Background: Fetal movement counting may be associated with improvement in maternal fetal attachment. Aim of the study: To evaluate effect of teaching program about fetal movement counting on primigravida's prenatal attachment. Setting: The study was conducted at outpatient clinic of obstetrics and gynecology in Benha university hospital. Methods: A purposive sample included 60 primigravida. Tools: Of data collection three tools were utilized (1) A structured interviewing questionnaire included three parts general characteristics of the studied pregnant women, Obstetrics history of the woman and assessment of woman's knowledge about fetal movement counting. (2)Women's self-reported practices regarding fetal movement counting. (3) Cranley's Maternal Fetal Attachment Scale. Results: Less than one third of the studied pregnant women had adequate knowledge teaching pre teaching program while, the majority had adequate knowledge post teaching program and most of them after one month of implementation of teaching program (P≤ 0.001). Less than one quarter of studied pregnant women had satisfactory self-reported practices regarding fetal movement counting preprogram, the most of them had satisfactory self-reported practices post program and after one month of implementation of teaching program (P≤ 0.001). One tenth of the studied pregnant women had high attachment pre teaching program while, majority had high attachment post program and after one month of implementation of teaching program (P≤ 0.001). Conclusion: The application of the teaching program about fetal movement counting had a positive effect on improving primigravida's knowledge, self-reported practices and prenatal attachment. Recommendations: Designing of health education program to improve pregnant women's awareness and self-care practices regarding fetal movement counting and maternal attachment.