Home apnea monitors— when to discontinue use

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Abstract

Premature newborns are frequently discharged with a home apnea monitor. The following guidance can help you to counsel parents in 3 common scenarios.

PRACTICE RECOMMENDATIONS

> Tell parents that home apnea monitoring has not been shown to prevent sudden unexpected death in infants. (C)

PRACTICE RECOMMENDATIONS

> Consider discontinuing home apnea monitoring for infants at risk for recurrent apnea at approximately 43 weeks postmenstrual age or after the cessation of extreme episodes. (B)

PRACTICE RECOMMENDATIONS

> Educate parents about steps they can take to reduce their child's risk of sudden infant death syndrome, such as putting him to sleep on his back, breastfeeding him, and refrainingfrom sleeping in the same bed with him. (A)

Strength of recommendation (SOR)

(A) Good-quality patient-oriented evidence

Strength of recommendation (SOR)

(B) Inconsistent or limited-quality patient-oriented evidence

Strength of recommendation (SOR)

(C) Consensus, usual practice, opinion, disease-oriented evidence, case series

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