Infant and child car seats

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Forward-facing car seat

Rear-facing car seat

ADDITIONAL GUIDELINES

• Many people install a car seat far too loosely, even though they think the seat is tight. While the seat does not have to be completely immobile, re-read the instructions to see how much "give" is safe.
• Many seats are also installed at an improper angle. If the instructions are unclear, call the seat manufacturer.
• 5-point harnesses are generally considered safer than 3-point harnesses. With 5-point harnesses, make sure the upper retainer clip is at the child's armpit level -- not too close to the child's neck or too low over the child's belly.
• Read your car owner's manual to determine the safest place to install a car seat in YOUR car. Beware of airbag locations. Avoid placing a child car seat in the front passenger seat of a car, and NEVER do so if the car has an airbag.
• Follow the exact instructions for the installation and use of your specific car seat. Recommendations change somewhat depending on the model and type of seat.
• Some states have passed laws requiring that children up to age 8 or 80 pounds be put in booster seats.
• It is best to use a new car seat. Avoid used car seats -- these may lack instructions, be out-of-date, or have cracks or other problems. All car seats have expiration dates stamped into the plastic or onto an adhesive sticker. This information is usually found on the bottom of the seat. Do not use a car seat past its expiration date, as the plastic may no longer be able to withstand the force of an accident well enough to protect your child.
• For more information, call your car seat manufacturer, car manufacturer, or the State Highway Safety Office.

Finally, remember to wear a seat belt when you are pregnant, before the baby is even born. Position the lap belt as low as possible, beneath your belly.

Review Date: 11/18/2005
Reviewed By: John Goldenring, MD, MPH, Department of Pediatrics, Children's Hospital, San Diego, CA. Review provided by VeriMed Healthcare Network.