Medical device or wellness gadget?
This is the single most important thing to check. A certified medical device carries a CE or UKCA mark covering its medical claims and a stated intended use, and higher-risk classes (IIa and IIb) must be assessed by an independent body rather than simply self-declared by the maker. In the UK the MHRA regulates medical devices, and The Lullaby Trust recommends that if you use a monitor, it's one classed as a medical device: look for 'MD' on the packaging or product information.
In this roundup, the Owlet Dream Sock (including the sock in the Dream Duo) and the Snuza Hero MD are certified medical devices. The Snuza Pico 2, Sense-U and Nanit Breathing Wear are not, and don't claim to be. That doesn't make them dangerous, but it does mean nobody independent has checked that they detect what they say they detect.
One wrinkle: Owlet's UK marketing calls the Dream Sock 'MHRA Medically Approved'. Strictly, its UKCA certificate was granted by a UK approved body, with the MHRA as the regulator. It's properly certified either way.
Movement monitor or smart sock?
Clip-on movement monitors like the Snuza Hero MD do one thing: they feel for the rise and fall of your baby's tummy and sound an alarm if it stops for around 20 seconds. Smart socks like the Owlet use pulse oximetry, the same principle as the finger clip your GP might use, to read heart rate and blood oxygen, and alert you if either falls outside set limits.
More data isn't automatically better. The Lullaby Trust leaves heart rate and oxygen monitors out of its CONI programme because it found that detail, which can be hard to interpret without medical training, can add to anxiety rather than offer peace of mind. If you know you're a checker, a simple movement alarm may suit you better.
Where will you hear the alarm?
It sounds obvious, but it's the question most people forget. The Snuza Hero MD alarms on your baby, which is fine when you're room-sharing (as safer sleep advice recommends for the first six months) but no use for a nap upstairs while you're in the kitchen, unless you pair it with an audio monitor.
The Owlet sends alerts to a base station and your phone, and because the sock talks to the base station over Bluetooth, it keeps alerting if your Wi-Fi drops. Owlet recommends keeping the base station within 9 metres of the sock, and some UK testers found that tight in a real house. Nanit's alerts go to its camera and app, while the Snuza Pico 2's app relies on Bluetooth, so your phone needs to be nearby.
Rolling, wriggling and growing
Clip-on monitors work best on young babies who stay put. Once your baby starts rolling, the sensor can shift off the tummy and false alarms become more likely, a point reviewers of the Snuza Hero make consistently. Smart socks carry on working through rolling, and the Owlet is designed for use up to 18 months. Nanit's Breathing Band runs to 24 months, and the Pico 2 claims up to six years, though by then it's a sleep tracker rather than anything safety-critical.
It's also worth knowing that The Lullaby Trust's guidance for CONI families is that, for most babies, monitoring can stop by around six months, because the risk of sudden infant death falls with age.
Count the running costs
The sticker price isn't the whole story. The Owlet needs a daily charge but no subscription; Owlet360 is an optional extra. The Snuza Hero MD runs on a CR2 battery that lasts up to about six months, and Mumsnet's review puts replacements at under £10. Nanit's Breathing Wear is cheap on its own but only works with a Nanit Pro camera, typically £249 to £299, and some of Nanit's sleep analytics need a paid plan. Budget for the whole setup, not just the bit your baby wears.