Fetal Movement Counting
What is fetal movement counting?
Fetal movement counting is a way to check the health of a woman’s unborn baby (fetus).
It’s often called kick counting. It’s done by counting the number of kicks you feel
from your baby in the uterus in a certain time period.
By 20 weeks gestation, most women are able to feel their baby's movements. Movements
vary in strength and how often they occur. There are different patterns of movement.
They depend on the baby’s age. Most babies tend to be more active in the evening hours.
This can start as early as the second trimester. A baby may be more active about an
hour after the mother eats. This is because of the increase in sugar (glucose) in
the mother's blood. Fetal movement normally increases during the day, with peak activity
late at night.
Why might I need to do fetal movement counting?
Fetal movement is one show of a baby’s health in the womb. Each woman should learn
the normal pattern and number of movements for her own baby. A change in the normal
pattern or number of fetal movements may mean the baby is under stress. And keep in
mind that it’s not normal for a baby to stop moving with the start of labor.
What are the risks of fetal movement counting?
There are no risks to the mother or unborn baby during fetal movement counting. It
can instead help to pick up on decreased fetal movement and help prevent problems
for the baby.
How do I get ready for fetal movement counting?
Talk with your healthcare provider about when to do the counting. Set aside the same
time each day to count movements. Babies have sleep cycles, so fetal kick counts may
be done at any time of day. After a meal is often a good time.
What happens during fetal movement counting?
There are several ways to do kick counts. And there are several guidelines for how
many kicks are normal in a certain time. For example, write down the number of times
you feel the baby kick or move in 1 hour. After several days, you may find the baby
usually moves about the same number of times per hour. This becomes your baseline
Do the counting as often as your healthcare provider advises.
What happens after fetal movement counting?
Call your healthcare provider right away if any of these occur:
Your baby is not moving as much as usual.
It takes longer for your baby to move in the usual length of time.
Your baby has stopped moving.
Other testing can be done to check the health of your baby. Your healthcare provider
will tell you more.
Before you agree to the test or the procedure make sure you know:
The name of the test or procedure
The reason you are having the test or procedure
What results to expect and what they mean
The risks and benefits of the test or procedure
What the possible side effects or complications are
When and where you are to have the test or procedure
Who will do the test or procedure and what that person’s qualifications are
What would happen if you did not have the test or procedure
Any alternative tests or procedures to think about
When and how you will get the results
Who to call after the test or procedure if you have questions or problems
How much you will have to pay for the test or procedure