Background: The global stillbirth rate is 13.9 stillbirths per 1000 births, with most stillbirths being recorded in developing countries. Most cases of stillbirth are preceded by reduced fetal movement. Early detection of reduced fetal movement is a key element in reducing the number of stillbirths. Therefore, a “FetalkickApp” that is a self-monitoring digital health tool, assists a pregnant woman to count, record, and send her fetal movement count to her health care provider without the use of mobile data or internet. Methodology: This study is a longitudinal pilot study involving 25 pregnant women with single fetuses between 28 and 38 weeks of gestation. The mobile application monitor was used to record the number of fetal movements for 4 weeks. A 5-point Likert scale questionnaire is used to assess the use of the application, interface experience, satisfaction with the design, and function of the application without internet. Results: The mean age of the women is 31.2 (±4.5) years, and the mean gestational age is 29.5 (±2.4) weeks. The results obtained show that the majority of the women (72%) had good knowledge of fetal movement. About two-thirds (64%) of the women agreed that the FetalkickApp is helpful in counting their fetal movement. Forty-four per cent (44%) of the women strongly agreed that the application is easy to use, and 68% of the women agreed that the FetalkickApp's effectiveness is satisfactory. Conclusion: The FetalkickApp is independent of the internet, which means that it could be used everywhere. The interface and design of the application are simple and could be operated by any individual concerned.
Woruka et al. (Sat,) studied this question.