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Kids should ride rear-facing longer, U.S. doctors say
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CTV.ca News Staff
Date: Mon. Mar. 21 2011 2:26 PM ET
Kids should sit in rear-facing car seats until they are 2 years old instead of 1, says new advice from a group of American pediatricians and U.S. traffic safety officials.
Older kids too should ride in booster seats longer too, up to the age of 12, depending on their height, the new recommendations advise.
Parents have long been told to follow the weight and body length limits listed on their car seat. But many have used the general guideline of one year of age or 20 to 22 pounds (9.0 to 9.9 kg) as a guideline for when to move them into a front-facing car seat or when to turn their baby's convertible car seat around.
The American Academy of Pediatrics is worried that some parents have been turning their babies around too early, putting the children at risk of serious injury or death in the event of a crash.
So after carefully reviewing the latest data that shows that children in rear-facing car seats are more likely to surivive a crash, the AAP has issued a new policy statement. The statement says toddlers should sit in rear-facing car seats until age two, or for as long as they are within the weight and height limits listed by the car seat's manufacturer.
If a child under the age of two outgrows the weight limits for their infant car seat, they should be moved to a rear-facing convertible car seat and kept in that position until age two, the AAP now says. Only after the age of two should the car seat be turned forward-facing.
The U.S. National Highway Traffic Safety Administration issued separate but similar recommendations, stressing that there is no need to hurry to transition a child to the next restraint type.
"The best possible thing you can do is keep your child rear-facing as long as possible," the AAP's Dr. Benjamin Hoffman, who helped write the new policy, told Reuters. "We hope we will be able to convince parents to keep their children rear-facing longer."
Dr. Claude Cyr, a member of the Canadian Paediatric Society's Injury Prevention Committee, says the U.S. and Canadian recommendations are similar. But he tells CTV News that the re-wording of the AAP guidelines could compel a review of the Canadian guidelines to see if they could be made clearer.
The CPS guidelines state that only when a car seat's weight or height limits have been exceeded, should parents move their children into the next phase of car seat.
"Parents should be encouraged to continue to use a rear-facing seat as long as the height and weight limitations allow," the CPS guidelines read.
After kids have been moved into a front-facing car seat with five-point harnesses, they should stay in that seat until they reach the top height or weight limit allowed by the car seat's manufacturer. The AAP says the lowest maximum weight limit for forward-facing car seats is 40 lb (18 kg), while some models of can accommodate children up to 65 lb (30 kg).
Kids who exceed those weight limits should then move to a booster seat used with the car's seatbelt, until they are tall enough to fit correctly with just the seat belt. That's usually when kids are between eight and 12 years old, or when they've reached 4 feet 9 inches (145 centimetres).
For a seat belt to fit properly, the lap belt must lie snugly across the upper thighs or lap, not the stomach. The shoulder belt should lie snug across the shoulder and chest and not cross the neck. A poorly fitting seat belt can cause abdominal and spinal injuries in a crash.
And no child younger than 13 should ride in the front seat, both groups remind.
According to the new AAP statement, published in the journal Pediatrics, 1,500 kids under 16 die every year in car crashes in the U.S.
Child safety seats have been shown to cut the risk of death by 28 per cent compared with seatbelts; they also reduce non-fatal injuries.
Car seats with five-point harnesses are able to distribute the energy of a crash over a bigger area of the body, instead of concentrating it on the points where a seatbelt touches the body: the shoulders, belly and hips.
Booster seats too have also been found to reduce the risk of non-fatal injury among 4- to 8-year-olds by 45 per cent compared with seat belts alone, the AAP says.
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Parent of 3 and a Carseat Tech, Manitoba
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Why would anyone argue this?
Why would someone choose to put their child into a potentially dangerous situation?
Why would you willingly make your child LESS SAFE in a vehicle, when the information is available to educate yourself, and the carseats & booster seats available now are designed to protect your children?
Children are more comfortable cross-legged or having their knees bent than they are with their legs dangling over the edge of a seat. An improperly-fitting seatbelt simply will not protect your child, so have them use a booster! When my children are old enough to complain about using a booster even if "none of my friends are, mom!" I will simply explain that I am keeping them safer. Period.
To those who proclaim "back in the day we never used carseats, and we turned out just fine", I'd like to congratulate you, but remind you that the ones who didn't turn out just fine aren't around to talk about it.
Really, people. These are our kids we're talking about. You have the information, and you have the means. Keep them safe. It's your job.
Buckshot
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parentof1
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Robt.D.Miles
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Amanda
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Redfern
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LisaG
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LisaG
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Shayne
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missmae
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Bryan from Lethbridge
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Diana
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Mervin
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Heather
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Yes, we all survived the days of no car seats or inferior car seat laws. That's great for us. Some babies and toddlers didn't. We have better info now so times are changing. My crib looks very different from the one my parents would have slept in. My daughter's formula is far superior to that my mother had. I don't see how this is any different.
Liz
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Dale
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missmae
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Momof3boys
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Friends of ours were in a fatal crash after Christmas. 4 awesome kids now have to grow up without a dad. And those kids are fighting hard to recover from their injuries. If I have to keep my kids in boosters & carseats for years longer to avoid what they've gone through, I will. And I do.
LisaG
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Mother of 6 yr old
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Mother of tall 6 yr old
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c-drive
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The government need to crack down with better regulations requiring car manufacturers to do more than just the LATCH system.
If they were easier to use then parents would be able to focus on using them properly.
@Necessary Reaction Don't bother trying to say that old cars were safer than today's. That argument doesn't hold water.
Frustrated
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Necessary Reaction
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Nowadays, do you want to test your luck bouncing around in a plastic or aluminum car... or a Smart Car?
Jason
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Vee
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Leslie
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John C
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RK
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Give it a rest !
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with all the new technology there is today there really should be no need to have your kids in a rear-facing car seat past the age of 1 just as long as they are the correct weight (20lbs) I know in my current vehicle when the car seat is turned backwards, my wife had to sit in the back seat as the front seat needed to be pushed so far forward. Maybe the car companies could invent another air bag that in the event of a car crash a bag filled with air surrounds you and everyone in your vehicle, or better yet why don't we all walk around, wrapped in bubble wrap and wear helmets.
Come on people do you really think people are going to want to keep their children strapped in a seat until they are 12. Maybe you should try riding in a seat that you can't get out of for along car ride and see how you feel.
JJ
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CMK
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Mark from Brampton
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mikel
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Wendy S
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ERFing
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Broken leg = cast it
Broken neck = casket
The car is not suppose to be a lounger. It is transportation and I am willing to bet your two year old sits with his legs pulled up or bent normally. I do not know of a child that sits with his legs straight. If your on long trips, the standard bathroom breaks and diaper changes are sufficient stretching moments.
Babalou
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LisaG
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Concerned Parent
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