Safety seat guidance for familiesPediatricians should be prepared to provide advice at every health maintenance visit to ensure that children are as safe as possible. The evidence-based recommendations call for the following:
- Children should ride in a rear-facing car safety seat as long as possible, up to the limits of their car safety seat. This will include virtually all children under 2 years of age and most children up to age 4.
- Once they have been turned around, children should remain in a forward-facing car safety seat up to that seat’s weight and length limits. Most seats can accommodate children up to 60 pounds or more.
- When they exceed these limits, child passengers should ride in a belt-positioning booster seat until they can use a seat belt that fits correctly.
- Once they exceed the booster limits and are large enough to use the vehicle seat belt alone, they should always use a lap and shoulder belt.
- All children younger than 13 years should be restrained in the rear seats of vehicles for optimal protection.