From the Research
Fetal kicking in the third trimester is a normal and expected finding that indicates a healthy, active baby, so no emergency workup is typically needed. Instead, pregnant women should monitor fetal movement regularly through kick counts, ideally counting 10 movements within a 2-hour period. This can be done by sitting or lying on the left side and focusing on the baby's movements. If there is a significant decrease or absence of fetal movement (fewer than 10 movements in 2 hours), the pregnant woman should contact her healthcare provider immediately or go to the emergency department, as decreased fetal movement can signal potential problems with the pregnancy. In such cases, monitoring would typically include a non-stress test to evaluate the fetal heart rate pattern, biophysical profile (ultrasound assessment of fetal well-being), and possibly additional tests like Doppler studies to assess blood flow, as recommended by studies such as 1. Regular prenatal visits in the third trimester also include routine monitoring of fetal heart rate, maternal vital signs, fundal height measurement, and assessment for signs of preterm labor or preeclampsia. Understanding fetal movement patterns helps establish a baseline of normal activity for each pregnancy and allows for early detection of potential complications. Pregnant women who experience trauma, such as being kicked in the womb, should be evaluated in the emergency room, with a primary survey that includes assessment of maternal vital signs, fetal heart rate, and uterine tenderness, as outlined in studies like 2 and 3. The management of pregnant trauma patients requires a multidisciplinary approach, with consideration of both maternal and fetal well-being, as emphasized in 1 and 4. In cases of suspected uterine contractions, placental abruption, or traumatic uterine rupture, urgent obstetrical consultation is recommended, as stated in 1. Overall, the key to managing fetal kicking in the third trimester is to establish a baseline of normal fetal activity and to be aware of potential complications that may arise, with prompt evaluation and treatment as needed, guided by the most recent and highest quality evidence, such as 1.