raisingkidswithlove

You don't have to be perfect to be the perfect parent!

Keep your precious cargo safe by using a car seat correctly!


Parents must be sure that their child’s car seat is being used correctly…we all have precious cargo!

I read an study recently in the Journal of Pediatrics which really shocked me.

A total of 291 families (81% of those eligible) participated. Nearly all (95%) CSSs were misused, with 1 or more errors in positioning (86%) and/or installation (77%). Serious CSS misuse occurred for 91% of all infants. Frequent misuses included harness and chest clip errors, incorrect recline angle, and seat belt/lower anchor use errors. https://www.jpeds.com/article/S0022-3476(15)01459-6/fulltext

95% had errors in car seat installation of positioning! That is such a scary thought since car accidents are the leading cause of death for children.  But to be honest, car seats are not easy to install correctly!   The manuals are long and sometimes confusing, there are different recommendations by auto manufacturers, and I know the installation of a car seat has caused many an argument between Moms and Dads!

The newest recommendations from the American Academy of Pediatrics state that until at least age 2 your child should sit in a rear facing seat and preferably a child should be rear facing until they reach the highest weight or height allowed by the car seat manufacturer (that means your child most likely will be older than age 2 and still rear facing).  Children over the age of 2 may sit in a front facing seat with a 5 point harness until their weight and height exceeds the car seat’s recommendation for the seat.  A booster seat should be used until a child is 57 inches tall, which is the average height of an 11-year-old (wow…bet you didn’t realize that!)  No child should sit in the front seat until age 13! www.healthychildren.org

Types of car seats:

  • Rear facing only

This seat is used for infants up to 22 to 40 pounds depending on the seat.  They are small and have handles to carry the seat.  Some have a base that can be left in the car.

  • Convertible seats that can be used for rear facing

These seats can be used rear facing and then “converted” to forward facing when your child is older.  They are bigger than infant seats and do not have handles or a separate base.  They often have a higher rear facing weight and height limits which is great for larger babies.  They should have a 5 point harness.

  • 3 in 1 seats

These seats can be used rear facing, forward facing and as a booster.  They may be used longer by your child. (But remember every seat has an expiration date…about 5-6 years)

Installation of rear facing car seats:

  • Always know the weight and height limits of your car seat.
  • The shoulder straps should be at or below your baby’s shoulders.
  • The straps should be snug (you shouldn’t be able to pinch any slack) and the chest clip should be at the nipple line.
  • The seat should be tight in the car.  You should not be able to move it more than an inch side to side or front to back.
  • Never put a rear facing seat in the front seat of a car!
  • Make sure the seat is at the correct angle so your baby’s head does not flop down.  Many seats have an angle indicator or adjusters that can help with this.
  • I recommend having a certified car seat technician help install the car seat.  This will help with the many questions parents have and may even prevent Mom and Dad from having an argument!  🙂  Check out this website for great information on car seats, car seat recommendations and locations of car seat technicians in your area.  It is an excellent resource! http://www.nhtsa.gov/cps/cpsfitting/index.cfm

Installation of forward facing car seats:

  • Always know the weight and height limits of your car seat.
  • The shoulder straps should be at or above your child’s shoulders.
  • The seat should be tight in the car.  You should not be able to move it more than an inch side to side or front to back.
  • You may use LATCH if the weight of the car seat plus the weight of your child is less than 65 pounds. The car seat manual will give the maximum weight for your child to use LATCH.
  • You must use the car seat tether for forward facing. Read your vehicle manual to be sure you are attaching the tether in the correct place.
  • I recommend having a certified car seat technician help install the car seat.  This will help with the many questions parents have and may even prevent Mom and Dad from having an argument!  🙂  Check out this website for great information on car seats, car seat recommendations and locations of car seat technicians in your area.  It is an excellent resource! http://www.nhtsa.gov/cps/cpsfitting/index.cfm

Common questions parents have about car seats:

  • What if my rear facing child’s feet touch the back of the car seat?

No problem…your baby will cross his legs and find a comfortable position.  There are few reports of leg injuries from a crash with a baby in this position, but a leg injury is a much less severe injury than a head and neck injury which you are helping to prevent by keeping your child backward facing until age 2 or older.

  • What do I do if my baby is slouching in the seat?

You may put blanket rolls on both sides of your baby and a small cloth diaper or blanket between the crotch strap and your baby for a while until your baby grows a bit.  Do not ever put padding or blankets or anything behind your baby or add any car seat insert unless it came with the seat or was made by the manufacturer of the car seat.  Any additions to a seat may make it work a bit differently and provide less protection for your baby!

  • What do I do about winter coats?

Remember that thick winter coats, blankets, or clothing should not be put under the car seat harness or straps.  Dress your baby in thin layers and then tuck a blanket around your baby over the harness straps if necessary.

  • Where is the safest spot for the car seat in the back?

The safest spot is where the seat can be installed properly, it is convenient for you to use safely every time.  Some LATCH systems are only on the sides of the back seat.  Some car seats only fit well in the middle.  It depends on your car seat, your vehicle and the number of children you have on where is best for the car seat!

  • Should we use a car seat on a plane?

Most infant and convertible car seats can be used on planes.  The seat must have a FAA (Federal Aviation Administration) approval label on it.  The FAA and the AAP recommend that children use car seats when flying until age 4.  This keeps your child safer during takeoff and landing and in turbulence.

 Car Seat Tips

  • Always know the restrictions of your model.  Know the maximum weight and height limits for your seat!
  • The shoulder straps should be in the slots that are at or below your child’s shoulders for rear facing.
  • The shoulder straps should be in the slots that are at  or above your child’s shoulders for forward facing.
  • You may need to adjust the angle of the seat when you turn it to forward facing, check your car seat manual.
  • Choose to use the LATCH system if your vehicle has it OR the seat belt.  Do not use both.  Check your vehicle manual and your car seat manual for proper installation with the LATCH or seat belt. Latch does have a weight limit of 65 lbs total, meaning the weight of the car seat plus your child.  If the car seat and your child together weighs over 65 lbs, then you must use the seat belt to secure the seat.
  • Use a tether strap for forward facing.  This is a strap that attaches to the top of the seat.  It is often on the seat back of the vehicle.  This gives extra protection by not allowing the car seat and your child’s head to move too far forward in a crash.  All vehicles manufactured from 2000 on have them.  Check the weight limit for the use of the tether anchor.

So much information…but so important to keep your child safe.  Remember Healthychildren.org is a great resource!

Take a breath, enjoy the joyful moments of each day, and remember you don’t have to be perfect to be the perfect parent.

Cindy

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