Key takeaways

  • Your baby is roughly 34 cm crown-to-heel and about 700 grams this week, about the size of a small cauliflower, with fat starting to smooth the skin and hearing now well developed.
  • Common symptoms include backache, heartburn, constipation, leg cramps, mild swelling and the first painless Braxton-Hicks tightenings, none of which are labour.
  • The 24-28 week glucose tolerance test for gestational diabetes falls in this window; the Tdap vaccine is given at 27-36 weeks and Anti-D at 28 weeks for Rh-negative mothers.
  • Protein, iron, calcium and vitamin D needs are higher now; aim for balanced Indian meals rather than eating for two.
  • Call your doctor urgently for vaginal bleeding, leaking fluid, regular contractions before 37 weeks, severe headache with vision changes, or a clear drop in your baby's movements.
  • This is a good week to book a hospital tour and start thinking about a simple birth plan while you still feel well.

Your Baby at 25 Weeks: Size and Development

At 25 weeks your baby measures around 34 cm from crown to heel and weighs roughly 700-770 grams, about the size of a small cauliflower or a large head of broccoli. The wrinkled, translucent look is starting to soften as a layer of fat builds up under the skin.

Here is what is developing this week:

  • The skin is still thin but less see-through as subcutaneous fat increases, and it stays coated in protective vernix and fine lanugo hair.
  • Hair on the head keeps growing, eyelashes are well formed, and the eyelids will begin to separate and open over the next two to three weeks.
  • The lungs are in the saccular phase, with tiny blood vessels growing close to the future air spaces and surfactant production continuing, both essential for breathing after birth.
  • The spine is strengthening, the sex organs are more developed, and meconium (the first stool) is gathering in the bowel.

Your baby is very active now. You may feel strong kicks, rolls and even rhythmic hiccups, with clear cycles of busy movement followed by quiet rest. Hearing is well developed, so your baby responds to your voice, music and household sounds. The heart rate sits around 120-160 beats per minute, the placenta is fully mature, and there is roughly 600 ml of amniotic fluid cushioning the baby.

From your side, blood volume is still expanding, your uterus now reaches well above the navel with a fundal height of about 25 cm, and your bump is clearly visible. As it grows, your centre of gravity shifts forward, which is why balance and posture start to feel different. Formal kick counting usually begins around week 28, but getting to know your baby's pattern now makes those later checks easier.

Common Symptoms at 25 Weeks

Most week-25 symptoms are a continuation of the late second trimester, now a little more noticeable as the bump grows. None of the following are causes for alarm on their own, though the red-flag section below tells you when to seek help.

  • Back pain. A prominent bump pulls your centre of gravity forward and increases the curve of your lower back. Supportive footwear, prenatal yoga, a maternity support belt and gentle physiotherapy help.
  • Heartburn and acidity. Often worse now. Smaller, more frequent meals, staying upright after eating and doctor-approved antacids ease it; more detail in our guide to heartburn and acid reflux in pregnancy.
  • Constipation, leg cramps and mild swelling of the feet and ankles tend to continue.
  • Skin changes such as stretch marks, a darkening linea nigra, melasma and itching as the skin stretches.
  • Braxton-Hicks contractions. Brief, painless, irregular tightenings of the uterus that come and go. They are practice contractions, not labour. Learn to tell them apart in our guide to Braxton-Hicks versus real contractions.
  • Carpal tunnel symptoms. Tingling or numbness in the hands from fluid retention; a wrist splint at night often helps.
  • More vaginal discharge is normal; itching, burning or a foul smell is not and needs review.

This is also the typical window to tour the hospital where you plan to deliver. Most private maternity chains offer pre-natal tours, and government tertiary hospitals welcome visits. Seeing the labour room, postnatal ward and admission desk in advance, and asking about partner presence, pain relief and lactation support, takes a lot of the unknown out of labour day.

Body Changes at 25 Weeks in the Indian Context

By 25 weeks the bump is visible to everyone, whatever your build. Your doctor measures the fundal height (the distance from the pubic bone to the top of the uterus) at each visit; from about week 20 it roughly matches the number of weeks in centimetres, so around 25 cm now. A difference of more than 2-3 cm either way may prompt a growth scan to check the baby's size and the amniotic fluid.

