The health of a mom and her baby are intrinsically connected. The Centers for Disease Control and Prevention (CDC) lists changes in fetal movement as one of its 15 urgent maternal warning signs, underscoring the importance of monitoring movement in the third trimester.

After a few days using the FREE Count the Kicks mobile app (available in more than 20 languages), web-based counting platform or counting on a paper chart, expectant parents will begin to see a pattern, a normal amount of time it takes their baby to get to 10 movements. If their baby’s “normal” changes during the third trimester, this could be a sign of potential problems and is an indication that the expectant parent should call their health care provider right away. By making movement monitoring, also known as kick counting, easy and accessible, Count the Kicks and Wellpoint are working together to improve birth outcomes for moms and babies in Arizona and help ensure expectant parents seek care at the right time.

Goal of the Partnership

The partnership with Wellpoint will focus on increasing awareness of Count the Kicks through community engagement and health worker training, with the goal of reaching those communities most impacted by stillbirth. Maternal healthcare professionals, birthing hospitals, social service agencies, childbirth educators and anyone who works with expectant parents in Arizona can order FREE Count the Kicks educational materials to help them have a conversation about kick counting with the families they serve.

“Every family deserves the healthiest possible start,” said Mike Hofer, chief growth officer for Wellpoint. “Partnering with Count the Kicks allows us to put a simple, proven tool directly into the hands of expectant parents across Arizona, empowering them with knowledge, confidence and a clear path to act if something does not feel right. If we can help prevent even one family from experiencing the heartbreak of stillbirth, this partnership matters. Our goal is to help save lives, reduce disparities and ensure more Arizona babies celebrate their first birthdays.”

Impact of Stillbirth in Arizona

Stillbirth is commonly defined as the loss of a baby at 20 weeks or greater gestation during pregnancy. It is a national public health crisis that impacts more than 20,000 families in the U.S. every year, according to the CDC. Every year 485 Arizona families experience the tragedy of stillbirth. For expectant parents in the state, one in every 162 pregnancies ends in stillbirth. Disparities in stillbirth outcomes persist, and data shows that a disproportionate number of babies are born still to Native Hawaiian or Other Pacific Islander, Black, and American Indian or Alaska Native families. Expectant parents in some age groups, geographic locations, and those expecting multiples also face an increased risk of stillbirth.

“In 2010, my son Zach was stillborn at full term following a placental abruption that nearly took my life as well. I had noticed a change in my baby’s movements two days earlier and reported it to my physician, but I was reassured that my baby was likely “settling down for birth,” said Shawn Soumilas, Count the Kicks ambassador in Arizona. “If I had been tracking his patterns, I would have known something had changed. If I had gone in for care two days earlier, he would be alive. Now I work tirelessly in his honor to prevent Arizona families from experiencing the tragedy of stillbirth.”

Research on Count the Kicks

Research published in BJOG: An International Journal of Obstetrics and Gynaecology shows a more than 30% reduction in Iowa’s stillbirth rate in the first 10 years of the Count the Kicks program at a time when America’s stillbirth rate remained stagnant. The results have led researchers to call for urgent action to address the stillbirth crisis in the U.S. and to study Count the Kicks on a national level. Through this collaboration, Wellpoint is hoping to bring the same success to Arizona, which would save approximately 155 babies in the state each year.

About Wellpoint

Wellpoint, part of the Elevance Health family of brands, focuses on improving physical health as well as the behavioral and social drivers that impact it through a comprehensive suite of Medicare, Medicaid, and Commercial products. The Wellpoint companies offer healthcare services for consumers at any stage of life seeking to make the right care decisions and helps individuals and communities make real, positive progress with health plans that foster independence, confidence, and whole-person health. For more information, please visit www.wellpoint.com.

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Research shows nearly 30% of stillbirths can be prevented when expectant parents are educated on how to monitor their baby’s movements daily starting at 28 weeks. The organizations have set a goal to save 43 babies in Tarrant County annually.

“Supporting the health of mothers and babies is one of the department’s top priorities,” said Brian Byrd, the Tarrant County Public Health Director. “Count the Kicks is a valuable tool that helps educate expectant mothers and has proven to prevent stillbirths. We are delighted to see this resource become available to families across the County.”

