Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
In Reply: In my editorial I emphasized the
tenuous relationships between "abnormal" events and sudden infant death syndrome.
Ms Wolf appropriately points out the potentially intrusive effects of a home
monitor on a family and its potential for misidentifying an otherwise normal
child as fragile and in need of special care. Some parents get comfort and
a sense of security from a monitor, although this may be a false security.
Other parents find home monitoring very invasive and disruptive. Some physicians
think that a monitor is essential for the safety of the child and that parental
refusal to use a monitor represents a form of child neglect. Wolf clearly
makes the point that home monitors are unvalidated therapy in many circumstances.
If they are to be used, parental education about the nature of the intervention
and parental agreement to the monitor is essential. The potential benefits
of monitor use should not be overemphasized, and the potential for adverse
effects on the family should not be underemphasized.
Jobe AH. Negative Outcomes of Infant Home Apnea Monitoring—Reply. JAMA. 2001;286(3):304. doi:10.1001/jama.286.3.302