In many Indian families, a visible bump invites comments from relatives, neighbours and even strangers, including predictions of the baby's sex from its shape. You owe no one an explanation. Wear what feels comfortable, whether that is fitted clothing, loose kurtas or a saree draped over the bump; both are perfectly fine.

Skin changes often intensify now. The linea nigra (a dark line down the centre of the abdomen) becomes prominent, and melasma (darker patches on the cheeks, forehead and upper lip) can be more visible on Indian skin tones; both usually fade after delivery. Stretch marks may appear on the bump, thighs, breasts and hips, starting pink or red and fading to silver over months. Genetics largely decide who gets them; oils and creams (coconut, almond, vitamin E, or brands like Bio-Oil and Mamaearth at roughly Rs 200-1,500) mainly keep the skin moisturised and comfortable, with limited proof they prevent marks.

A few practical comfort measures:

  • A well-fitted, supportive bra, usually a cup size or two larger than before pregnancy.
  • Loose, stretchy clothing and supportive flat or low-heeled shoes; avoid new high heels.
  • A maternity support belt for back or pelvic pain if needed (around Rs 500-2,500).
  • Side-lying sleep from the second trimester, ideally with a pillow between the knees and one under the bump. A full-body or wedge pregnancy pillow (about Rs 800-4,000) makes a real difference; see sleep positions through the trimesters.

Sex is safe for most women at this stage unless your doctor has flagged a reason to avoid it, such as placenta previa or threatened preterm labour. Libido can rise or fall, and side-lying or other gentle positions ease pressure on the bump. Some families discourage intercourse in pregnancy, but it is not medically necessary to abstain in an uncomplicated pregnancy. Stop and seek review if there is bleeding or significant pain afterwards.

For skin care, avoid retinoid creams (tretinoin, isotretinoin), which are unsafe in pregnancy. Daily broad-spectrum SPF 30+ sunscreen helps with melasma, and gentle moisturisers ease dryness. Severe itching, especially on the palms and soles, should never be dismissed as ordinary stretching skin; it can signal obstetric cholestasis and needs a liver function test.

Antenatal Care at 25 Weeks: Tests, Glucose Screening, Tdap and Anti-D

India's antenatal care (ANC) schedule, in line with WHO and Ministry of Health and Family Welfare guidance, recommends visits at booking, then around weeks 14-20, 24, 28, 32 and 34-36, and weekly after 36, for roughly 8-12 visits in all. Women with high-risk features such as gestational diabetes, high blood pressure, anaemia, twins, a previous preterm birth or advanced maternal age are seen more often.

A routine visit around now includes a weight check, blood pressure (a rising reading is a key warning sign for Preeclampsia in Pregnancy: Diagnosis and Care in India), a urine dipstick for protein and sugar, fundal height (about 25 cm), the baby's heartbeat on a handheld Doppler, a review of your symptoms and supplements, and the plan for the next visit.

The big items in this 24-28 week window are:

  • Glucose tolerance test (GTT/OGTT). Screening for gestational diabetes is done between 24 and 28 weeks, commonly with the single-step 75g DIPSI test. India has a high rate of gestational diabetes, so this screen matters; our guide to the glucose tolerance test diet and prep walks you through it.
  • Tdap vaccine. The Indian Academy of Pediatrics and FOGSI recommend a single Tdap dose between 27 and 36 weeks, ideally 28-32 weeks. Maternal antibodies cross the placenta and protect your newborn from whooping cough until their own vaccines start at six weeks. It is well-studied and safe in pregnancy; cost is about Rs 500-1,200 privately (Boostrix, Adacel) and free at government facilities. See the Tdap vaccine in pregnancy.
  • Anti-D for Rh-negative mothers. If you are Rh-negative, Anti-D immunoglobulin is given routinely at 28 weeks and again within 72 hours of delivery if the baby is Rh-positive, to protect future pregnancies. About 5-7% of Indian women are Rh-negative. Cost is roughly Rs 2,500-5,000 privately and free at government tertiary centres and under Ayushman Bharat; confirm stock in advance. Full details are in our guide to Rh incompatibility and Anti-D in India.

A repeat full blood count to recheck for anaemia is usual at 24-28 weeks, with iron adjusted as needed. A growth scan, NST or biophysical profile may be added if there is any concern.

