# EFM Guide vs ACOG DII SMI

The clearest difference is review sentiment: ACOG DII SMI at 100% against EFM Guide's 50%. ACOG DII SMI also leads on rating (5.0 vs 4.5) and ratings volume (158 vs 2). EFM Guide's advantage is iOS requirement (13.0 vs 18.0). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ACOG DII SMI holds the better App Store score, 5.0 against 4.5. That said, the two scores are not equally well evidenced: ACOG DII SMI has 158 ratings behind it against 2, so its average is the more settled of the two. Written reviews point the same way: 50% of EFM Guide's written reviews are positive against 100% of ACOG DII SMI's.

EFM Guide ships an update every 25 months, ACOG DII SMI every 6 months. The most recent releases landed on October 9, 2026 and October 29, 2026 respectively.

## The numbers

| Metric | EFM Guide | ACOG DII SMI |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.5 (2 ratings)](https://appshunter.io/ios/app/efm-guide/id375576665/reviews) | **[5.0 (158 ratings)](https://appshunter.io/ios/app/acog-dii-smi/id1220256973/reviews)** |
| Number of ratings | 2 | **158** |
| Positive reviews | 50.0% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 25 months | **Every 6 months** |
| Monetization | Free | Free |
| Size | 2 MB | 19 MB |
| Requires iOS | **13.0** | 18.0 |
| Devices | iPhone, iPod | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [Joshua D. steinberg](https://appshunter.io/developer/374154837) | [Fountainhead Mobile Solutions](https://appshunter.io/developer/1113758990) |

## What reviewers say

### EFM Guide

[App page](https://appshunter.io/ios/app/efm-guide/id375576665)

A quick reference for medical trainees on electronic fetal monitoring (EFM) guidelines. It defines EFM findings, explains tracings with pictures, and outlines management recommendations. Designed for physicians, nurses, and midwives in training.

**Highlights:** EFM approach and nomenclature, Management recommendations, Definitions of EFM findings, Explanation of tracings with pictures, Systematic EFM evaluation review, Quick reference for trainees

**Features:** macOS Compatibility

**In-app purchases:** none


### ACOG DII SMI

[App page](https://appshunter.io/ios/app/acog-dii-smi/id1220256973)

This app provides access to materials from the Safe Motherhood Initiative, a project focused on improving maternal care in New York State. It offers resources like risk assessment tables, checklists, algorithms, and clinical slide decks to address leading causes of maternal mortality and venous thromboembolism.

**Highlights:** Risk assessment tables, Checklists, Algorithms, Clinical presentation slide decks, Guidance documents

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is EFM Guide free?

EFM Guide is free to download, with no in-app purchases.

### Is ACOG DII SMI free?

ACOG DII SMI is free to download, with no in-app purchases.

### Which has better reviews, EFM Guide or ACOG DII SMI?

ACOG DII SMI is rated higher. EFM Guide averages 4.5 out of 5 from 2 ratings, while ACOG DII SMI averages 5.0 from 158 ratings.

### Do EFM Guide or ACOG DII SMI have ads?

Neither EFM Guide nor ACOG DII SMI shows ads.

### Which is updated more often, EFM Guide or ACOG DII SMI?

EFM Guide ships an update every 25 months, and ACOG DII SMI every 6 months. Most recently, EFM Guide was updated on October 9, 2026 and ACOG DII SMI on October 29, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*