ObGyn Intelligence: The Evidence of Women’s Health

ObGyn Intelligence: The Evidence of Women’s Health

Women's Health Tech Report

The WHT REPORT: Can Your Phone Listen to Your Baby? Yes. It Can.

A New AI Tool Detects Fetal Movements Through Smartphone Audio. Here Is What the Data Show.

Amos Grünebaum, MD's avatar
Amos Grünebaum, MD
Mar 13, 2026
∙ Paid

Every year, approximately 21,000 stillbirths occur in the United States. Most happen in pregnancies that looked normal. No warning. No second chance.

For decades, we have asked pregnant women to count how many times their baby kicks. The idea is simple: if the baby moves less, something might be wrong. But here is the problem. Women miss most fetal movements entirely. In controlled studies, maternal perception of fetal movements is shockingly low. We have known this for years. We have not had a better option.

A new study published in Obstetrics and Gynecology suggests that a smartphone placed on the abdomen might do what mothers cannot: reliably detect and classify fetal movement using artificial intelligence. The claim is bold. The results are interesting. But there is a long road between a proof-of-concept study and a tool that saves lives.

What the Study Did

Moise et al. conducted a prospective study at the University of Texas at Austin. They enrolled 136 pregnant women between 24 and 38 weeks of gestation. The women had uncomplicated singleton pregnancies. Two cohorts were studied: 30 women followed repeatedly over time, and 106 women seen once.

Each participant had an iPhone placed on her abdomen for 30-minute sessions while a simultaneous ultrasound recorded actual fetal movements. Women pressed a key on a laptop whenever they felt the baby move. That created three simultaneous data streams: what ultrasound showed, what the phone heard, and what the mother felt.

The audio recordings were processed using machine learning. The system converted sound into numerical features called Mel-frequency cepstral coefficients (MFCCs) and trained a model to recognize different types of fetal movement from those acoustic patterns. The algorithm was adjusted for gestational age and maternal body weight, both of which affect how sound travels through tissue.

The Women's Health Tech Report: Safety analysis, the evidence critique, and the verdict are below -- for subscribers who want the full picture.

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