AAP Car Seat Recommendations
"23/12 HeaithyChildren.erg - AAP Updates Recommendations on Car Seats
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Healthy Children > New s > AAP Updates Recommendations on Car Seats
AAP Updates Recommendations on Car Seats
Children should ride rear-facing to age 2, use a booster until at least age 8
New advice from the American Academy of Pediatrics {AAP) will change the way many parents
buckle up their children for a drive.
In a new policy published in the April 2011 issue of Pediatrics (published online March 21), the
AAP advises parents to keep their toddlers in rear-facing car seats until age 2, or until they
reach the maximum height and weight for their seat. it also advises that most children will
need to ride in a belt-positioning booster seat until they have reached 4 feet 9 inches tall and
are between 8 and 12 years of age.
The previous policy, from 2002, advised that itis safest for infants and toddlers to ride rear-
facing up to the limits of the car seat, butit also cited age 12 months and 20 pounds as a minimum. As a result, many
parenis turned the seat to face the front of the car when their child celebrated his or her first birthday.
"Parents often look forward to transitioning from one stage to the nex, but these transilions should generally be delayed
until they're necessary, when the child fully outgrows the limits for his or her current stage,” said Dennis Durbin, MD, FAAP,
lead author of the policy statement and accompanying technical report.
“A rear-facing child safety seat does a better job of supporting the head, neck and spine of infants and toddlers in a crash,
because it distributes the force of the collision over the entire body,” Dr. Durbin said. “For larger children, a forward-facing
seat with a harness is safer than a booster, and a belt-positioning booster seat provides better protection than a seat belt
alone until the seat belt fits correctly.”
While the rate of deaths in motor vehicle crashes in children under age 16 has decreased substantially — dropping 45
percent between 1997 and 2009 — itis still the leading cause of death for children ages 4 and older. Counting children and
teens up to age 21, there are more than 5,000 deaths each year. Fatalities are just the lip of the iceberg; for every fatality,
roughly 18 children are hospitalized and more than 400 are injured seriously enough to require medical treatment.
New research has found children are safer in rear-facing car seats. A2007 studyin the journal Injury Prevention showed
that children under age 2 are 75 percent less likely to die or be severely injured in a crash if they are riding rear-facing.
“The ‘age 2' recommendation is not a deadline, but rather a guideline to help parents decide when to make the transition,”
Dr. Durbin said. “Smaller children wiil benefit from remaining rear-facing longer, while other children may reach the
maximum height or weight before 2 years of age.”
Children should transition from a rear-facing seat to a forward-facing seat with a harness, until they reach the maximum
weight or height for that seat. Then a booster will make sure the vehicle's lap-and-shoulder belt fil properly. The shoulder
belt should lie across the middle of the chest and shoulder, not near the neck or face. The lap belt should fit low and snug
on the hips and upper thighs, not across the belly. Most children will need a booster seat until they have reached 4 feet 9
inches fall and are between 8 and 12 years old.
Children should ride in the rear of a vehicle until they are 13 years old.
Although the Federal Aviation Administration permits children under age 2 to ride on an adult's lap on an airplane, they are
best protected by riding in an age- and size-appropriate restraint,
“Children should ride properly restrained on every trip in every lype of transportation, on the road or in the air,” Dr. Durbin
ww.healthychildren.org/English/news/Pages/AAP-Updates-Recommendations-on-Car-Seats.aspx 1/2
"23/12 HealthyChildren.org - AAP Updates Recommendations on Car Seats
Click here for a list of approved car safety seats.
Healthy Children Radio: Car Seat Safety
Dennis Durbin, MD, FAAP, lead author of the revised AAP recommendations, comes on the show to discuss the
recommendations and advise parents of the safest ways to transport children in cars.
Segment 1: AAP Recommendations on Car Seats
Segment 2: New Car Seat Recommendations: What Parents Need to Know
Published 3/24/2011 12:05 AM
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