Fetal Kick Counts

After the 28th week or the third trimester, a woman may become increasing aware of the baby kicking in the womb.  Before this, some women don't even feel the baby moving until the 20th week and it can be different with each pregnancy.  In general, I usually counsel a woman that she should  be aware of the movements regularly throughout the day,  paying attention that she perceives a grouping of movements in the morning, afternoon and evening. Babies can be active at different times of the day and usually by the 28th week,  a woman will gain a sense of what a normal amount of movement is for her baby.  Counting can be very helpful if she perceives a change in the frequency or a decrease in fetal movements.  Fetal movements are a great predictor of fetal well being and fetal kick counts is a way to quantify fetal movements.  Other reasons to do fetal kick counts are if a woman's provider instructs her to do so, she has a medical indication in which they are recommended, it's something she enjoys, or she feels a sense of calm and reassurance by doing so.

How to do fetal kick counts:

• It is best to count while sitting or resting.
• The woman should place her hands on her belly and time how long it takes her to perceive 10 kicks.
• Without being distracted, a woman should perceive 10 kicks in 1-2 hours.
• If after 30 minutes of waiting, a woman does not perceive movement, she should walk, change positions, drink something cold or have something sweet to eat.
• If there is any concern regarding the amount, frequency or quality of fetal movements, a woman should contact her provider for counseling. 
• The proper way to do fetal kick counts should always be reviewed with an obstetrical health care provider.**

• There are apps for smartphones and mobile devices that can be helpful  
• Baby Kick Counter and Wiggle Wrecorde

• Or check out this link for a handy chart.