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Home > Services and Specialties > Pediatrics 

Preparing For Baby's First Car Ride

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Child Passenger Safety Checks are offered four weekday mornings, with the exception of holiday weeks, in the lower level of the Conway Parking Garage by appointment. Parents will learn how to use and install their child's car seat safely. First priority for appointments is given to SJMMC patients. Please call 314-961-BABY (2229) to schedule an appointment.

Preparing to Use a Car Seat

  • Discard any car seats over 6 years old or any used seats that the crash history is unknown for.

  • Read the instruction manual that comes with your seat to become familiar with how to use.
image of car seat instructions

  • After buying your car seat, remember to send in the manufacturer’s registrationcard so that you can be notified if the seat is recalled or has other safety problems

  • Make sure the internal harness straps in the car seat are in the lowest position for a newborn. The shoulder straps should be at or below your baby’s shoulders in a rear-facing seat. Refer to the car seat instruction manual on how to move if needed.

  • Use only the accessories that come with the car seat and not any products you purchased separately. These after-market products haven’t been crash tested with the seat.


Installing a Car Seat

  • Install the car seat or base in the back seat of your motor vehicle. Never place a rear-facing seat in front of an active air bag.

  • Read your motor vehicle manual to determine which rear seat position can be used for a rear-facing car seat.

car seat base
  • Use LATCH anchors if both vehicle and seat have them or the motor vehicle seat belt, in the correct marked path on the car seat or base to hold the seat in place. Install tightly by putting your knee in the base or car seat (if no base) and pushing down on it while you tighten the seat or latch belt. The car seat should move less than one inch from side to side at the belt path.

latch image
seat angle image
  • For newborns a rear facing seat needs to be at a 45° angle to keep the baby’s head in position. You may need to adjust the base foot and or use a rolled up towel or pool noodle under the base. Check the car seat for an angle indicator to achieve the correct position.

car seat foot extension

 

 

 

 

Demonstration of foot extension

  • Set up an appointment at an area car seat installer if you have any questions or to doublecheck your car seat installation.

  • If you are expecting, try to arrange an appointment prior to the birth of the baby so your car seat will be ready to go upon discharge.

Positioning an Infant in the Car Seat

  • Position baby in the seat and adjust the internal harness until straps are snug and straight. You can slide one finger between the baby’s shoulders and the straps.

  • The harness retainer clip should be at the baby’s armpit level.

  • If the baby’s head is leaning to one side or there are gaps on the sides of the seat, you can place a rolled up receiving blanket on either side of the baby after they are buckled into the internal harness.Don’t place anything between the baby and the harness straps, or underneath or behind the baby.


  • Place blankets over the baby after the internal harness strap is buckled if needed for warmth. Avoid heavy clothing or coats.

baby in infant seat

Purchasing a Car Seat

  • Buy a car seat a few months before your due date preferably or as soon as possible after the baby’s birth.

baby in car seat
  • Look for a car seat that has a 5 point internal harness. (2 shoulder straps, 2 hip straps, and one center crotch strap)

  • An infant only seat is the easiest seat to use for a newborn, if you can afford to purchase one. Infant seats are used from birth through 20 to 30 pounds rear-facing (baby looks out the rear window) in your motor vehicle. Preferred for premature babies.

  • Convertible car seats are for children from birth through 40 pounds. These seats can be used rear-facing or forward facing depending on the child’s age and size. All children under one year of age and weighing less than 20 pounds must ride rear-facing. These seats are larger and can be difficult to fit a newborn properly.

 


 

 

 




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