In the government system, ANC is free under JSSK at PHCs, CHCs, district hospitals and medical colleges, and PMSMA offers free specialist check-ups on the 9th of every month, which is especially useful for high-risk pregnancies. Your Mother and Child Protection (MCP) card tracks everything. Private ANC visits in this window typically cost Rs 500-2,500 each, often bundled into a package.

Food and Nutrition at 25 Weeks

Late in the second trimester your body needs about 340 extra calories a day, rising to roughly 450 in the third trimester. That is far from "eating for two"; quality matters more than quantity, and overeating mainly adds unhelpful weight.

Protein needs rise to about 71 g a day (ICMR), roughly 20-25 g more than before pregnancy. Good vegetarian sources include dal (a cup of cooked dal has 15-18 g), sprouts, paneer, curd, milk, soya chunks (very high), and nuts and seeds. Pairings like dal-rice, rajma-chawal, idli-sambar, khichdi and paneer-paratha give complete protein. Non-vegetarians can add eggs (fully cooked), chicken, and small fish such as sardines or mackerel, which are also rich in omega-3; avoid large predatory fish like shark and swordfish for their mercury.

Iron needs climb sharply now, as your baby stores iron for the first few months of life. With NFHS-5 showing about half of pregnant Indian women are anaemic, most need a supplement, typically 60 mg of elemental iron daily, more if anaemic. Take it with a vitamin C source such as lemon water, and away from tea, coffee and calcium, which block absorption. Our guide to iron-rich foods in pregnancy lists Indian options.

Calcium needs are 1,000 mg a day. Dairy, ragi (finger millet), sesame seeds, almonds and moringa (drumstick) leaves are excellent sources; a supplement is common if your diet falls short. Vitamin D deficiency is very common in India even in sunny regions, so most women take a supplement on advice.

Indian meals that suit this stage well include khichdi with vegetables and a little ghee, idli or dosa with sambar, rajma-chawal, ragi porridge, jowar or bajra rotis, sprout salads, curd with meals, and seasonal fruit two to three times a day. Ripe papaya, banana, orange, pomegranate and melon are all good; coconut water and buttermilk keep you hydrated.

A quick word on foods often "banned" in Indian homes: ripe papaya in normal amounts is safe and nutritious, and the blanket fear of it is overcautious; only unripe green papaya in large quantities is best avoided. A normal serving of ripe pineapple is fine too. Do genuinely avoid raw or undercooked meat, fish and eggs, unpasteurised dairy, more than 200 mg of caffeine a day, all alcohol, and cut fruit or street food where hygiene is doubtful. Ayurvedic or herbal preparations should only be taken after checking with your doctor, since composition varies. Aim for 2.5-3.5 litres of fluid a day, more in summer.

Exercise and Movement at 25 Weeks

Unless your doctor has advised otherwise, staying active at 25 weeks is one of the best things you can do. WHO, FOGSI, ACOG and RCOG all support moderate exercise in pregnancy, which helps control weight gain, lowers the risk of gestational diabetes and preeclampsia, eases back pain, improves mood and sleep, and supports an easier labour and recovery. The old cultural idea that pregnancy means complete bed rest is wrong for the vast majority of women.

Aim for about 150 minutes of moderate activity a week (30 minutes on most days), plus pelvic floor exercises daily and gentle strength work two or three times a week. The "talk test" is your guide: at the right intensity you can hold a conversation but not sing.

Exercises that suit this stage well:

  • Brisk walking, the most accessible option, 30-45 minutes most days; use a mall or treadmill on very hot or high-pollution days.
  • Swimming and aqua-aerobics, which take the weight off your joints and ease swelling.
  • Prenatal yoga with a trained teacher, which helps with back pain, sleep and breathing; avoid hot yoga. See our prenatal yoga guide.
  • Stationary cycling and light, well-supervised strength work, avoiding heavy overhead lifting and breath-holding.
  • Pelvic floor (Kegel) exercises every day: contract for 5-10 seconds, release, and repeat 10-15 times, three times daily. These protect against urinary leakage and prolapse later.

As your centre of gravity shifts, avoid lying flat on your back for long after about 16-20 weeks (use a slight left tilt or side-lying), watch your balance, and skip deep stretches, full sit-ups and planks. Avoid contact sports, anything with a fall risk, scuba diving, and very hot environments such as saunas.

