Decreased Fetal Movements: How to Count & What it Means

Updated in June 2023

Decreased fetal movements is worrying when less than 4 movements are felt in an hour. It can be especially concerning in women with a history of high blood pressure, diabetes, placental problems, uterine abnormalities or substance use (e.g. alcohol and tobacco). 

Fetal movements can start to be felt after the 16th week of gestation, although some women can only feel movements at around 22 weeks. This can vary based on the number of previous pregnancies and on placental location. Counting fetal movements is usually easier after the 28th week of pregnancy. 

If decreased fetal movements are noted, it is important to consult your OB, as decreased movements can be a sign that the baby is not receiving enough oxygen. It is important to identify the underlying cause and initiate prompt treatment as necessary. 

Imagem ilustrativa número 1

How to count fetal movements 

Fetal movements should be counted during the time of the day that the baby is most active, usually after a meal. You should count movements felt within one hour. The average number of movements is between 4 and 6 movements per hour, however many babies cant move up to 15 or 20 times in an hour.

Another way to count fetal movements is to see how long it takes for the baby to reach 10 fetal movements. If it takes longer than 2 hours to reach 10 movements, you should seek medical attention. 

When decreased fetal movements is not concerning 

Some women become accustomed to feeling fetal movements, and by the end of pregnancy, it is much easier to ignore them. This may be confused for decreased fetal movements. 

Fasting and dehydration can also lead to decreased delta movements, It is very important for pregnant women to take time to eat and hydrate throughout the day. 

Nonetheless, if you suspect decreased movements from the baby, you should seek medical attention. 

How to stimulate the baby to move 

Some ways to stimulate the baby to move include: 

  • Drink cold fluids 
  • Take a walk
  • Speak to the baby while rubbing your belly
  • Eat a sweet snack
  • Lie down with your legs elevated on pillows or on your headboard and try to relax

Each baby has different activity levels, however if the baby does not move with these tips after 2 hours, you should speak to your OB about your concerns. The OB will order testing as necessary to check the baby’s status. 

What decreased fetal movements can mean 

Decreased fetal movements may be a sign that the baby is in distress, due to lack of oxygen or nutrition. If not addressed rapidly, the baby is at risk for health conditions like premature labor, nervous system damage, or epilepsy.

Pregnancies that are well-monitored with all prenatal exams completed are the best way to identify any early abnormalities, which leads to optimal treatment if necessary. If you have any doubts, you are encouraged to consult your OB. 

Imagem do autor

Created by:

Tua Saude editing team

Our team made up of medical doctors and health professionals from various fields such as nursing, nutrition, physiotherapy, clinical analysis and pharmacy.

Update History
We regularly update our content with the latest scientific information to maintain an exceptional level of quality.
  • 7 June, 2023 (Current version)
    Updated by Daisy Oliveira - Registered Nurse
  • 6 June, 2023
  • Published in June, 2023
References
  • AUSTRALIAN FAMILY PHYSICIAN. Decreased fetal movements: a practical approach in a primary care setting. Available on: <https://www.racgp.org.au/afp/2014/november/decreased-fetal-movements-a-practical-approach-in-a-primary-care-setting/#:~:text=Multiple%20factors%20can%20decrease%20perception,gestation)%2C%20smoking%20and%20nulliparity.>. Access in 17 Dec 2020
  • ROYAL COLLEGE OF OBSTETRICIANS & GYNAECOLOGISTS. Reduced Fetal Movements. 2014. Available on: <https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_57.pdf>. Access in 17 Dec 2020

More on this subject

Illustrative image of the article How to Throw Up: 10 Tips to Vomit Safely (& When)

How to Throw Up: 10 Tips to Vomit Safely (& When)

To make yourself throw up, there are tips for reducing discomfort, like washing your hands and drinking water. The vomit reflex should only be induced when there is a medical indication or if you have eaten something that may have been spoiled. Learn how to vomit safely and the risks associated with frequent vomiting.

Illustrative image of the article Right Side Abdominal Pain: 8 Top Causes (& Related Symptoms)

Right Side Abdominal Pain: 8 Top Causes (& Related Symptoms)

Right side abdominal pain is typically not serious and is usually just a sign of built-up gas in the intestine. However, it can be a concern if the pain on the right side is very intense or if it lasts for a long time. Learn about 8 common causes of right-sided abdominal pain and when to worry and go to the hospital.

Illustrative image of the article What Causes of Tingling Throughout the Body? (Top 16 Reasons)

What Causes of Tingling Throughout the Body? (Top 16 Reasons)

Tingling throughout the body may be a result of poor circulation, a herniated disc, a nutritional deficiency, nervous system problems or anxiety. It may also emerge with more severe conditions, like a heart attack or stroke. Learn more about what causes tingling throughout the body and what to do.

Illustrative image of the article Pain Under Left Rib Cage: 10 Common Causes (& What to Do)

Pain Under Left Rib Cage: 10 Common Causes (& What to Do)

Pain under the left rib cage is commonly caused by pancreatitis, kidney stones, or stomach inflammation. It can be treated with diet changes or with medications like anti-inflammatories or antibiotics. Learn about other reasons for left upper quadrant pain and what you can do.

Illustrative image of the article Brown Discharge During Pregnancy: 7 Causes (& How to Stop It)

Brown Discharge During Pregnancy: 7 Causes (& How to Stop It)

Small amounts of brown discharge during pregnancy is common and usually isn't concerning. However dark discharge can also be a sign of some types of infections and therefore it's important to monitor for any other symptoms. Learn about what can cause brown discharge during pregnancy and what to do to stop it.

Illustrative image of the article Pain in Lower Left Abdomen: 13 Possible Causes

Pain in Lower Left Abdomen: 13 Possible Causes

Pain in the lower left abdomen is usually a sign of gas or constipation, but it can also be a sign of more serious conditions such as kidney stones, endometriosis, or diverticulitis. Learn about what causes lower left abdominal pain and what .

Illustrative image of the article What to Eat When You Have Diarrhea: 9 Best Foods (& Meal Plan)

What to Eat When You Have Diarrhea: 9 Best Foods (& Meal Plan)

When you have diarrhea, you should prioritize carbohydrates, like white bread and white brice, as well as lean meat, like chicken and fish, peeled fruit. These foods can reduce abdominal pain and manage diarrhea. Read more about what to eat, what to avoid and check-out a sample 3-day diarrhea diet .

Illustrative image of the article Sores in Nose: 15 Common Causes & What to Do

Sores in Nose: 15 Common Causes & What to Do

Sores in the nose can appear for many reasons, like allergies, pimples or a runny nose, which are generally easy to treat. Scabs that do not heal and bleed persistently should be assessed by a doctor, as they can indicate other conditions, like an infection or cancer. Learn more about what causes sores in the nose.