Getting Ready for Birth

Getting Ready for Birth

Car seat: choosing, installing, getting it checked

Every car seat sold in the United States passes the same crash test. The install is what fails. A CPST checks it free in minutes.

General research · seeking a stewardpregnancyAlso searched as: car seat install, CPST, infant seat

What it is

An infant seat is a rear-facing bucket that clicks into a base. A convertible seat stays in the car and later turns forward. Both are safe for a newborn. Nurses cannot install it for you. Price does not buy safety. Every seat sold here meets the same federal standard. A correct car seat install is what matters.

What's typical

Install the seat by 35 or 36 weeks. Babies ride rear-facing as long as the seat allows, usually to age 2 to 4. California law requires rear-facing until age 2 unless the child is over 40 pounds or 40 inches. In NHTSA checks, close to half of seats are used wrong: a loose base, a loose harness, a chest clip on the belly, a puffy coat under the straps.

What's known

The AAP and NHTSA agree on the basics. The seat should move less than an inch at the belt path. The harness sits at or just below the shoulders, snug enough that you cannot pinch a fold.

What helps

  • Find a certified child passenger safety technician, or CPST. Safe Kids and many fire stations run free checks.
  • Read the seat manual and the car manual together. The car manual says where the anchors are.
  • Practice buckling a stuffed animal first.

When to call someone

  • Nowpull over if the baby slumps chin to chest, turns pale or blue, or stops responding. Call 911 if color does not return at once.
  • Todaythe seat was in a crash, or you find a recall notice. Call the maker.
  • At your next visitask about a car seat test if your baby is early or small.

Who helps

Car seat technician (CPST)PediatricianFamily and community resources

Tools: Postpartum Prep Checklist · Birthworker Directory

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Sources

  • American Academy of Pediatrics — Car seats: information for families
  • National Highway Traffic Safety Administration — Car seat inspection station locator and installation guides
  • Safe Kids Worldwide — Car seat checkup events

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