An IoT-Enabled Wearable Device for Fetal Movement Detection Using Accelerometer and Gyroscope Sensors

Sensors (Basel). 2025 Mar 2;25(5):1552. doi: 10.3390/s25051552.

Abstract

Counting fetal movements is essential for assessing fetal health, but manually recording these movements can be challenging and inconvenient for pregnant women. This study presents a wearable device designed to detect fetal movements across various settings, both within and outside medical facilities. The device integrates accelerometer and gyroscope sensors with Internet of Things (IoT) technology to accurately differentiate between fetal and non-fetal movements. Data were collected from 35 pregnant women at Suranaree University of Technology (SUT) Hospital. This study evaluated ten signal extraction methods, six machine learning algorithms, and four feature selection techniques to enhance classification performance. The device utilized Particle Swarm Optimization (PSO) for feature selection and Extreme Gradient Boosting (XGB) with PSO hyper-tuning. It achieved a sensitivity of 90.00%, precision of 87.46%, and an F1-score of 88.56%, reflecting commendable results. The IoT-enabled technology facilitated continuous monitoring with an average latency of 423.6 ms. It ensured complete data integrity and successful transmission, with the capability to operate continuously for up to 48 h on a single charge. The findings substantiate the efficacy of the proposed approach in detecting fetal movements, thereby demonstrating a practical and valuable technology for fetal movement detection applications.

Keywords: fetal movement detection; internet of things; machine learning; wearable device.

MeSH terms

  • Accelerometry* / instrumentation
  • Accelerometry* / methods
  • Adult
  • Algorithms
  • Female
  • Fetal Monitoring* / instrumentation
  • Fetal Monitoring* / methods
  • Fetal Movement* / physiology
  • Humans
  • Internet of Things
  • Machine Learning
  • Pregnancy
  • Signal Processing, Computer-Assisted
  • Wearable Electronic Devices*