Safe Transportation of Premature Infants
Committee on Injury and Poison Prevention and Committee on Fetus and Newborn
Increasing survival rates and earlier hospital discharge of premature infants have resulted in babies weighing less than 2500 g being transported frequently in the family car. Provision for safe motor vehicle transportation of this vulnerable population of infants is a major concern of parents and health professionals. The American Academy of Pediatrics Committee on Injury and Poison Prevention and the Committee on Fetus and Newborn believe that specific guidelines should be followed to ensure proper selection and use of car seats and other occupant restraint devices for low-weight infants.
Currently, Federal Motor Vehicle Safety Standard 213, which established design and dynamic performance requirements for child restraint systems, applies to children weighing up to 50 lb, but no minimum weight limit is established in the standard. Most safety restrains on the market are designed for infants weighing more than 7 lb (3.1 kg), and only recently have studies been done which allow some prediction of the protective capabilities of restraint devices for infants weighing less than 7 lb.1,2 Initial research has indicated that some infants, particularly premature, low-weight infants, may be subject to oxygen desaturation when placed in an upright position in car safety seats.3,4 Both rate of growth and neurologic maturation may influence potential risk of respiratory compromise in these and other seating devices. Further investigations will be necessary to precisely define the population at risk and the variety of situations in which risk occurs.
Proper positioning of small infants in car seats is important to minimize the risk of respiratory compromise while providing protection for the infant in the event of a crash or sudden stop.
The following policy statement is a revision:
- Safe Transportation of Premature and Low Birth Weight Infants
- and
Pediatrics 97: 758-760.
This article has been cited by other articles:
 |
|
 |
|
  A Cote, A Bairam, M Deschenes, and G Hatzakis Sudden infant deaths in sitting devices Arch. Dis. Child., May 1, 2008; 93(5): 384 - 389. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. L Tonkin, S. A Vogel, L. Bennet, and A. J. Gunn Apparently life threatening events in infant car safety seats BMJ, December 9, 2006; 333(7580): 1205 - 1206. [Full Text] [PDF]
|
|
|
|
 |
|
 T. B. Kinane, J. Murphy, J. L. Bass, and M. J. Corwin Comparison of Respiratory Physiologic Features When Infants Are Placed in Car Safety Seats or Car Beds Pediatrics, August 1, 2006; 118(2): 522 - 527. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E Pilley and W McGuire The car seat: a challenge too far for preterm infants? Arch. Dis. Child. Fetal Neonatal Ed., November 1, 2005; 90(6): F452 - F455. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. L. Tonkin, C. G. McIntosh, W. Hadden, C. Dakin, S. Rowley, and A. J. Gunn Simple Car Seat Insert to Prevent Upper Airway Narrowing in Preterm Infants: A Pilot Study Pediatrics, October 1, 2003; 112(4): 907 - 913. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. R. Merchant, C. Worwa, S. Porter, J. M. Coleman, and R.-A. O. deRegnier Respiratory Instability of Term and Near-Term Healthy Newborn Infants in Car Safety Seats Pediatrics, September 1, 2001; 108(3): 647 - 652. [Abstract] [Full Text] [PDF]
|
|
