In your third trimester, your health practitioner may recommend that you start counting your baby’s kicks. Here, the experts weigh in on the importance of being aware of your baby’s movements.
Why do kick counting?
Dr. Diep Nguyen, M.D.:
Movement is the best sign of your baby’s well-being. Kick counting is the systematic counting of your baby’s movements and it is one of the methods recommended by the American College of Obstetricians and Gynecologists to help you check on your baby’s health. Research shows that decreased fetal movement may be a warning sign of potential complications, including stillbirth, the unexpected death of a baby beyond 20 weeks. Counting kicks allows expectant mothers to note a change in the baby’s movements, alerting them to potential problems which may need further evaluation. If there is a change in your baby’s normal pattern, you should contact your health care provider immediately.
Barbara Dehn, R.N., M.S., N.P.:
Kick counts are one of the best things moms can do to be reassured about the baby’s health. [It’s] actually a very sensitive indicator of fetal well-being.
Dr. Anthony Chin, M.D.:
If the baby is moving, then you know that the baby is okay. So, it is your way of assessing fetal well-being. However, [keep in mind that] the baby doesn’t move [all the time].
When should a pregnant woman start counting kicks?
Dr. Diep Nguyen, M.D.:
Most pregnant women should begin kick counting at 28 weeks. If your health care provider has determined your pregnancy to be high-risk, you may be asked to start counting kicks at 24 weeks. Most babies take less than 15 minutes to make 10 movements – jabs, rolls, kicks, twists, and turns.
Dr. Anthony Chin, M.D.:
Kick counting is done one hour after dinner when the baby is likely to be in an active mood. Lie on your side with your hands on your belly and you should be able to count 10 movements within the hour.
When to call your health practitioner
Barbara Dehn, R.N., M.S., N.P.:
Call your provider:
• If your baby hasn’t moved 10 times within three hours.
• If you feel less movement than you usually do.
• You have any feeling of pressure or pain that comes and goes five or more times in one hour.
Dr. Diep Nguyen, M.D.:
Moms should inform their providers if their babies are taking longer than usual or are taking more than two hours to complete 10 movements.
Ways to keep track of kicks
Download “Kickcounts Worksheet”
Designed specifically for moms, Barbara Dehn’s downloadable worksheet includes complete instructions and a chart for keeping track.
A handy device like a kick counter allows you to choose the time of day when your baby is most active and record each time you feel your baby move.



iStockphoto/Rebecca Grabill

