Subtle Signals: Video-based Detection of Infant Non-nutritive Sucking as a Neurodevelopmental Cue

Non-nutritive sucking (NNS), which refers to the act of sucking on a pacifier, finger, or similar object without nutrient intake, plays a crucial role in assessing healthy early development. In the case of preterm infants, NNS behavior is a key component in determining their readiness for feeding. In older infants, the characteristics of NNS behavior offer valuable insights into neural and motor development. Additionally, NNS activity has been proposed as a potential safeguard against sudden infant death syndrome (SIDS). However, the clinical application of NNS assessment is currently hindered by labor-intensive and subjective finger-in-mouth evaluations. Consequently, researchers often resort to expensive pressure transducers for objective NNS signal measurement. To enhance the accessibility and reliability of NNS signal monitoring for both clinicians and researchers, we introduce a vision-based algorithm designed for non-contact detection of NNS activity using baby monitor footage in natural settings. Our approach involves a comprehensive exploration of optical flow and temporal convolutional networks, enabling the detection and amplification of subtle infant-sucking signals. We successfully classify short video clips of uniform length into NNS and non-NNS periods. Furthermore, we investigate manual and learning-based techniques to piece together local classification results, facilitating the segmentation of longer mixed-activity videos into NNS and non-NNS segments of varying duration. Our research introduces two novel datasets of annotated infant videos, including one sourced from our clinical study featuring 19 infant subjects and 183 hours of overnight baby monitor footage.

Automatic Infant Respiration Estimation from Video: A Deep Flow-based Algorithm and a Novel Public Benchmark

Respiration is a critical vital sign for infants, and continuous respiratory monitoring is particularly important for newborns. However, neonates are sensitive and contact-based sensors present challenges in comfort, hygiene, and skin health, especially for preterm babies. As a step toward fully automatic, continuous, and contactless respiratory monitoring, we develop a deep-learning method for estimating respiratory rate and waveform from plain video footage in natural settings. Our automated infant respiration flow-based network (AIRFlowNet) combines video-extracted optical flow input and spatiotemporal convolutional processing tuned to the infant domain. We support our model with the first public annotated infant respiration dataset with 125 videos (AIR-125), drawn from eight infant subjects, set varied pose, lighting, and camera conditions. We include manual respiration annotations and optimize AIRFlowNet training on them using a novel spectral bandpass loss function. When trained and tested on the AIR-125 infant data, our method significantly outperforms other state-of-the-art methods in respiratory rate estimation, achieving a mean absolute error of $\sim$2.9 breaths per minute, compared to $\sim$4.7--6.2 for other public models designed for adult subjects and more uniform environments.

A Video-based End-to-end Pipeline for Non-nutritive Sucking Action Recognition and Segmentation in Young Infants

We present an end-to-end computer vision pipeline to detect non-nutritive sucking (NNS) -- an infant sucking pattern with no nutrition delivered -- as a potential biomarker for developmental delays, using off-the-shelf baby monitor video footage. One barrier to clinical (or algorithmic) assessment of NNS stems from its sparsity, requiring experts to wade through hours of footage to find minutes of relevant activity. Our NNS activity segmentation algorithm solves this problem by identifying periods of NNS with high certainty -- up to 94.0\% average precision and 84.9\% average recall across 30 heterogeneous 60 s clips, drawn from our manually annotated NNS clinical in-crib dataset of 183 hours of overnight baby monitor footage from 19 infants. Our method is based on an underlying NNS action recognition algorithm, which uses spatiotemporal deep learning networks and infant-specific pose estimation, achieving 94.9\% accuracy in binary classification of 960 2.5 s balanced NNS vs. non-NNS clips. Tested on our second, independent, and public NNS in-the-wild dataset, NNS recognition classification reaches 92.3\% accuracy, and NNS segmentation achieves 90.8\% precision and 84.2\% recall.