Objective To explore the application effect of fetal movement perception on fetal intrauterine status monitoring during late pregnancy，and to provide reference for routine management and high⁃risk screening of pregnant women. Methods A total of 3 000 cases of primiparae with intrauterine single live fetus having prenatal examination and planning to be hospitalized for delivery in Nanfang Hospital，Southern Medical University from January 2021 to January 2023 were prospectively selected. They were divided into fetal movement counting group （1 500 cases）and fetal movement perception group（1 500 cases），monitored by fetal movement counting and fetal movement perception respecitvely. The general data of the pregnant women，compliance with monitoring fetal move⁃ ment，time of abnormal fetal movement，and the monitoring effect and improvement of fetal intrauterine condition of two fetal movement monitoring methods were descriptively analyzed in terms of frequency，standard deviation， median and quartile. Results The score of Frankl′s Behavior Rating Scale of the pregnant women in fetal move⁃ ment perception group was higher than that in fetal movement counting group，and the abnormal time of fetal move⁃ ment in fetal movement perception group was shorter than that in the fetal movement counting group（P < 0.05）. when in critical condition，the monitoring effect（100.00%）/ the improvement effect of fetal movement perception on fetal intrauterine condition（10.99%）was better than fetal movement count（62.59%）/（-59.78%），showing statistical significance. Conclusion The fetal movement perception to monitor intrauterine condition during late pregnancy can improve the compliance of fetal movement monitoring in pregnant women，shorten the time of abnor⁃ mal fetal movement，improve fetal intrauterine condition and neonatal outcomes，and is worthy of clinical promotion.