The health of a mom and the health of her baby are intrinsically connected. The Centers for Disease Control & Prevention (CDC) lists a change in a baby’s movements as one of its 15 urgent maternal warning signs. Research shows a change in a baby’s normal movement pattern is sometimes the first or only indication there may be an issue developing during the pregnancy.

Wellpoint helps improve health care access and quality for Texans who participate in the state’s Medicaid programs. Thanks to their partnership, maternal health educators and providers in Tarrant County can order Count the Kicks educational materials at no cost to help their work with expectant parents. These materials are available in English and Spanish. Momentum is already building for the program. Earlier this month more than 70 health care providers and community educators participated in the inaugural training on Count the Kicks.

“Wellpoint is honored to collaborate with Count the Kicks and Tarrant County Public Health to expand access to vital maternal health education across North Texas,” said Cealee Thomas, MD, medical director, Wellpoint Texas. “Through provider training and public awareness efforts, we’re empowering healthcare professionals and expectant parents with tools to recognize early warning signs and help prevent stillbirth. This partnership reflects our mutual commitment to improving maternal and child health outcomes for families across North Texas.”

Stillbirth is commonly defined as the loss of a baby at 20 weeks or greater gestation during pregnancy. Every year 135 families in Tarrant County experience the tragedy of stillbirth. For expectant parents in Tarrant County, one in every 209 pregnancies ends in stillbirth. Differences in stillbirth outcomes persist, and data shows that a disproportionate number of babies are born still to Native Hawaiian or Other Pacific Islander, Black, and American Indian or Alaska Native families. Expectant parents in some age groups, geographic locations, and those expecting multiples also face an increased risk of stillbirth.

Research published in BJOG: An International Journal of Obstetrics and Gynaecology shows a more than 30% reduction in Iowa’s stillbirth rate in the first 10 years of the Count the Kicks program at a time when America’s stillbirth rate remained stagnant. Through this collaboration, Wellpoint is hoping to bring the same success to Tarrant County, which would save approximately 43 babies in the state each year.

About Wellpoint Texas

Wellpoint, part of the Elevance Health family of brands, focuses on improving physical health and the behavioral and social drivers that impact it through a comprehensive suite of Medicare, Medicaid, and Commercial products. The Wellpoint companies offer healthcare services for consumers at any stage of life seeking to make the right care decisions and help individuals and communities make real, positive progress with health plans that foster independence, confidence, and whole-person health. For more information, please visit www.wellpoint.com.

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The health of a mom and the health of her baby are closely connected. The Centers for Disease Control and Prevention (CDC) lists a change in a baby’s movements as one of its urgent maternal warning signs. Research shows a change in a baby’s normal movement pattern is sometimes the first or only indication there may be an issue developing during the pregnancy.

After a few days using the FREE Count the Kicks mobile app (available in more than 20 languages), an online tracker, or counting on a paper chart, expectant parents can see how long it usually takes their baby to make 10 movements. If that pattern changes in the last three months of pregnancy, it could be a warning sign. Parents should call their healthcare provider right away.

The partnership with Public Health, in collaboration with First 5 of San Bernardino, will boost awareness about Count the Kicks with providers in San Bernardino by providing continuing education, billboards, and toolkits. Maternal healthcare professionals and organizations in San Bernardino County can order FREE Count the Kicks educational materials to help them have a conversation about baby’s movement patterns with expectant parents.

“Data from our Fetal and Infant Mortality Review program showed that 51% of fetal losses in 2024 involved decreased fetal movement,” said Monique Amis, Division Chief with the San Bernardino County Department of Public Health. “Based on recommendations from the Community Action Team, we are excited to partner with Healthy Birth Day, Inc. and First 5 San Bernardino to bring the Count the Kicks program to our community and help reduce stillbirths.”

Stillbirth is the loss of a baby at 20 weeks of pregnancy or later. It is a national public health crisis that impacts more than 21,000 families in the United States every year, according to the CDC. In San Bernardino County, 540 families experience the tragedy of stillbirth each year. Across California, one in every 149 pregnancies ends in stillbirth.

