What You Need to Know About Fetal Movement Monitoring
To combat misinformation and prevent stillbirths, advocates are explaining the benefits of counting fetal movements.
Every year, approximately 21,000 babies in the United States are stillborn—dying in the womb or at birth after 20 weeks of pregnancy.
According to research by PUSH for Empowered Pregnancy (PUSH), at least one in four stillbirths could be prevented if families and healthcare providers better understood the methods for preventing infant death. Fetal movement counting is a simple, free, and worthwhile preventive measure.
What Is Fetal Movement Counting?
Fetal movement counting is a method used to monitor your baby’s activity, helping you detect any abnormal changes. Start by sitting or lying down and paying attention to any kicks, flutters, rolls, or movements. Track how long it takes to feel 10 movements.
Because every baby is different, it can take time to learn your baby’s unique movement patterns and rhythms.
It’s a good idea to measure fetal movements at the same time every day. According to Samantha Banerjee, Executive Director of PUSH, the timing of fetal movement monitoring may vary, helping you understand when your baby is most active or inactive. “Know your normal,” Banerjee advises. “You know your baby and your body best.”
By 24 to 28 weeks of pregnancy, your baby’s usual activity should become clearer. Changes in normal activity could include a reduction in movements, weaker movements, or sudden increases in activity.
Common Misconceptions About Fetal Movement Counting
Fetal movement counting is an effective method of preventing stillbirth for all women, not just those with high-risk pregnancies.
Avoid using Doppler devices or other home monitors to check on the unborn baby. Instead, pay attention to your baby’s movements, so you can identify any potential issues without unnecessary ultrasounds.
You can continue practicing fetal movement counting in the later stages of pregnancy. According to PUSH, fetal activity does not decrease during the final weeks of pregnancy. In fact, you should continue to feel fetal movements right up until labor and even during delivery.
If you notice any unusual changes in your baby’s movements, seek medical attention immediately. Do not try to stimulate movement by drinking juice, cold water, or eating sweets. While these actions might trigger some movements, they could also mask a serious issue.
“If you’re sitting there drinking juice, counting kicks for two hours, you’re just wasting time,” Banerjee says. “In many stillbirth cases, acting quickly is critical, allowing time for intervention.”
Making Movement Monitoring Comfortable
Before starting fetal movement counting, find a safe and comfortable position. Try lying on your left side or propping yourself up with pillows.
If tracking movements becomes difficult, consider using a fetal movement counting app. The Count the Kicks app allows users to track movements and their intensity, set reminders, and take notes. These features can help you better understand your baby’s activity and your body’s changes.
Banerjee suggests that recording your baby’s movements several times a day can make the patterns more noticeable and easier to identify.
Why Is Movement Monitoring Important?
According to research from the City Hospital Obstetrics and Gynecology Department, 55% of women report reduced fetal movement before stillbirth. Banerjee notes that a significant decrease in fetal movement is also linked to adverse outcomes such as fetal growth restriction.
Monitoring fetal movements is a simple lifestyle change aimed at reducing these risks—similar to avoiding foods that could make you sick during pregnancy.
“You wouldn’t leave the doctor’s office without a list of foods to avoid when you’re pregnant,” Banerjee says. “So, for stillbirth prevention, especially fetal movement monitoring, this is one of the simplest and most direct tools we have.”
What to Do If Movements Are Irregular
If you notice any changes in fetal movements, seek medical attention immediately.
“Your doctor is there with you,” Banerjee assures. “There is always someone in the delivery room ready to help.”
PUSH encourages expectant mothers to trust their intuition when seeking medical care. Unless you’re certain everything is normal, don’t leave the hospital without getting checked out.
“This is your pregnancy, and you’re in charge,” Banerjee concludes. “If people aren’t listening to you, use your ‘mom voice.’”
By understanding the importance of fetal movement monitoring and taking proactive steps to track changes in your baby’s activity, you can help prevent stillbirth and ensure the best possible outcome for you and your baby. Trusting your instincts and seeking timely medical advice is key in protecting your child’s health and well-being.