Stop exercising and contact your doctor if you have vaginal bleeding, regular tightenings (more than 4-6 an hour before 37 weeks), leaking fluid, dizziness or fainting, chest pain, calf pain or swelling, or a noticeable drop in your baby's movements. For Indian conditions, exercise in the cooler early morning or evening in summer, hydrate well, and prefer indoor activity when the air quality index is above 200. The late second trimester is often the most comfortable time to build a routine you can carry into the third trimester.

When to See a Doctor: Red Flags at 25 Weeks

Most of pregnancy is uneventful, but a few symptoms need prompt attention. Contact your doctor urgently or go to the nearest hospital with maternity services if you have:

  • Any vaginal bleeding. Bleeding in the second or third trimester is never normal and can signal a placental problem or preterm labour.
  • A gush or steady trickle of fluid, which may mean your waters have broken (premature rupture of membranes).
  • Regular, painful contractions before 37 weeks (more than 4-6 an hour with cramping or back pain), a possible sign of preterm labour. Early treatment, including steroids for the baby's lungs, makes a real difference.
  • A severe or persistent headache with vision changes (blurring, spots, flashes), severe upper-abdominal pain, sudden facial or hand swelling, or rapid weight gain. These point to preeclampsia, and your blood pressure should be checked urgently.
  • Fever above 38C, which suggests infection. A urinary infection, common in pregnancy, can trigger preterm labour if untreated. Do not self-medicate with random antibiotics.
  • Burning or pain on passing urine, with or without back pain, suggesting a urine infection.
  • Calf pain or swelling, usually one-sided (possible clot), or chest pain and breathlessness (a medical emergency).
  • Severe itching, especially of the palms and soles, which can indicate obstetric cholestasis and needs liver tests.
  • A clear change in your baby's movements. A persistent reduction compared with your baby's usual pattern, or no movement during an expected active time, should be checked the same day. Formal kick counting becomes routine from about week 28.

For mental health emergencies such as hopelessness or thoughts of self-harm, you are not alone: call iCall (9152987821), the Vandrevala Foundation (1860-2662-345) or NIMHANS Tele-MANAS (14416), and tell someone close to you.

To reach urgent care quickly, 102 (Janani Express) is the free maternal ambulance service for pregnant women across India, and 108 is the general emergency ambulance. Keep your doctor's number, your hospital's emergency line, your blood group and your family contacts saved and easy to find.

Emotional and Mental Health at 25 Weeks

Your feelings deserve as much attention as your physical symptoms. As you near the third trimester, it is common to feel a mix of excitement about meeting your baby and anxiety about labour, the baby's health, finances, work and family dynamics. Some women feel a sudden urge to clean and prepare, often called nesting. For those who have experienced a previous loss or fertility struggles, worry can persist even now. All of this is normal, and the expectation that pregnant women must always feel joyful simply is not realistic.

Mental ill-health in pregnancy is common: antenatal depression and anxiety each affect roughly 15-20% of pregnancies in India, and they are very treatable. Importantly, untreated depression or anxiety carries its own risks for both mother and baby, so "toughing it out" or stopping medication without advice is often the wrong move. Our guide to pregnancy anxiety versus depression helps you tell the difference.

Help comes in many forms. Talking therapies such as CBT are highly effective and need no medication. Where medication is needed, options that are well-studied in pregnancy exist, and the safest choice is made with a doctor. Tele-counselling through platforms like Practo, YourDost and Wysa is widely available, and the Mental Healthcare Act 2017 has improved insurance cover for mental health.

A few India-specific points: cultural pressure to appear grateful and joyful can make it hard to admit you are struggling, and attention can centre on the baby (or, wrongly, on its sex) rather than on you. Your wellbeing matters just as much. Do not let stigma about psychiatric care keep you from help, and do not assume difficult feelings will simply pass after delivery, since antenatal depression strongly predicts postnatal depression. Bonding deepens this period through your baby's strong movements, talking or singing to the bump, and your partner feeling those kicks from outside, often for the first time. There is no single right way to bond, so be gentle with yourself.

Partner and Family Support: Classes and the Godh Bharai

A supportive partner makes a measurable difference to how this stage feels. Helpful things a partner can do are simple: ask how she is, without pressure to be cheerful; attend ANC visits where possible; learn about pregnancy and labour together; take on more of the housework as fatigue and the bump make some tasks harder; and act as a buffer against well-meaning but conflicting advice from relatives. Many partners feel their own mix of joy and anxiety, and benefit from talking to other expectant fathers and to their own friends.

