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Women's Health, Pregnancy & Childbirth

Fetal Movements: When They Start, How to Track Them and When to Call

ClinicsJo Editorial Team
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Learn when fetal movements begin, how to get to know your baby's pattern without a mandatory kick count, and when to call your doctor or maternity unit immediately.

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Fetal movement usually begins between weeks 16 and 24 of pregnancy, and it may start a little later in women pregnant for the first time [3]. There is no fixed number of movements you should feel each day. What matters most is knowing your baby's usual pattern. If movement decreases, stops, or changes pattern, call your doctor or the maternity ward right away and do not wait until the next day [3].

When does fetal movement first begin?

You should start feeling your baby move between weeks 16 and 24 of pregnancy. If this is your first baby, you may not feel movement until after week 20 [3]. So do not worry if a friend talks about feeling movement very early while you have not felt anything yet.

If you reach week 24 and have not felt any movement, tell your doctor or midwife. They will check your baby's heartbeat and movement [3]. For more detail about this timing, you can read When does a mother feel fetal movement for the first time.

Because pregnancy weeks are counted in a specific way that your doctor will explain, your week number may differ from what you expect. This article explains when pregnancy stages begin to be counted. If you are still in your early weeks, see Early pregnancy symptoms and how to confirm pregnancy.

What do the first movements feel like, and do they continue until birth?

At first, movements feel like fluttering or gentle turning. As pregnancy progresses, you may feel kicks and stronger, more distinct movements [3]. This gradual change is normal, as the baby grows and develops throughout each trimester of pregnancy [2]. You can learn more about fetal development stages and how to support them.

Movement does not stop in late pregnancy. You should continue to feel your baby move up until the time of delivery and during labor [3]. This point is important, because many pregnant women assume that reduced movement in the final weeks is normal, and this is not true.

Should I count fetal movements every day?

No. There is no fixed number of movements you should feel each day, because every baby is different. You do not have to count kicks or movements every day [3].

What matters is learning your baby's usual pattern from one day to the next [3]. A very active baby may have a normal pattern that differs from that of a calmer baby. What warrants attention is a change from the pattern you are used to, not comparison with other babies.

If your doctor has recommended a specific way to record movements because of a particular health condition, follow their instructions. Recommendations vary from case to case, and no single number suits every pregnant woman.

How can I recognize my baby's movement pattern?

Learning your pattern comes from calm attention, not constant anxiety. These steps can help you:

  • Notice at what times of day you feel your baby move most, without turning this into a stressful daily test.
  • Pay attention to the type of movement: is it light fluttering or stronger kicks? Has it changed from what you are used to?
  • Mention to your doctor at follow-up visits any observation about movement, even if it seems minor.
  • Do not compare your baby with other women's babies, because each baby has its own pattern [3].
  • Do not rely on a home Doppler device (a device for listening to the fetal heartbeat) to reassure yourself. It is not a reliable way to assess the baby's health, and hearing a heartbeat on it does not mean the baby is well [3].

When should I see a doctor because fetal movement has decreased?

Call your doctor or the hospital maternity ward immediately if any of the following occurs [3]:

  • Your baby is moving less than usual.
  • You no longer feel any movement at all.
  • Your baby's usual movement pattern has changed.

The medical team will need to check your baby's movement and heartbeat. Do not wait until the next day. Calling immediately is what is required, even if it is midnight [3].

Why is waiting not acceptable?

If the baby is unwell, it may become less active than usual, so reduced movement may be a sign of a problem. The earlier a problem is detected, the better, because this allows appropriate treatment and care for both mother and baby, and it may save the baby's life [3].

SituationRecommended action
You have reached week 24 without feeling any movementTell your doctor or midwife so they can check the heartbeat and movement [3]
Your baby is moving less than usualCall your doctor or the maternity ward immediately [3]
You do not feel any movement at allCall immediately and do not wait until morning [3]
The usual movement pattern has changedCall immediately, even if it is at night [3]
Your baby's movement is within its usual patternContinue your normal daily life and regular follow-up visits

When should I go to the emergency room?

If movement has decreased or its pattern has changed and you cannot reach your doctor or the maternity ward, go to the nearest hospital emergency department. Call 911 if there is heavy bleeding, severe abdominal pain, fainting, or seizures, or if you cannot reach care safely. Do not try a home remedy before doing so.

What is the role of follow-up visits in monitoring the baby?

Prenatal care helps protect your health and your baby's health, and it allows your doctor to detect problems early. Early treatment can cure many of them and prevent others from developing [1]. Regular checkups also help detect fetal problems if they exist, and knowing about them early gives you time to prepare. They also help avoid delivery complications; for example, if the baby is in a breech position, a cesarean delivery may be needed [2].

Your doctor will schedule your visits, and they usually follow this pattern [1]:

Stage of pregnancyUsual number of visits
From week 4 to 28Once a month
From week 28 to 36Twice a month
From week 36 until deliveryOnce a week

Your doctor will often monitor you more frequently if you are over 35 years old, or if your pregnancy is high-risk due to conditions such as diabetes or high blood pressure [1]. You can learn about gestational diabetes and multiple pregnancy, as in such cases your doctor may set up a special follow-up plan.

