PRO CAR SEAT SAFETY
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Rear-facing Longer

Car seats are now designed to keep child passengers in the rear-facing longer. This helps to give the child improved head and neck protection. The following diagrams and video's below demonstrate this further.

It is best practice and highly RECOMMENDED to keep your child rear-facing as long as possible. This rear-facing recommendation has changed significantly over the past several years and fortunately, more and more new parents are learning of this and understanding the importance of keeping their child rear-facing as long as possible and even keeping the child at each stage as long as possible.  Here are a few review tips:
  • Keep your child rear-facing up to the maximum height (the child usually reaches height before weight) or weight maximum of the car seat. With most convertible car seats, a child can be rear facing between the ages of 3 and 5 (depending on weight). Even if the child's feet are up onto the back of the vehicle seat, it is best to keep their head and neck protected.
  • Remember, keeping your child rear-facing to the upper height and weight, as long as possible helps to protect the child's neck, shoulders and head. See video examples.
  • Never rush to advance your child to the next stage (see Car Seat Stages). Follow height and weight maximum on the side of your car seat.
  • For infants who have outgrown their rear-facing only car seat (base and car seat carrier that also goes into a stroller), they can move into a convertible seat to be rear-facing longer.
  • When shopping for a convertible car seat, choose one that has the highest weight maximum. Also make sure it is compatible to your vehicle so it can be installed correctly, both rear and forward facing. The car seat must be able to be installed correctly, at the appropriate level, while having sufficient space between the back of the car seat and back of the front vehicle seat when rear-facing to allow for the ride-down-effect of a crash. There also needs to be sufficient space for the passenger and driver to ride safely (knees no close than 3-inches to the dashboard and driver no closer than 10-inches to the steering wheel and passenger no closer than 20-inchest to the airbag).

​Questions, call 323-491-6197

Rear-facing head and neck support

The American Academy of Pediatrics (AAP) recommends keeping your child in a rear-facing car seat as long as possible, until they reach the highest weight or height as printed on the side of your car seat. Parents are often misled by some convertible car seat instructions that suggest forward-facing 22 to 65 pounds and turn their child prematurely which increases injury risk. Most convertible car seats allow children to be rear-facing until they reach 40 pounds, and some 50 pounds. This protects your child’s head (brain) and spinal cord. Talk with a National Highway Traffic Safety Administration (NHTSA) Certified Technician by calling the National Telehealth Car Seat Call Center at 323-491-6197.

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FORWARD-FACING (Too soon)
  • No head (brain), neck, or spinal cord support
  • Risk of brain and spinal cord injury

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REAR-FACING (Longer)
  • Force is equally distributed
  • Protects your child’s head (brain), neck, and spinal cord

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Additional information regarding rear-facing

​In general, nearly all convertible car seats go to 40-pounds and some 45-pounds of even to 50-pounds rear-facing. Based upon 90% percentile of clinical grown charts (see Baby Growth Charts), a 40-pound child can be between the age of 3-5 years old. This means because car seats are being designed larger to accommodate greater weight limits for rear-facing, your child can be rear-facing much longer and safer. So, keep your baby rear-facing up to the height and weight printed on the side of your car seat and when searching for a convertible seat choose one that is compatible to your car and has a higher rear-facing weight.
​
It is best practice and highly RECOMMENDED to keep your child rear-facing as long as possible. Rear-facing recommendations have changed significantly over the past several years and fortunately more and more new parents are understanding the importance of keeping their child rear-facing as long as possible and even to keep the child at each stage as long as possible.  The video below illustrates misuse, but also shows the difference in how a forward-facing child, their head plunges forward and slams back into the seat. Whereas the rear-facing seat provides head and neck support.

