Article by Dr. Colin Petranu
In August 2018, the American Academy of Pediatrics (AAP) revised
their car seat guidelines and came out with new recommendations designed
to better protect children. The AAP now recommends children remain in a
rear-facing car safety seat as long as possible until they reach the
weight or height limit allowed by their seat. For a lot of kids, this
means they'll be rear facing at least until they're 3 or 4 years old.
Most convertible car seats have a weight limit between 35 and 50 pounds,
so kids can be pretty old before they turn around.The AAP says turning
around the car seat is one milestone parents don't want to rush as every
car seat transition (from rear-facing to forward and from
forward-facing to booster) leaves kids a little less protected.
The AAP car seat recommendations include:
1. Infants and toddlers should ride in a rear-facing car seat as long as
possible, until they reach the weight or height limit allowed by their
seat. Most convertible seats have limits that will allow children to
ride rear-facing until at least ages 3-4.
2. Once they are facing forward, children should use a forward-facing
car seat with a harness for as long as possible, until they reach the
height and weight limits for their seats. Many seats can accommodate
children up to 65 pounds or more.
3. When children exceed these limits, they should use a belt-positioning
booster seat until the vehicle’s lap and shoulder seat belt fits
properly. This isn't usually until children have reached at least 4 feet
9 inches in height and are 8 to 12 years old.
4. When children are old enough and large enough to use the vehicle seat
belt alone, they should always use lap and shoulder seat belts for
optimal protection.
5. All children younger than 13 years should be restrained in the rear seats of vehicles for optimal protection.
Using the correct car seat or booster seat lowers the risk of death or
serious injury by more than 70 percent. Car crashes remain a leading
cause of death for children. In the US an average of 4 children ages 14
and younger die each day from car crashes. Hopefully by helping parents
and caregivers use the right car seat we can better protect kids and
prevent tragedies.