At most visits, your doctor will check your blood pressure and weight gain, measure your abdomen to monitor fetal growth, and check your baby's heartbeat [1]. However, this check does not replace your attention to your baby's movements between visits. Any change in pattern requires an immediate call and should not be postponed until the next appointment [3]. There are also specialized services for monitoring conditions such as fetal growth restriction, which your doctor will recommend when needed.

Regarding medications, always consult your doctor before starting or stopping any medication, because some medications may harm the baby [1]. It is helpful to read the comprehensive guide to medications during pregnancy. You may also read the article on cholestasis of pregnancy to learn about another condition that requires consulting a doctor during pregnancy.

Common myths about fetal movement

Common beliefThe correct information
“The baby calms down in late pregnancy because there is no room”You should feel movement until and during delivery, and any decrease in movement warrants calling your doctor [3]
“I will wait until morning to see if the movement improves”Do not wait until the next day; call immediately, even at midnight [3]
“Hearing the heartbeat with a home Doppler means the baby is fine”This is not a reliable method, and hearing a heartbeat does not mean the baby is well [3]
“I must count a specific number of kicks every day”There is no fixed number, and counting movements daily is not required; what matters is knowing your baby's pattern [3]
“If I have not felt anything by week 18, there is a problem”Movement typically starts between weeks 16 and 24, and it may be delayed until after week 20 in women pregnant for the first time [3]

If you hear advice to try a drink or home remedy to get the baby moving, do not let it delay your call to the doctor. The medical guidance for reduced movement is to call immediately [3].

How do I find the right obstetrics and gynecology doctor in Jordan?

The doctor who follows your pregnancy is the one who answers your questions about fetal movement and gives you a clear plan. Start from the page for obstetrics and gynecology doctors in Jordan, then narrow your search by governorate:

Based on the information available in each profile, check the following points:

  • That the specialty is obstetrics and gynecology and that the clinic location is convenient for you, since you may need to reach care quickly in an emergency.
  • The contact or booking method listed in the profile and the working hours.
  • The services listed in the profile, such as high-risk pregnancy follow-up.

Maternal and child health centers under the Ministry of Health are available in the governorates of the Kingdom. You can ask them about regular pregnancy follow-up.

Questions to ask your doctor

  1. What follow-up visit schedule is appropriate for my condition?
  2. Do you recommend a specific way to monitor my baby's movements, or is it enough for me to know their pattern?
  3. Who should I call if movement decreases at night or on a holiday?
  4. Which hospital should I go to in emergencies?
  5. Do I have factors that call for more frequent follow-up?

Summary: practical steps

Remember that fetal movement usually begins between weeks 16 and 24, and that each baby has its own pattern. These are the key points:

  1. Tell your doctor if you have not felt any movement by week 24 [3].
  2. You do not need to count kicks every day, but get to know your baby's pattern [3].
  3. If movement decreases, stops, or changes pattern, call your doctor or the maternity ward immediately and do not wait [3].
  4. Do not rely on a home Doppler or home remedies for reassurance [3].
  5. Keep your follow-up visits, and do not start or stop any medication without consulting your doctor [1].
  6. In urgent cases, call 911 or go to the nearest emergency department.

This article is for general awareness and does not replace your doctor's assessment of your case.

Frequently asked questions

At what week will I first feel fetal movement?

Most pregnant women begin to feel fetal movement between weeks 16 and 24 of pregnancy. If this is your first baby, you may not feel it until after week 20. If you reach week 24 without feeling any movement, tell your doctor so they can check the baby's heartbeat and movement.

How many times should the baby move in a day?

There is no fixed number of movements you should feel each day, because every baby is different. You do not have to count kicks every day. What matters is learning your baby's usual movement pattern from one day to the next, paying attention to any change in it, and telling your doctor right away when a change occurs.

What should I do if I feel my baby is moving less than usual?

Call your doctor or the hospital maternity ward immediately, as the medical team will need to check the baby's movement and heartbeat. Do not wait until the next day, even if it is midnight. If you cannot reach your doctor, go to the nearest emergency department.

Does fetal movement decrease in the last weeks of pregnancy?

You should continue to feel fetal movement until delivery and during labor, so do not consider a decrease to be normal because of limited space. The movement may change in form, becoming stronger kicks and movements, but if movement decreases or its usual pattern changes, call your doctor or the maternity ward immediately.

Can I use a home Doppler device to listen to the baby's heartbeat?

This is not recommended. A home Doppler device is an unreliable way to reassure yourself about the baby's health, and hearing a heartbeat on it does not mean the baby is well. If you notice reduced movement or a change in its pattern, call your doctor or the maternity ward so they can check the movement and heartbeat appropriately.

How will I feel the baby's movement at the beginning?

The first movements may feel like gentle turning or light fluttering, and they can be hard to distinguish at first. As pregnancy progresses, you may feel kicks and stronger, more distinct movements. If you are not sure of what you feel, do not worry; mention it to your doctor at your follow-up visit, or go in right away if you reach week 24 without movement.

Sources and references

  1. Prenatal Care | Prenatal Testing — MedlinePlus — U.S. National Library of Medicine. Accessed: 2026-10-26.
  2. Fetal Health and Development: MedlinePlus — MedlinePlus — U.S. National Library of Medicine. Accessed: 2026-10-26.
  3. Your baby's movements — NHS (UK National Health Service). Accessed: 2026-10-26.
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Educational medical illustration for the article: Fetal Movements: When They Start, How to Track Them and When to Call