Disparities in stillbirth outcomes continue, as data shows higher rates among Native Hawaiian or Other Pacific Islander, Black, and American Indian or Alaska Native families. Expectant parents in some age groups, geographic locations, and those expecting multiples also face an increased risk of stillbirth.

Research published in BJOG: An International Journal of Obstetrics and Gynaecology showed a 30% drop in Iowa’s stillbirth rate in the first 10 years of Count the Kicks, while the U.S. rate stayed stagnant. The results have led researchers to call for urgent action to address the stillbirth crisis in the U.S. and to study this program.

Through this partnership, the San Bernardino County Department of Public Health hopes to bring the same success and save approximately 173 babies each year in California.

To learn more about the Department of Public Health, visit dph.sbcounty.gov.

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The health of a mom and the health of her baby are intrinsically connected. The Centers for Disease Control & Prevention (CDC) lists a change in a baby’s movements as one of its 15 urgent maternal warning signs. Research shows a change in a baby’s normal movement pattern is sometimes the first or only indication there may be an issue developing during the pregnancy. 

After a few days using the FREE Count the Kicks mobile app (available in 20+ languages), web-based counting platform or counting on a paper chart, expectant parents will begin to see a pattern, a normal amount of time it takes their baby to get to 10 movements. If their baby’s ‘normal’ changes during the third trimester, this could be a sign of potential problems and is an indication that the expectant parent should call their health care provider right away. 

Thanks to the partnership with Healthy Blue, maternal health providers, birthing hospitals, social service agencies, childbirth educators and other providers in Louisiana can order FREE Count the Kicks educational materials to help them have a conversation about baby’s movement patterns with expectant parents. These materials are available in English and Spanish.  

Stillbirth is commonly defined as the loss of a baby at 20 weeks or greater gestation during pregnancy. For families in Louisiana, one in every 190 pregnancies ends in stillbirth, which means there are around 302 stillbirths in the state each year.

Differences in stillbirth outcomes persist, and data shows that a disproportionate number of babies are born still to Native Hawaiian or Other Pacific Islander, Black, and American Indian or Alaska Native families. Expectant parents in some age groups, geographic locations, and those expecting multiples also face an increased risk of stillbirth.

Research published in BJOG: An International Journal of Obstetrics and Gynaecology shows a more than 30% reduction in Iowa’s stillbirth rate in the first 10 years of the Count the Kicks program at a time when America’s stillbirth rate remained stagnant. Through this collaboration, Healthy Blue is hoping to bring the same success to Louisiana, which would save approximately 97 babies in the state each year. 

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Our bright yellow educational materials help maternal healthcare professionals have a conversation about monitoring a baby’s movement patterns in the third trimester of pregnancy. They also educate expectant parents on how to count, along with connecting them to our FREE app and other resources.  

Research shows nearly 30% of stillbirths can be prevented when expectant parents are educated on how to monitor their baby’s movements daily starting at 28 weeks. The Count the Kicks program teaches expectant parents a simple method to become familiar with their baby’s normal movement patterns, and is proven to improve birth outcomes for moms and babies.

After a few days using the free Count the Kicks mobile app (available in 20+ languages), web-based counting platform or counting on a paper chart, expectant parents will begin to see a pattern, a normal amount of time it takes their baby to get to 10 movements. If their baby’s “normal” changes during the third trimester, this could be a sign of potential problems and is an indication that the expectant parent should call their health care provider right away. 

“After my daughter, Reese, was stillborn in 2014 at term I learned that her death was preventable with better education around stillbirth prevention measures like consistently tracking fetal movement in the third trimester. Education that I was never given. Imagine living a life after the death of your child, knowing their death could have been prevented with access to resources,” said Amanda Duffy, Reese’s mom and Count the Kicks Ambassador in Minnesota.

“This partnership with the Minnesota Department of Health and Healthy Birth Day, Inc. means that expectant parents will have access to free educational materials along with their providers, lives will be saved, and babies will be given the chance to grow and thrive after birth. I can think of no better way to honor the short but impactful life of my daughter than to help save the lives of those to come.”

Stillbirth is a national public health crisis that impacts more than 21,000 families in the U.S. every year, according to the CDC. Every year approximately 325 Minnesota families experience the tragedy of stillbirth. For expectant parents in the state, one in every 197 pregnancies ends in stillbirth.

