A uterine activity monitoring device and method for monitoring uterine activity on a nearly continuous basis. The device may comprise a belt configured to fit around a pregnant patients abdomen, with a plurality of, uterine contraction sensors. These sensors may be protruding contraction sensing buttons, disposed generally perpendicular to the patients skin. In order to avoid signal distortions caused by patient movement, the belt will often have at least one ambient motion sensor configured to monitor non-uterine contraction movements and produce background movement signals. These ambient motion sensors may be accelerometers and stretch or pressure disposed generally parallel to the patients skin. The device will have an onboard processor communicate wirelessly with a variety of external monitoring and management systems, such as wrist worn monitors, cell phones, and remote patient management websites.