The objective of this report is to describe the initial experience with home use of the Owlet Smart Sock (OSS), a novel, miniaturized, wireless, vital signs monitoring device in 47,495 newborns between October 2015 and June 2017 and to share insights into the largest reported series. 3, 4 Currently, limited comprehensive, contemporary data exist to support or reject the usefulness of home-based continuous monitoring in infants. 2 Critics expressed concerns about frequent false alarms, high cost of monitors, increase in parental anxiety, and the risk of overdiagnosis. Proponents suggest that this type of monitoring can provide parents and physicians valuable information about infant health, potentially alerting when an infant is in crisis and enabling timely intervention. However, the utility of home-based continuous monitoring, especially in healthy, term newborns, remains a controversial topic in the clinical community. It also represents an opportunity for physicians and scientists to identify or predict various pathological conditions and provide insights into the behavioral and physical development of a child. 1 Continuous monitoring and transmission of physiological parameters in infants are not limited to alerting for and prevention of life-threatening events. Development in biomedical and computer sciences, wireless communication techniques, and low-energy consumption microprocessors with sophisticated algorithms led to the recent widespread innovation of wearable monitoring systems.
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