The health of a mom and the health of her baby are intrinsically connected. The Centers for Disease Control and Prevention (CDC) lists a change in a baby’s movements as one of its 15 urgent maternal warning signs. Research shows a change in a baby’s normal movement pattern is sometimes the first or only indication there may be an issue developing during the pregnancy. 

This program was funded by the Minnesota Legislature in 2024 and is supported by the Minnesota Department of Health (MDH). MDH is committed to supporting families and programs that help reduce infant loss. 

In Minnesota, Non-Hispanic American Indian and Non-Hispanic African American/Black women experience higher rates of stillbirths versus women in the state overall. The CDC states that these differences in outcomes can often be attributed to underlying causes such as access to quality health care and pre-existing conditions. Expectant parents in some age groups, geographic locations, and those expecting multiples also face an increased risk of stillbirth.

Research published in BJOG: An International Journal of Obstetrics and Gynaecology shows a more than 30% reduction in Iowa’s stillbirth rate in the first 10 years of the Count the Kicks program at a time when America’s stillbirth rate remained stagnant. Through this collaboration, MDH is hoping to bring the same success to Minnesota, which would save approximately 104 babies in the state each year. 

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The health of a mom and the health of her baby are intrinsically connected. The Centers for Disease Control & Prevention (CDC) lists a change in a baby’s movements as one of its 15 urgent maternal warning signs, and research shows a change in a baby’s normal movement pattern is sometimes the first or only indication there may be an issue developing during the pregnancy.

Thanks to the partnership with DC PQC, maternal health providers, birthing hospitals, social service agencies, childbirth educators and other providers in Washington, D.C. can order FREE Count the Kicks educational materials to help them have a conversation about baby’s movement patterns with expectant parents. These materials are available in English, Spanish, Chinese, French, and German.

“Partnering with Count the Kicks allows us to put powerful, life-saving knowledge directly into the hands of expectant parents. By helping families recognize changes in their baby’s movements, we’re taking meaningful action to reduce preventable stillbirths and improve maternal and infant health outcomes across the District,” said Ayanna Bennett, Director of DC Health.

Approximately 70 Washington, D.C. families experience the tragedy of stillbirth each year. For expectant parents in D.C., one in every 123 pregnancies ends in stillbirth. Differences in stillbirth outcomes persist, and data shows that a disproportionate number of babies are born still to Native Hawaiian or Other Pacific Islander, Black, and American Indian or Alaska Native families. Expectant parents in some age groups, geographic locations, and those expecting multiples also face an increased risk of stillbirth.

“We know that unfortunately 109 stillbirths were reported in 2024 alone, and that each incident was a tragedy for a family,” said Councilmember Christina Henderson. “Stillbirth prevention programs are critical for maternal health, and Count the Kicks is an evidence-based intervention providing educational materials to families and trainings to providers. That’s why as the Chair of the Committee on Health I have prioritized investments in the Count the Kicks program within the DC Perinatal Quality Collaborative.”

Research published in BJOG: An International Journal of Obstetrics and Gynaecology shows a more than 30% reduction in Iowa’s stillbirth rate in the first 10 years of the Count the Kicks program at a time when America’s stillbirth rate remained stagnant. The results have led researchers to call for urgent action to address the stillbirth crisis in the U.S. and to study Count the Kicks on a national level. Through this collaboration, DC PQC is hoping to bring the same success to the District of Columbia, which would save approximately 23 babies in the district each year.

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Thanks to the partnership with TDH, maternal health providers, birthing hospitals, social service agencies, childbirth educators and other providers in Tennessee can order FREE Count the Kicks educational materials to help them have a conversation about baby’s movement patterns with expectant parents. These materials are available in English and Spanish.

“We are working to improve maternal and infant health outcomes across Tennessee,” State Health Commissioner Ralph Alvarado, MD, FACP, said. “Stillbirths have a profound impact on families and preventing these tragedies is a top priority. We are committed to providing expectant mothers and their families with the knowledge and tools necessary to safeguard their pregnancies and support healthier outcomes.”

