Home monitoring has been increasingly adopted by pediatricians in an attempt to prevent sudden infant death syndrome (SIDS). Inasmuch as the basic mechanism or mechanisms behind this most frequent cause of post-perinatal infant mortality remain unknown, the only possible preventative measure that can be offered to parents is a monitor that allows the identification of a series of events known to be precursors of death. Recent studies, which show that a small proportion of infants die despite this surveillance (Table 1), introduce the following questions that require discussion. Are current monitoring systems likely to identify, in time for effective resuscitation, the final pathway or pathways to SIDS? Are there any harmful or even dangerous consequences of home monitoring?

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