Fetal movement monitoring, often called “kick counting,” is a straightforward practice for expectant parents during the third trimester. This daily exercise helps establish a pattern of activity and tracks fetal well-being. Keeping a record of movement helps parents recognize what is normal for their baby, providing valuable information for healthcare providers. Understanding the different types of movements is important for accurate monitoring.
Kicks Versus Hiccups: A Critical Distinction
Fetal hiccups should not be included in the formal tally of a kick count, as they are a distinct physiological event from general movement. Kicks, rolls, swishes, and jabs are typically counted because they signify a change in the baby’s position or a purposeful movement of a limb. These movements are usually felt as sporadic, sharp, or localized pushes against the uterine wall.
In contrast, fetal hiccups are characterized by a rhythmic, repetitive, and gentle jerking sensation in one consistent spot. The feeling is like a small, steady pulsation, similar to a clock ticking, and can last for several minutes. This difference in sensation and rhythm means the two types of movement are not interchangeable for monitoring purposes. Counting only the purposeful movements ensures the kick count accurately reflects the baby’s active state.
The Purpose of Fetal Hiccups
The rhythmic nature of fetal hiccups results from involuntary contractions of the developing diaphragm muscle. These episodes are considered a normal sign of development and are often observed starting in the late second trimester. One theory is that the contractions are a form of “practice breathing” that aids in the maturation of the baby’s lungs.
The spasms may also help the fetus regulate the amount of amniotic fluid that is swallowed. Research suggests that the mechanical contractions trigger a wave of brain signals, which may play a role in developing the brain’s ability to monitor breathing muscles after birth. Experiencing these regular, pulsating movements is a positive indication that the respiratory and nervous systems are developing well.
Guidelines for Performing Kick Counts
To perform a kick count, choose a time when the baby is most active, often after a meal. It is recommended to sit or lie down in a quiet space, preferably on the left side, which improves blood flow to the uterus. The goal is to record the time it takes to feel a specific number of movements, with providers often recommending counting until 10 distinct movements are felt.
A movement is considered a kick count if it is a definite change in position, such as a roll, a stretch, a jab, or a flutter. The standard is to feel 10 movements within a two-hour period. If 10 movements are not felt, try moving around, having a snack or cold drink, and then trying the count again. If a pattern of reduced movement is noticed, or if the required number is not met after the second attempt, contact a healthcare provider immediately.