Stillbirth is commonly defined as the loss of a baby at 20 weeks or greater gestation during pregnancy. It is a national public health crisis that impacts more than 21,000 families in the U.S. every year, according to the CDC. Approximately 539 Tennessee families experience the tragedy of stillbirth each year. For expectant parents in the state, 1 in every 150 pregnancies ends in stillbirth. Racial disparities persist, and a disproportionate number of babies are born still to Black, Native Hawaiian or Other Pacific Islander, and American Indian or Alaska Native families.

Research published in BJOG: An International Journal of Obstetrics and Gynaecology shows a more than 30% reduction in Iowa’s stillbirth rate in the first 10 years of the Count the Kicks stillbirth prevention program at a time when America’s stillbirth rate remained stagnant. The results have led researchers to call for urgent action to address the stillbirth crisis in the U.S. and to study Count the Kicks on a national level. Through this collaboration, TDH is hoping to bring the same success to Tennessee, which would save approximately 172 babies in the state each year. 

See TDH’s 2024 Report on Fetal Death in Tennessee for more information.

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In 2023, Elevance Health Foundation and Healthy Birth Day, Inc. (creator of Count the Kicks) partnered to expand stillbirth prevention education and awareness in seven states, reaching thousands of expectant parents and healthcare providers. Since the beginning of the partnership, Count the Kicks has heard from five families in grant-funded states who have shared how Count the Kicks saved the life of their baby. 

Georgia mom Jasmine Evans, for example, shared how Count the Kicks helped empower her to speak up and get checked when she noticed a change in her son Michael’s normal movement patterns.

“Thankfully my sweet Michael Jamari was born safely and only needed to spend a short amount of time in the NICU. My doctor told me that my baby would not have survived the night if I had not come to the hospital. I am grateful my doctor educated me with Count the Kicks and listened to my concerns because both saved Michael’s life,” Jasmine said. 

Goal: To Improve Birth Outcomes and Save Babies Across the U.S.

Through this new two-year partnership with Elevance Health Foundation, the Count the Kicks program will focus on community engagement through conferences and meetings with healthcare providers. Maternal health professionals in all 10 states will also have access to order FREE at-a-glance educational materials to help them have a conversation about fetal movement monitoring with expectant parents. The organizations will also focus on improving birth outcomes for rural families through digital education, transit ads, and alternative counting methods, like movement monitoring bracelets.

“As the Elevance Health Foundation works to create equity in maternal healthcare, we are encouraged by the impact that our partnership with Healthy Birth Day has made on the lives of families,” said Shantanu Agrawal, M.D., Chief Health Officer of Elevance Health. “By expanding Count the Kicks education in partnership with Healthy Birth Day, we have the potential to reach 900,000 people with trainings and access to digital health to improve maternal and child health outcomes.”

Elevance Health Foundation and Count the Kicks will also work to address social determinants of health through a 4-question survey for all expectant parents utilizing the free app. The questions focus on barriers to accessing resources and connect app users who are in need of additional assistance and support to free or reduced-cost resources in their local community. These resources include things like diaper banks, food banks, housing assistance, and more. 

Impact of Stillbirth

There are more than 21,000 babies born still every year. In the U.S. the annual number of stillbirths (defined as the loss of a baby at 20 weeks or greater during pregnancy) exceeds the top five leading causes of deaths among children aged 0-14 years combined, including unintentional injuries, congenital anomalies, preterm birth, homicide, SIDS, and heart disease. Racial disparities persist, and a disproportionate number of babies are born still to Native Hawaiian or Other Pacific Islander, Black, and American Indian or Alaska Native families. For Black and Native Hawaiian or Other Pacific Islander women, 1 in every 101 pregnancies will end in stillbirth. 

Count the Kicks is proven to improve birth outcomes for moms and babies. BJOG: An International Journal of Obstetrics and Gynaecology published research that shows a more than 30% reduction in Iowa’s stillbirth rate in the first 10 years of the Count the Kicks stillbirth prevention program at a time when America’s stillbirth rate remained stagnant. Through this collaboration, Elevance Health Foundation is hoping to expand on the success the program has seen in Iowa. The Count the Kicks program hopes to reduce the national stillbirth rate by 32% as they have seen in Iowa, which would save 7,500 babies every year in the U.S. 

