Four-dimensional sonographic assessment of fetal movement in the late first trimester

Abstract 

Objective

To evaluate, using four-dimensional (4D) sonography, the frequency of fetal movements during the late first trimester of normal singleton pregnancies.

Methods

Singleton pregnancies were studied—using transvaginal 4D sonography—for 10minutes at 10–11 and 12–13weeks of gestation. The frequencies of 5 fetal movements (isolated arm, isolated leg, short trunk, long trunk, and jumping movements) were evaluated.

Results

In the 17 pregnancies studied, the most frequent fetal movements were isolated arm movement at 10–11weeks and jumping movement at 12–13weeks. There was a significant difference in the frequency of jumping movement between 10–11 and 12–13weeks (P<0.05).

Conclusion

The difference in frequency of 5 fetal movements at 10–11 and 12–13weeks of gestation may be caused by early neuromuscular development and differentiation of the neuromuscular system.

Keywords: Fetal movement, First trimester, Four-dimensional ultrasound, Normal pregnancy