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AAP Issues New Car Seat Guidelines

In the April issue of Pediatrics, the American Academy of Pediatrics (AAP) now recommends toddlers be kept in rear-facing car seats at least until the age of 2, with smaller children remaining that way for even longer. Children should not be turned around to front-facing until they exceed the height and weight limit as recommended by the seat's manufacturer. Most convertible rear-facing seats now accommodate children up to 40 pounds, making it possible they may be rear-facing well beyond the age of 2.

Q: Will you follow the AAP's new car seat guidelines?

Yes. My child rides rear-facing now, and will stay that way until it is safe to turn her around.

Yes. My child rides front-facing now, but I plan on turning her back around until she reaches the correct height and weight.

Maybe. My child rides front-facing now, so I'm worried turning her around will make her uncomfortable and unhappy.

No. My child rides front-facing now, and although she doesn't reach the requirements, we're comfortable keeping her as is.

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Previous guidelines from the AAP have always made this recommendation, but also cited one year, or 20 pounds, as the minimum requirements for flipping the seat around. This minimum requirement is no longer recommended. A 2007 study in the journal Injury Prevention showed that children under age 2 are 75 percent less likely to die or be severely injured in a crash if they are riding rear-facing.

The reasoning is that a rear-facing seat does a better job of protecting your toddler's head, neck, and spine in the event of a crash, since it distributes the force of the impact through the entire body.

Once your child has outgrown her rear-facing seat, she should transition to a forward-facing seat with harness until the height and weight recommendations are again exceeded.

After she grows out of that, she should ride in a high-back, belt-positioning booster until the lap-shoulder belt fits her. Booster seats help position adult seat belts correctly on children's smaller frames, and are recommended until your child is at least 4 foot nine inches tall and 8-12 years old.

Finally, no children should ride in the front seat until they are at least 13 years old.

For more information, read the AAP's policy statement on their updated car seat recommendations.

Read more about car seat and booster seat safety for kids.

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