Why are rear-facing car seats designed for higher weight and height of child?
This helps to provide support to the child's upper torso to protect their head and neck. Remember the moment you turn a child forward-facing, regardless of their age, in the event of a collision, they are 5-times more likely to sustain neck injury from their head plunging forward and sustain brain injury from their head slamming back into the seat. So, keep your child in a car seat rear-facing to the upper weight and height printed on the side of the car seat.
​Laws in each state in the United States vary. While the American Academy of Pediatrics (AAP) recommend "All Infants and Toddlers Should Ride in a Rear-Facing CSS Until They Are 2 Years of Age or Until They Reach the Highest Weight or Height Allowed by the Manufacturer of Their CSS", it is important for parents to understand and remember the second part of this recommendation. Whereas "All Infants and Toddlers Should Ride in a Rear-Facing CSS.....Until  They Reach the Highest Weight or Height Allowed by the Manufacturer of Their CSS (car seat)".  Because of this recommendation, and because car seat manufacturers are now designing car seats with increased weight and height limitations to keep the child rear-facing as long as possible, children can ride rear-facing much longer than every before in the United States.

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RESOURCES FOR PARENTS

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Summer Camp Safety Guide
INJURY PREVENTION
​PARTNERS

Advocates for Youth
Association for Behavioral Analysis International
American Academy of Health Behavior
American Academy of Orthopaedic Surgeons 
American Academy of Pediatrics
American Association of School Administrators 
American Association of Sexuality Educators Counselors & Counselors & Therapists
American Association for Marriage and Family Therapy
American College of Surgeons
American College Health Association
American Congress of Obstetricians and Gynecologists
Association for the Advancement of Automotive Medicine
American Gap Association
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Au Pair in America
Brain Injury Association of America
Certified Horsemanship Association
Children's National Hospital
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Children's Hospital Association
Consumer Product Safety Commission 
CDC Injury Control Research Centers
Home Page - Dana Foundation
Environmental Protection Agency
Health People 2030
International Association for Child Safety
International Association for Suicide Prevention
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International Brain Injury Association
International Brain Research Organization
International City/County Management Association
International Disease Society of America
International Hip Dysplasia Institute
International Nanny Association
International Society for Behavioural Neuroscience
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Juvenile Products Manufacturers Association 
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National Association of State Head Injury Administrators
National Association for the Education of Young Children
National Association for Family Child Care
National Military Family Association
National Automobile Association of America (NADA)
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​
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Window Covering Safety Council
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Zero To ThreeAdvocates for Youth
Association for Behavioral Analysis International
American Academy of Health Behavior
American Academy of Orthopaedic Surgeons 
American Academy of Pediatrics
American Association of School Administrators 
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American Association for Marriage and Family Therapy
American College of Surgeons
American College Health Association
American Congress of Obstetricians and Gynecologists
Association for the Advancement of Automotive Medicine
American Gap Association
American Occupational Therapy Association
American Pregnancy Association
American Pubic Health Association
American SIDS Institute
American Trauma Society
Association of Premier Nanny Agencies
Au Pair in America
Brain Injury Association of America
Certified Horsemanship Association
Children's National Hospital
Children's Hospital of Philadelphia
Children's Hospital Association
Consumer Product Safety Commission 
CDC Injury Control Research Centers
Home Page - Dana Foundation
Environmental Protection Agency
Health People 2030
International Association for Child Safety
International Association for Suicide Prevention
International Behavioral Neuroscience Society
International Brain Injury Association
International Brain Research Organization
International City/County Management Association
International Disease Society of America
International Hip Dysplasia Institute
International Nanny Association
International Society for Behavioural Neuroscience
Governors Highway Association
Juvenile Products Manufacturers Association 
National Association of Elementary School Principals
National Association of Secondary School Principals
National Association of State Head Injury Administrators
National Association for the Education of Young Children
National Association for Family Child Care
National Military Family Association
National Automobile Association of America (NADA)
National Highway Traffic Safety Administration (NHTSA) 
National Child Passenger Safety Board
National Council on Firework Safety
National Independent Automobile Dealers Association 
​National Institute of Mental Health
National School Boards Association
National Oceanic and Atmospheric Administration
​
National Parks Rx
National Concierge Association
Pan American Health Organization
Pediatric Orthopaedic Society of North America (POSNA)
Pediatric Orthopaedic Practitioners Society (POPS) 
PsychoneuroImmunology Research Society 
Public Health Behavior Solutions
Safe Kids Worldwide
Safe States Alliance  
Society for Neuroscience
United States Brain Injury Alliance
Window Covering Safety Council
World Health Organization
World Federation for Mental Health
The World Federation of Public Health Associations
Zero To Three
ORGANIZATIONAL
​PARTNERS

