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Advances in Infant Cry Paralinguistic Classification-Methods, Implementation, and Applications: Systematic Review.
Geofrey Owino1, Bernard Shibwabo1
1School of Computing and Engineering Sciences, Strathmore University, Nairobi, Kenya.
JMIR Rehabilitation and Assistive Technologies
|March 31, 2025
Summary
Interpreting infant cries using machine learning shows promise for better infant care. However, challenges remain in data privacy and real-world deployment of these advanced infant cry classification systems.
Area of Science:
- Signal Processing
- Machine Learning
- Infant Health
Background:
- Infant cries are crucial for communication, but traditional interpretation is subjective and slow.
- Precise cry analysis can offer vital insights into infant health and needs.
- Timely and accurate responses are essential for infant well-being and caregiving.
Purpose of the Study:
- To systematically review advancements in infant cry classification over 24 years.
- To analyze methods, coverage, deployment, and applications of infant cry analysis.
- To identify trends and future directions in infant cry signal processing.
Main Methods:
- Conducted a systematic literature review across 9 electronic databases.
- Screened 5904 results, selecting 126 eligible studies.
- Assessed study quality using Cochrane RoB2 and TRIPOD guidelines.
Main Results:
- Machine learning, deep learning, and hybrid models have advanced infant cry classification since 2019.
- Common features include Mel-frequency cepstral coefficients and spectrograms.
- Most models remain undeployed; limited use of denoising and federated learning.
Conclusions:
- Infant cry classification evolved to ML but lacks focus on privacy and deployment.
- Future research should standardize multimodal approaches and incorporate federated learning for data confidentiality.
- Proposed denoising layer and broader audio features will improve model accuracy and applicability.

