pregnant mother's disease or taking medication, Wang Yi needs to consult the doctor to see if there is any effect on the fetus.

If fetal hypoxia causes fetal heart rate to change, oxygen can be inhaled, and the frequency of fetal heart rate monitoring can be increased, and further measures can be taken under the guidance of a doctor if necessary.