How to Get Your Baby to Pass the Car Seat Test

Even with the best prenatal care, sometimes your infant wants to arrive a fiddling earlier than planned. If this happens, your hospital will want to brand certain your infant can travel safely in the car. Commonly, infants born earlier than 37 weeks volition demand a tolerance examination, also known as a auto seat test. Babies with other medical conditions or those who may non tolerate sitting in a semi-reclined position, such as a rear-facing car seat, may as well need this test.

Auto seat test

Car seat testing is usually done in the hospital within one week before your baby is set up to become domicile. You lot will be asked to bring in your baby's car seat, which he will sit in for 90 to 120 minutes or the length of the automobile ride habitation, whichever is longer. During the test, the nurse will monitor your infant'southward center rate, breathing and oxygen level.

If your baby passes the motorcar seat exam, he will be able to apply the car seat you have provided. If not, the infirmary may repeat the same auto seat examination.

If your md tells you lot that your baby needs a car bed, it is probable because of concerns with your infant's breathing and heart charge per unit when he's semi-reclined in a traditional child safety seat. The doctor may also gild a home monitor to check your infant's middle rate and breathing.

Car beds

Medical staff may require your infant to ride in a machine bed rather than a traditional kid safety seat. Auto beds allow babies to prevarication down while traveling. The American Academy of Pediatrics (AAP) recommends that medical staff monitor infants with the post-obit indicators before their first car trip:

  • Infants less than 37 weeks gestational historic period at birth
  • Infants of whatever historic period who may non tolerate sitting in a semi-reclined position, such as a rear-facing motorcar seat
  • Infants at risk for apnea, bradycardia, oxygen desaturation or obstructive apnea (due east.g. Pierre Robin Sequence)

Your pediatrician may repeat the auto seat test to find out if your baby is medically stable plenty to use a car seat.

Car bed prophylactic tips

Please follow the manufacturer's instructions for your babe's auto bed and these guidelines:

  • The car bed should be placed in the rear seat then that your baby'due south head is in the middle of the vehicle, abroad from the door.
  • Use the vehicle's seat chugalug to attach the machine bed to the vehicle and be sure that the belt is tight.
  • Place your baby on his back, unless otherwise instructed past your dr.. If your baby'south pediatrician recommended placing your baby on his belly while riding in the motorcar, she should tell you when this is no longer medically necessary.
  • If your baby needs a breathing monitor or other equipment, learn how to secure information technology properly to forbid information technology from moving if a crash should occur.
  • While your babe is riding in a car bed, someone other than the commuter should watch him.
  • Limit auto rides, particularly long trips, until your baby is medically stable plenty to switch to a auto seat. If the car ride will exist longer than iii hours, let for rest stops every two to iii hours so your baby can be out of the car bed for feeding and care.
  • Avert using baby seats, infant swings, bouncy chairs, backpack slings and infant carriers until your baby is re-tested or your pediatrician says that it is safety for him to be in a semi-reclined position.

If you lot still have concerns almost installing and using the car bed properly, you lot can visit a car seat fitting station nationally or in the greater Philadelphia area. Please visit Car Seat Checks to learn more.

Tips for using a traditional child safety seat

If your pediatrician determines that information technology is safe for your baby to exist in a semi-reclined position, follow these tips to safely position your baby in a traditional safety seat:

Rear Facing Child Safety Seat with Blanket Rolls Image

  • Make sure you lot bank check the weight requirements on the car seat and that your baby weighs enough to use the seat.
  • Infant-only car seats with three- or five-signal harness systems or convertible auto seats with five-point harness systems provide the all-time comfort and positioning for your baby.
  • Do non utilise a car seat with a shield, abdominal pad or arm rest considering information technology may cause breathing issues for your baby or may cause an injury to your baby's confront and/or neck during a sudden stop or crash.
  • Only use head supports that come with the motorcar seat. Practice not use any head supports that are purchased separately. Nigh very small babies may need boosted positioning support; you tin can put a blanket roll on each side of your infant to provide support for her head and body.
  • When choosing your auto seat, select one with the shortest distance from the crotch strap to the seat dorsum. This volition prevent your baby from moving forrard under the harness.

Photograph caption: A properly positioned baby in a rear-facing kid safety seat with a blanket curl on each side and at the crotch strap, if the manufacturer allows

Positioning your babe in the car seat

  • Your baby should exist properly positioned in the machine seat, with his buttocks and back against the back of the car seat. The harness must be snug and remain at or beneath his shoulders while rear-facing. The retainer prune should be positioned in the center of your infant's chest, non on the belly or in front of the cervix.
  • Infants and toddlers should ride in a rear-facing car rubber seat as long equally possible, until they reach the highest weight or height immune by their seat. Most convertible seats have limits that volition let children to ride rear-facing for two years or more than.
  • Recline the rear-facing car seat according to the manufacturer's instructions. Most car seats have congenital-in indicators and angle adjusters to help y'all set the proper angle. Follow the instructions provided with the automobile seat. A lightweight, very firm object, such every bit a tightly rolled coating or puddle "noodle," may be placed under the car seat to create the correct angle if the manufacturer allows.
  • Never place a rear-facing car seat in the front passenger seat.
  • Information technology can be hard to see your baby while driving. Whenever possible, have an adult sit in the rear seat next to your baby.

For assistance installing a car seat, visit a community child rubber seat inspection station. Updated inspection station information tin can be plant at chop.edu/safekids.

Additional equipment

  • If your babe goes home on a monitor, make sure to have enough battery power for at least twice the length of your car ride. If you are taking a 1-hr ride, you lot volition need two hours of battery power.
  • Secure whatsoever portable medical equipment to reduce the risk of it flying loose in a crash or sudden stop.

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Source: https://www.chop.edu/centers-programs/car-seat-safety-kids/car-seat-safety-by-age/premature-babies-and-babies-medical-conditions

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