Intrauterine distress is a combination of symptoms that endanger the health and life of the fetus in the uterus due to acute or chronic hypoxia. For pregnant women, the first symptom they can notice is abnormal fetal movement. If fetal movement suddenly becomes abnormally frequent or decreases or even disappears, they should first consider intrauterine distress and seek medical attention immediately. Acute fetal intrauterine distress is a serious threat to the safety of the fetus, and the pregnant woman should be immediately put on oxygen and placed in a left-sided position, and the cause should be actively sought and treated. In addition, the pregnancy should be terminated as soon as possible, and the mode of delivery should be decided according to the progress of labor, and preparations should be made for the rescue of neonatal asphyxia. Chronic fetal intrauterine distress is judged according to the cause and its severity, combined with the gestational week and the maturity of the fetus. Pregnant women need to be placed in the left lateral position, receive oxygen regularly, and actively search for the cause and treat it. For patients whose pregnancy is close to full term, termination of pregnancy and cesarean section is required in case of severe fetal hypoxia; for patients with small gestational weeks, it is estimated that the possibility of fetal survival after delivery is low, try to extend the gestational weeks, and at the same time promote fetal lung maturation and strive for termination of pregnancy after fetal maturity. However, it is important to be fully informed that there is a risk of fetal death in utero at any time during the expectant process, and if the placenta is poorly functioning it may affect fetal development and have a poor prognosis. In conclusion, when a pregnant woman finds abnormal fetal movement, it indicates that the fetus may have intrauterine distress, first of all, she needs to seek immediate medical attention, and most of the acute cases need to terminate the pregnancy; chronic cases also need to terminate the pregnancy near full term, and those with smaller gestational weeks can try expectant treatment.