Fetal movement should be alerted to intrauterine distress or even stillbirth in case of hypoxia, and fetal movement decreases or disappears. Most of the decreased fetal movement is due to the fetus being in a sleep state. The fetal activity_sleep cycle is scheduled for 60 minutes, but it varies greatly among individuals, and increased fetal movement is accompanied by accelerated fetal heart rate. Self-counting fetal movements:10 fetal movements in 2 hours is considered normal, but there is great individual variation. If the patient is at high risk for stillbirth, spontaneous counting of fetal movements can be done from 28-32 weeks of gestation. Assessment of decreased fetal movement: Stress-free test and amniotic fluid measurement, both of which are also known as modified biophysical score. If both of them are normal, outpatient follow-up can be done and self-counting of fetal movements should be noted. If the NST is unresponsive, vibroacoustic stimulation is often used to awaken the fetus. If unsuccessful, the next walking fetal biophysical score is performed. If the amniotic fluid is too low, the NST is unresponsive or the fetal monitor is unresponsive, hospitalization for observation and treatment is indicated.