About Elevance Health Foundation

Elevance Health Foundation is the philanthropic arm of Elevance Health Inc. The Foundation works to advance health equity by focusing on improving the health of the socially vulnerable through partnerships and programs in our communities with an emphasis on maternal child health; substance use disorder; and food as medicine. Through its key areas of focus, the Foundation also strategically aligns with Elevance Health’s focus on community health and becoming a lifetime, trusted health partner that is fueled by its purpose to improve the health of humanity. To learn more about Elevance Health Foundation, please visit www.elevancehealth.foundation or follow us @ElevanceFND on X and Elevance Health Foundation on Facebook.

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“Programs such as Count the Kicks can provide women with tools to speak about their pregnancy experiences with their loved ones and their health care providers,” said Dr. Natasha Bagdasarian, chief medical executive. “Having dialogue around pregnancy symptoms and experiences can sometimes identify early warning signs.”

The MDHHS Division of Maternal and Infant Health is working with maternal health providers, birthing hospitals, social service agencies, childbirth educators and other providers in Michigan to assist them in ordering Count the Kicks educational materials. Providers can use these resources to help them discuss baby movement patterns with expectant parents. These materials are available in Arabic, English and Spanish. The partnership is another effort to reach the Advancing Healthy Births vision of zero preventable deaths and zero health disparities.

Stillbirth is commonly defined as the loss of a baby at 20 weeks or greater gestation during pregnancy. According to the Centers for Disease Control and Prevention (CDC), approximately 626 Michigan families experience the tragedy of stillbirth each year. One in every 173 pregnancies in Michigan ends in stillbirth.

Racial disparities persist, and a disproportionate number of babies are stillborn to Black, Native Hawaiian or Other Pacific Islander and American Indian or Alaska Native families. Some of the factors that may contribute to disparities in birth outcomes include differences in preconception health, access to quality health care, as well as stress – factors that are also associated with other poor pregnancy outcomes, such as preterm births.

Research published in BJOG: An International Journal of Obstetrics and Gynecology shows a more than 30% reduction in Iowa’s stillbirth rate in the first 10 years of the state using the Count the Kicks stillbirth prevention program at a time when America’s stillbirth rate remained stagnant.

For more information about the Division of Maternal and Infant Health, please visit Maternal & Infant Health (michigan.gov).

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Stillbirth is commonly defined as the loss of a baby at 20 weeks or greater during pregnancy. It impacts more than 21,000 families in the U.S. every year, according to the CDC. Research shows that nearly 30% of stillbirths can be prevented when expectant parents are educated on how to monitor their baby’s movements once a day starting at 28 weeks.  

Count the Kicks is a program of Healthy Birth Day, Inc., a nonprofit organization dedicated to the prevention of stillbirth. The free Count the Kicks app is available in more than 20 languages in the Google Play and iOS app stores. To date it has more than 260,000 registered users in all 50 U.S. states, and more than 140 other countries. The app provides expectant parents a simple, non-invasive means of getting to know their baby’s normal movement patterns. Parents who don’t have smartphones or a strong internet connection can use downloadable counting charts. 

Evidence shows that a change in a baby’s movements in the third trimester is an early red flag. After a few days of using the Count the Kicks app, expectant parents begin to see a pattern – a normal amount of time it takes their baby to get to 10 movements. If their baby’s ‘normal’ changes during the third trimester, this could be a sign of potential problems and is an indication that the expectant parent should call their health care provider. 

Through partnership with the Maine CDC, maternal health providers, birthing hospitals, social service agencies, childbirth educators and other providers in Maine can order free Count the Kicks educational materials to help them have a conversation about baby’s movement patterns with expectant parents. These materials are available in Arabic, English, French, Haitian-Creole, Kinyarwanda, Lingala, Portuguese, Somali and Spanish.   

According to the U.S. CDC, approximately 69 Maine babies are stillborn each year. Research shows that the Count the Kicks campaign helped lower the stillbirth rate in Iowa by more than 30% in the first 10 years of the prevention program at a time when America’s overall stillbirth rate remained stagnant. Those results have led researchers to call for urgent action to address the stillbirth crisis in the U.S. and to study Count the Kicks on a national level. Through this collaboration, Maine CDC hopes to bring similar success to Maine.

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