# EFM vs ACOG DII SMI

The clearest difference is review sentiment: ACOG DII SMI at 100% against EFM's 0%. ACOG DII SMI also leads on rating (5.0 vs 1.0) and ratings volume (158 vs 3). EFM's advantage is iOS requirement (7.0 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 1.0. That said, the two scores are not equally well evidenced: ACOG DII SMI has 158 ratings behind it against 3, so its average is the more settled of the two. Written reviews point the same way: 0% of EFM's written reviews are positive against 100% of ACOG DII SMI's.

EFM ships an update every 12 months, ACOG DII SMI every 6 months. The most recent releases landed on October 23, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | EFM | ACOG DII SMI |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [1.0 (3 ratings)](https://appshunter.io/ios/app/efm/id834501088/reviews) | **[5.0 (158 ratings)](https://appshunter.io/ios/app/acog-dii-smi/id1220256973/reviews)** |
| Number of ratings | 3 | **158** |
| Positive reviews | 0.0% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 12 months | **Every 6 months** |
| Monetization | Free | Free |
| Size | 5 MB | 19 MB |
| Requires iOS | **7.0** | 18.0 |
| Devices | iPhone, iPod | iPhone, iPad |
| Age rating | 12+ | 17+ |
| Developer | [Augusta University](https://appshunter.io/developer/319778530) | [Fountainhead Mobile Solutions](https://appshunter.io/developer/1113758990) |

## What reviewers say

### EFM

[App page](https://appshunter.io/ios/app/efm/id834501088)

This is an instructional application for learning electronic fetal monitoring using a recognized algorithm and nomenclature. It is designed for educational purposes and is not a substitute for professional clinical judgment. Future updates aim to include data saving and demographic features.

**Highlights:** Electronic fetal monitoring instruction, NCHHD algorithm and nomenclature, Instructional purposes, Collaborative project inquiries, Future data saving capability

**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 free?

EFM 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 or ACOG DII SMI?

ACOG DII SMI is rated higher. EFM averages 1.0 out of 5 from 3 ratings, while ACOG DII SMI averages 5.0 from 158 ratings.

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

Neither EFM nor ACOG DII SMI shows ads.

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

EFM ships an update every 12 months, and ACOG DII SMI every 6 months. Most recently, EFM was updated on October 23, 2026 and ACOG DII SMI on October 24, 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.*