Your Baby – Newborn to Age 2 in Rear-facing Seats

From CHOP (Children’s Hospital of Philadelphia)

rear facing car seatBabies are at greater risk of injury in crashes. This is because babies’ spines are developing and their heads are large for their bodies. In a crash, if your infant is riding forward-facing, her spinal cord may stretch, which could result in serious injury or death. However, when your baby rides rear-facing in a child safety seat, her upper body — head, neck and spine — is cradled by the back of the child safety seat in the case of a frontal crash, which is the most common type of crash.

According to research studies, children up to 2 years of age who are placed in forward-facing child safety seats are significantly more likely to be seriously injured in a crash than same age children who are in rear-facing child safety seats.

Child safety seat tips for parent’s with babies

  • Your baby should remain rear-facing until she is 2 years of age or until she reaches the highest weight or height limit allowed by the manufacturer of her child safety seat. Some rear-facing child safety seats can accommodate children up to 35 pounds or more. Don’t be concerned if your child’s legs bend at the knees or touch the back seat of the car when rear-facing; this will not harm her feet or knees.
  • Always put your infant in a rear-facing child safety seat in the back of your car. A baby riding in the front seat can be fatally injured by a passenger side air bag.
  • The shoulder straps must be at or below your baby’s shoulders. Child safety seats have several pairs of harness slots so you can adjust the harness as your baby grows. Make sure you use the harness correctly by following these tips:
    • The harness must be snug so you cannot pinch a fold in the harness material after buckling in your baby.
    • The straps should lie flat in a straight line without sagging or twisting.
    • The top of the chest clip should be positioned at armpit level.
  • Never put a blanket between your child and the harness straps, or underneath or behind her. For car travel, don’t dress your infant in bulky outerwear; it can interfere with the tightness of the harness. Instead, place a warm blanket over your child and harness.
  • Your baby is getting too big for his rear-facing child safety seat when his head nears the top of the seat. There should be at least one inch between the top of your child’s head and the top of the rear-facing child safety seat.

Types of child safety seats

Infant-only safety seats are unique in that they are usually:

  • Rear-facing and come with a five-point harness, with two straps that secure the shoulders and two more that secure the hips. The straps all connect to a buckle between the legs.
  • Portable with a carrying handle; they can be easily removed and used as infant carriers. For most infant seats, the carrying handle should be down when your child is in the vehicle. Be sure to check your safety seat instruction manual for proper placement of the carrier’s handle during travel.
  • Attached to detachable bases that can be installed and left in your vehicle. You can buy more bases to use in other vehicles. Most infant-only seats can also be installed with just the vehicle’s seat belt, without their base.
  • Used for infants up to 22 to 35 pounds or more; check the instruction manual or the seat label for weight limits.
  • Babies who have outgrown their infant-only safety seat will need a larger seat that can be used rear-racing, such as a convertible safety seat, until they are 2 years of age. The convertible safety seat can then be turned to face forward.

Rear-facing convertible child safety seats:

  • A convertible child safety seat can be used in both the rear-facing and forward-facing positions. Convertible child safety seats must be used in the rear-facing position — in the back seat of the car — until your child is 2 years of age or until he reaches the highest weight or height limit allowed by the manufacturer of his convertible safety seat. The seat can then be turned around to face forward for toddlers.
  • Some convertible child safety seats may not provide the best fit for smaller newborns, especially low-birthweight babies or preterm babies (those born too early). Learn about car beds — a safer alternative to standard car seats for smaller newborns.

After age two children can be turned forward-facing. We’ll talk more about that and which options are available for children and when, ie. change convertible seat forward-facing, using a travel car seat such as the RideSafer and/or booster seats.

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