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Children Should Remain in Rear-Facing Car Seats as Long as Possible

By Kelly Young

Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD

The American Academy of Pediatrics now recommends that children ride in rear-facing car seats for as long as possible. Previously, the group said that toddlers younger than 2 years who exceeded the weight and height restrictions for rear-facing seats could ride in forward-facing seats.

Most convertible seats can accommodate children in the rear-facing position until at least 2 years of age. The rear-facing weight limit is generally 35 to 40 pounds.

Among the other recommendations, published in Pediatrics:

• After they outgrow rear-facing seats, children should ride in forward-facing child safety seats until they are at least 4 years old.
• From ages 4 through at least age 8 — or until they are 4 feet, 9 inches tall — children should use belt-positioning booster seats.
• Children who have outgrown their booster seats should wear lap and shoulder seat belts.
• Children aged 12 and under should ride in the back seat.
• Clinicians should encourage parents to delay each transition for as long as possible.

Pediatrics policy statement (Free)

Pediatrics technical report (Free)

Background: Physician's First Watch coverage of AAP's previous car seat recommendations (Free)

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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 2224-0654
Momentum Escazu: 2101-9574

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