American Camping Association 
American Probation and Parole Association

Association of Independent Commercial Producers
California Hotel & Lodging Association
California Judges Association
Chief Probation Officers of California
Insurance Institute for Highway Safety
Peace Officer Standards & Training (POST)
Probation Parole and Correctional Association
Recreation Vehicle Industry Association
Los Angeles Tourism Convention Board
National Association of Broadcasters
National Association of Trailer Manufacturers
National Drowning Prevention Alliance
​Network of the National Library of Medicine, Organizational Member

GLOBAL NETWORKS

European Agency for Safety and Health at Work
European Centre for Disease Control and Prevention
European Parents' Association
European Road Safety Charter
Federation of European Neuroscience Societies
International Brain Research Organization

National Institute of Statistics
(ISTAT)
​
European Public Health Association
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​
European Youth Forum
PROFESSIONAL SUPPORT SERVICES

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Child Safety on the Homefront-Military Families
Community Benefits (hospitals)
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Day Care
Film Industry - Car Seat Safety
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Hotel Concierge-Car Seat Services
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Library-parent-child workshops
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Publishing Services
Realtors-Home Safety
RV CPS Working Group
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​Vaccine Promotion Task Force
Violator Class-Car Seats
Weather Conditions
Workplace Safety

The organizations, public agencies, and their logos displayed on this website represent our partners whose evidence-based research and collaboration informs our prevention programs; however, they do not provide endorsement.

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Contact
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    • Rear facing >
      • Rear-facing Longer
      • Newborn in Car Seat Video
      • Positional Asphyxia
      • Hip Health
    • Forward-facing
    • Booster
    • Seat Belts >
      • Wear Seat Belt Correctly
      • Buckle Up Every Ride
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    • Airbags
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  • Child Safety Homefront
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    • Home Safety HF
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    • Spica Cast HF
  • Driving Snow Ice
  • Driving Wet Rainy Roads
  • Extreme Heat
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  • Traveling and on the Road
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        • Kitchen
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        • Baby's Room
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        • All Rooms
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        • Children Drown
        • Water Watcher Tag
      • Barbeque
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          • Child Safe Gift Guide >
            • Ages 0 to 3 Gifts
            • Ages 4 to 8 Gifts
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          • Nighttime Routine Holiday
        • Hanukkah
        • New Year's >
          • Tips for the New Year
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      • Skiing and Snowboarding >
        • Children Ski Lessons
      • Sledding and Snow Play
      • Thin Ice Danger
    • Parenting Guide >
      • Pregnancy Safety >
        • Preventing Listeriosis
        • Toxoplasmosis
      • Infants
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      • School Aged
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      • Resources >
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        • College Game Day
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      • CPST Liability
    • Violator Car Seat Class >
      • Preparing for your Class
      • Is Your Child Riding Properly
      • California Law CPS Viol
      • Safety in around Cars
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    • Spica Cast Car Seat Loaner
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      • Carpal Tunnel
      • Eye Exercises
      • Healthy Back
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    • Dating Health >
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        • Think Before Post
      • Community Bully
    • Grief >
      • Letter Release
    • Child Sexual Behaviors >
      • Respond Common Sex Beh
      • Respond Uncommon
    • Healthy Parenting
    • Healthy Eating
    • Physical Health
    • Mental Health
  • Smart Choices Parenting
  • DEI