Correct restraints for children riding in motor vehicles depend on the child's age and size. Restraints to keep a child safe in the car include:
- Infant safety seats.
- Child safety seats.
- Child booster seats.
- Correctly used safety belts.
The key to keeping your child safe is to use an age-appropriate child restraint that is correctly installed and used.
Infant and child safety seats come in many shapes and sizes. The best child safety seat for a family is the one that is correct for the child's age, weight, and size. It's also one that's easy for the parents or caregivers to use, fits in the family vehicles' seats, and works with the vehicles' seat belts or lower anchor and tether system.
The American Academy of Pediatrics (AAP) has advice for using child safety seats:
- Babies and toddlers should ride in a rear-facing car safety seat in the back seat, for as long as possible. That means until they reach the top weight or height allowed by their seat. Check your car safety seat directions.
- Don't put a rear-facing car safety seat in the front passenger seat of any vehicle that has a passenger-side front air bag. This practice prevents the risk for death or serious injury from impact of the air bag against the safety seat. All children younger than 13 years should ride in the back seat.
- Premature and small babies should not be placed in car safety seats that have shields, abdominal pads, or arm rests. These could hit a baby's face and neck during an impact. Ask your child's doctor if you have questions about the correct seat for your baby.
- In rear-facing car safety seats for babies, set shoulder straps in the lowest slots until the baby's shoulders are above the slots. The harness must be snug. Put the car safety seat's retainer clip (chest clip) at the midpoint of the baby's chest. Don't put it on the abdomen (belly) or in the neck area. Check your safety seat directions.
- Make sure the car safety seat is at the correct angle so that the baby's head does not fall forward. Check the directions from the maker of your child safety seat.
- Convertible car seats can be used rear-facing. They can be converted to forward-facing for older children when they outgrow either the weight or height limit for rear-facing. Most convertible seats have height and weight limits that will allow children to ride rear-facing for 2 years or more. Check your car safety seat directions.
- Use a booster seat when the child has outgrown a convertible safety seat or forward-facing seat but is too small to fit correctly in a vehicle safety belt.
- Use a belt-positioning booster seat that has a combination lap and shoulder belt. The National Highway Traffic Safety Administration advises against a booster seat that has a small shield instead of a shoulder belt.