This is a good week to plan together. Tour the hospital, look into childbirth classes as a couple (usually 6-8 sessions from around week 28-32), and start shortlisting a paediatrician. Our overview of childbirth class options in India explains what is available, from hospital-run sessions to Lamaze.

The traditional Indian baby shower usually falls in the seventh or eighth month, around weeks 28-32, once the risk of early birth has eased. It goes by many names: Godh Bharai in the north and west, Seemantham among many South Indian communities, Valaikappu (the bangle ceremony) in Tamil Nadu, Shaad in Bengal, and Dohale Jevan or Shrimanta in Maharashtra. Most involve blessings from elders, gifts of clothes and sweets, and the mother's favourite foods. Enjoy what feels meaningful, but do not let it become a tiring obligation in an already demanding trimester.

In a joint family there is real support, from cooking to company, alongside real challenges, such as advice that conflicts with your doctor or pressure around ceremonies and rest. It helps to agree early that medical decisions rest with you and your doctor, to use "my doctor said" as a gentle shield, and to appreciate the genuine help while politely declining the rest.

Finally, start thinking about leave and postpartum help. The Maternity Benefit Act provides 26 weeks of paid leave for the first two children at establishments with 10 or more employees; many women begin leave around week 34-36. Plan a handover at work, and think about household and newborn help for the intense first few weeks, whether that is family, a maid or a japa carer.

If any family situation involves pressure to discover the baby's sex, remember that sex determination is illegal under the PC-PNDT Act. And if you ever face emotional or physical abuse, help is available through the women's helpline (181), women's safety line (1091) and the Vandrevala Foundation (1860-2662-345). Your healthcare team should know about anything seriously affecting your wellbeing.

Costs and Access to Antenatal Care This Week

Around week 25 your costs are the routine ANC visit plus any tests, vaccines or immunoglobulin due in this window. In the government system, all of this is free under JSSK (Janani Shishu Suraksha Karyakram), including visits, tests, ultrasounds, medicines, delivery, the NICU and 102 ambulance transport. Privately, a routine ANC visit runs about Rs 500-2,500.

Typical private test costs in this trimester:

  • Glucose tolerance test (OGTT): Rs 500-1,500
  • Full blood count to recheck anaemia: Rs 200-600
  • Urine routine and culture: Rs 100-500
  • Growth scan or fetal Doppler: Rs 1,500-3,500
  • Non-stress test (NST/CTG): Rs 500-1,500 per session

For vaccines and immunoglobulin, the Tdap dose costs about Rs 500-1,200 privately and is free at government centres; the older two-dose tetanus toxoid (TT) schedule remains in use at many public facilities. Anti-D for Rh-negative mothers is about Rs 2,500-5,000 privately and free at government tertiary centres and under Ayushman Bharat PMJAY.

Ongoing supplements (iron, calcium, vitamin D, folic acid and any prenatal multivitamin) usually cost Rs 500-2,500 a month in total.

Several government schemes ease the burden: PMSMA offers free specialist consultations on the 9th of each month; PMMVY gives a Rs 5,000 cash benefit for the first live birth; and JSY provides cash assistance for institutional delivery. Several states run their own schemes, such as Tamil Nadu's Dr Muthulakshmi Reddy Maternity Benefit Scheme.

In the private sector, comprehensive ANC packages at maternity chains often run Rs 25,000-80,000 and cover routine visits, tests, scans and vaccines, with the delivery package priced separately. If you have employer health insurance, check the maternity waiting period (often 9 months to 4 years) and any per-claim sub-limits well before your due date. Easy-to-forget extras include transport, childbirth classes (Rs 3,000-15,000), a breast pump, maternity clothing, and postpartum help (a japa maid is roughly Rs 10,000-25,000 a month). Planning early avoids surprises; the JSSK and PMMVY route keeps out-of-pocket costs low for those who use it.

