Pediatricians Change Directions on Child Safety Seats

The country’s foremost pediatricians group reversed course and recommended that children ride in rear-facing child safety seats until they are at least two years old.

As the Chicago Tribune reports, the longstanding recommendation from the American Academy of Pediatrics permitted children to start riding face-forward starting at their first birthday.

However, new research suggests that face-first baby passengers are 75 percent more likely to suffer serious or fatal injuries in the event of an accident than those who ride facing toward the rear of the car.

“A rear-facing child safety seat does a better job of supporting the head, neck and spine of infants and toddlers in a crash, because it distributes the force of the collision over the entire body,” said Dr. Dennis Durbin, lead author of the policy statement announcing the change.

The Academy called for toddlers to remain in the rear-facing seats until they are too big to fit into them, even if that moment comes well after the second birthday. At that point, parents should make sure that the car seats for their children have a five-point harness, which runs between the legs and across the hips and shoulders and helps distribute the impact of the crash more evenly across a child’s body.

The doctors also recommended that children remain in a booster seat until they are 4-foot-9, a height that kids tend to reach between 8 and 12 years old, and that all children should ride in the back seat until age 13.

Experts acknowledged that it will be tough to persuade some families to follow that advice, however. “Every parent wants their kids to achieve things as fast as they can,” said Dr. Ben Hoffman, of the University of New Mexico, who helped write the new policy. “That’s fantastic for developmental milestones or for school. But for child passenger safety, that’s the wrong attitude to have.”

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