EFM Guide vs ACOG
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
EFM Guide
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.
- EFM approach and nomenclature
- Management recommendations
- Definitions of EFM findings
- Explanation of tracings with pictures
- Systematic EFM evaluation review
- Quick reference for trainees
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EFM Guide is a non-commercial quick-reference app for medical trainees (not the lay public). It puts at your fingertips the approach, nomenclature, and management recommendations from the guidelines on electronic fetal monitoring (EFM) from 2008, 2009, and 2010. Each EFM finding and tracing is defined and explained with pictures. Management responses for findings and category interpretations are presented. And the systematic approach to EFM evaluation is reviewed. This app is written and intended for resident & student physician trainees, for nursing and midwifery trainees, and for practicing clinicians. It answers questions such as the following: - what is moderate baseline fetal heart rate variability? - what are the differences between an early, variable, and late deceleration? - what qualifies as tachysystole? and how can I manage tachysystole? - if my patient is 31 weeks gestation, what counts as an acceleration? - what qualifies as category I, II, and III tracings, and what does each suggest clinically? - what are the elements of systematic EFM tracing evaluation? - how may I respond to a category II tracing? - what does sinusoidal pattern look like? This guide tries to faithfully present the NICHD material for quick effective reference and review, it does not present the judgment of the app's authors. As educators and clinicians, we are interested in feedback and we would be grateful for guidance on improving the tool.
ACOG
This app provides obstetricians and gynecologists with essential tools and resources for women's healthcare. Access clinical guidelines, practice advisories, and helpful calculators to support your medical practice.
- EDD Calculator
- Indicated Delivery tool (members only)
- Clinical Consensus documents
- Clinical Practice Guidelines
- Practice Advisories
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The American College of Obstetricians and Gynecologists Ob-Gyns: Download the ACOG app and stay connected with authoritative information from the leading experts in women’s health care. Get valuable tools, resources, and clinical guidelines to help you in your practice. • EDD Calculator – Calculate the due date according to guidelines jointly developed by ACOG, AIUM, and SMFM • Indicated Delivery (ACOG members only) – Provides members with suggestions related to the timing of delivery based on selected conditions, the patient’s EDD/EGA, and ACOG’s clinical guidance • Clinical Consensus, Clinical Practice Guidelines, and Practice Advisories – Get the latest on techniques, clinical management issues, and emerging issues in obstetric and gynecologic practice • And more!
Screenshots
Verdict
The clearest difference is review sentiment: ACOG at 90% against EFM Guide's 50%. ACOG also leads on update cadence (every 3 months vs every 25 months) and rating (4.9 vs 4.5). EFM Guide's advantage is iOS requirement (13.0 vs 17.0). On price, ads, in-app purchases and monetization model there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
ACOG holds the better App Store score, 4.9 against 4.5. That said, the two scores are not equally well evidenced: ACOG has 6.3K 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 90% of ACOG's.
EFM Guide ships an update every 25 months, ACOG every 3 months. The most recent releases landed on October 9, 2026 and October 10, 2026 respectively.
| Parameter | EFM Guide | ACOG |
|---|---|---|
| Price | Free | Free |
| Rating | 4.5 (2 ratings) | 4.9 (6.3K ratings) — better |
| Positive reviews | 50.0% of reviews | 89.6% of reviews — better |
| Number of ratings | 2 | 6.3K — better |
| Update frequency | Every 25 months | Every 3 months — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | Free |
| Devices | iPhone, iPod | iPhone, iPad |
| Requires iOS | 13.0 — better | 17.0 |
| Further details — not scored | ||
| Size | 2 MB | 28 MB |
| Age rating | 17+ | 17+ |
| Developer | Joshua D. steinberg | Fountainhead Mobile Solutions LLC |
Customer experience
EFM Guide
ACOG
Bugs and requests
EFM Guide
Not enough reviews yet to summarise bugs or requests.
ACOG
Reported bugs
2 issues- App crashes on launch after updates
- Compatibility issues with older iOS versions
Requested features
3 requests- Bishop score calculator
- More extensive search engine
- Improved user interface
In-app purchases
EFM Guide
No in-app purchases
ACOG
No in-app purchases
Questions
Is EFM Guide free?
Is ACOG free?
Which has better reviews, EFM Guide or ACOG?
Do EFM Guide or ACOG have ads?
Which is updated more often, EFM Guide or ACOG?
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