Common Myths About Week 25, Corrected

"You must sleep on your left side only from now on"

  • Partly misleading. Side-lying is genuinely better than lying flat on your back after about 20 weeks, because the heavy uterus can press on the inferior vena cava (a large vein just right of the spine), reducing blood return and occasionally causing dizziness or a drop in blood pressure.
  • But left versus right does not matter much; either side is fine, and brief moments on your back are not dangerous. The practical advice is simply to avoid sleeping flat on your back for long stretches, and to use a pregnancy pillow for comfort. If you wake on your back, just roll to a side. Strict left-only rules cause needless sleep anxiety, and good sleep matters more than perfect positioning.

"A hospital tour and birth plan are a waste of time"

  • False. Touring your delivery hospital in advance and discussing a simple birth plan both reduce labour-day stress and improve how women rate their birth experience. A tour familiarises you with the location, parking, admission process, labour room and postnatal ward, so arriving in labour feels far less daunting.
  • A one-page birth plan records your preferences, such as pain relief options, who is with you, immediate skin-to-skin contact, delayed cord clamping (1-3 minutes is now standard for term babies) and early breastfeeding. It is not a contract; clinical situations may require flexibility, for example a caesarean for the baby's safety. Write it calmly during pregnancy and discuss it with your doctor around the week-32 visit.

"Drinking lots of ghee in late pregnancy makes delivery easier"

  • Mostly false. The belief that ghee lubricates the birth canal has no basis. Dilation and lubrication in labour are driven by hormones such as oestrogen, prostaglandins and relaxin, and by amniotic fluid, not by how much ghee you eat.
  • A normal amount of ghee, a teaspoon or two in cooking or in khichdi and dal, is perfectly fine as a source of healthy fat. But large daily quantities on family insistence add excess weight, can worsen gestational diabetes, and do nothing for labour. Politely decline the pressure, and focus instead on what actually helps: balanced nutrition with adequate protein, regular exercise, prenatal yoga, pelvic floor work and childbirth education.

"Prenatal yoga is unsafe in the third trimester"

  • False. With a trained prenatal yoga teacher and the right modifications, yoga is safe and beneficial right through pregnancy. It eases back pain, improves sleep, reduces anxiety, opens the hips and pelvis, and teaches breathing that helps in labour.
  • In the third trimester, avoid full backbends, deep twists, inversions, prolonged lying on the back, and hot yoga. Suitable poses include cat-cow, child's pose with wide knees, supported squats, butterfly, gentle side stretches, pelvic tilts and calming breathing such as gentle ujjayi or nadi shodhana (avoid forceful kapalabhati). Many Indian cities and apps offer prenatal yoga classes at around Rs 300-1,500 each. The cultural push for complete bed rest in the third trimester is wrong for most women; active, sensible preparation improves both labour and recovery.

Frequently asked questions

How big is my baby at 25 weeks?

Your baby is about 34 cm from head to heel and weighs roughly 700-770 grams, about the size of a small cauliflower. Fat is starting to fill out the skin, and hearing is now well developed, so your baby responds to your voice and to music.

What is the glucose test at 24-28 weeks for?

It screens for gestational diabetes, a temporary form of diabetes that develops in pregnancy. In India it is commonly done as a single-step 75g test, and because gestational diabetes is common here, it is an important routine check. If detected, it is managed with diet, monitoring and sometimes medication.

Are Braxton-Hicks contractions at 25 weeks normal?

Yes. Braxton-Hicks are brief, painless, irregular tightenings of the uterus that come and go and settle with rest or a change of position. They are practice contractions, not labour. Seek review if tightenings become regular, painful or more than 4-6 an hour before 37 weeks, or come with bleeding or leaking fluid.

When is the Tdap vaccine given in pregnancy?

IAP and FOGSI recommend a single Tdap dose between 27 and 36 weeks, ideally 28-32 weeks. It passes protective antibodies to your baby, guarding against whooping cough in the first months of life before their own vaccines start. It is safe in pregnancy and free at government facilities.

Is it safe to exercise at 25 weeks?

For most women, yes, and it is recommended. Aim for about 150 minutes of moderate activity a week, such as brisk walking, swimming or prenatal yoga, plus daily pelvic floor exercises. Avoid lying flat on your back for long, contact sports, fall-risk activities and very hot environments, and stop and call your doctor if you have bleeding, contractions, leaking fluid or dizziness.

Should I be counting my baby's kicks yet?

Formal kick counting usually starts around week 28. For now, get to know your baby's normal pattern of activity and rest. If you notice a clear, lasting drop in movements compared with usual, or no movement during an expected active time, contact your doctor the same day.

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