The invention provides a pregnancy and birth real-time monitoring device and a pregnancy and birth real-time monitoring method. The pregnancy and birth real-time monitoring device comprises a fetus information acquisition unit, a three-axis acceleration sensor attached to the back and waist of a mother body, a signal processing unit and a control unit, wherein the fetal information acquisition unit comprises an electrocardio reference electrode attached to the back and waist of the mother body and an electrocardio electrode array attached to the abdomen of the mother body; and/or the fetal information acquisition unit comprises a sound sensor which is attached to the central position of the abdomen of the mother body and is used for acquiring fetal heart sound signals; the output ends of fetal electrocardiogram electrodes, the sound sensor and the three-axis acceleration sensor are connected to the signal processing unit, and the output end of the signal processing unit is connected with the control unit. The pregnancy and birth real-time monitoring device adopts multiple types of sensors to monitor the fetus in real time, can objectively and accurately monitor the fetal movement intensity, the fetal movement frequency, the fetal movement type, the fetal heartbeat intensity and the like, and can harmlessly monitor the fetal movement intensity, the fetal movement frequency, thefetal movement type, the fetal heartbeat intensity and the like for a long time in real time at home or in hospitals.