Tuesday, July 15, 2008

Car Safety Seats: A Guide for Families 2008

One of the most important jobs you have as a parent is keeping your child safe when riding in a vehicle. Each year thousands of young children are killed or injured in car crashes. Proper use of car safety seats helps keep children safe. But with so many different car safety seats on the market, it’s no wonder many parents find this overwhelming.

The type of seat your child needs depends on several things including age, size, and type of vehicle. To be sure your child is using the most appropriate seat, read on.

Types of car safety seats at a glance

The chart below is a quick guide to where to start your search. Once you’ve found your car safety seat, it’s important to read more about the seat in this guide.

The right car safety seat

Infants-rear-facing

The American Academy of Pediatrics (AAP) recommends that all infants should ride rear-facing starting with their first ride home from the hospital until they have reached at least 1 year of age and weigh at least 20 pounds. It is even better for them to ride rear-facing until they reach the highest weight or height allowed by their car safety seat’s manufacturer.

There are 2 types of rear-facing car safety seats: infant-only seats and convertible seats.

infant-only seat
Infant-only car safety seat

Infant-only seats

* Are small and have carrying handles (and sometimes come as part of a stroller system).
* Are used for infants up to 22 to 30 pounds, depending on the model.
* Many come with a base that can be left in the car. The seat clicks into and out of the base so you don’t have to install the base each time you use it. Parents can even buy more than one base for additional vehicles.

Convertible seats (used rear-facing)

* Can be used rear-facing then “converted” to forward-facing for older children. This means the seat can be used longer by your child. They are bulkier than infant seats, however, and do not come with carrying handles or a separate base.
* Have higher rear-facing weight and height limits than infant-only seats, which makes them ideal for bigger babies.
* Have the following types of harnesses:
o 5-point harness—attach at the shoulders, hips, and between the leg
o Overhead shield—a padded tray-like shield that swings down over the child
o T-shield—a padded t-shaped or triangle-shaped shield attached to the shoulder straps

Installation tips for rear-facing seats

When using a rear-facing seat, keep the following in mind:

* Make sure the car safety seat is installed tightly in the vehicle and that the harness fits the child snugly.

* Never place a rear-facing car safety seat in the front seat of a vehicle that has a front passenger air bag. If the air bag inflates, it will hit the back of the car safety seat, right where your baby’s head is, and could cause serious injury or death.

* If your rear-facing seat has more than one set of harness slots, make sure the harnesses are in the slots at or below your baby’s shoulders.

* Be sure you know what kind of seat belts your vehicle has. Some seat belts need locking clips. Locking clips come with all new car safety seats. If you’re not sure, check the manual that came with your vehicle. Locking clips are not needed in most newer vehicles.

* If you are using a convertible seat in the rear-facing position, make sure the seat belt is routed through the correct belt path. Check the instructions that came with the car safety seat to be sure.

* If your vehicle was made after 2002, it may come with the LATCH system, which is used to secure car safety seats. See below for information on using LATCH.

* Make sure the seat is at the correct angle so your infant’s head does not flop forward. Many seats have angle indicators or adjusters that can help prevent this. If your seat does not have an angle adjuster, tilt the car safety seat back by putting a rolled towel or other firm padding (such as a pool noodle) under the base near the point where the back and bottom of the vehicle seat meet.

* Be sure the car safety seat is installed tightly. If you can move the seat more than an inch side to side or front to back, it’s not tight enough.

* Still having trouble? There may be a certified Child Passenger Safety (CPS) Technician in your area that can help. See below for information on how to locate one.

Common questions

Q: What if my baby weighs more than 20 pounds but is not 1 year old yet?

A:Use a seat that can be used rear-facing by children who weigh more than 20 pounds and keep your baby rear-facing as long as possible, or at least until he has reached his first birthday.

Q: What do I do if my baby slouches down or to the side in his car safety seat?

A: Pad around your child (never under or behind) with rolled-up cloth diapers or blankets. Do not use any sort of car safety seat insert unless it came with the seat or was made by the manufacturer of the seat.

Q: Can I adjust the straps when my baby is wearing thicker clothing, like in the winter?

A: Yes, but make sure the harnesses are still snug. Also remember to tighten the straps again after the thicker clothes are no longer needed. Dress your baby in thinner layers instead of a bulky coat or snowsuit, and tuck a blanket around your baby over the buckled harness straps if needed.

Q: Are rear-facing convertible seats OK to use for preemies?

A: Premature infants should be tested while still in the hospital to make sure they can ride safely in a reclined position. Babies who need to lie flat during travel should ride in a crash-tested car bed. Very small infants who can ride safely in a reclined position usually fit better in infant-only seats; however, if you need to use a convertible seat, choose one without a tray-shield or T-shield harness. The shields often are too big and too far from the body to fit correctly.