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Car seat Recommendations.

The recommendations change every few years. 
See this American Academy of Pediatric Web site for
current recommendations.

AAP Car Seat Recommendations

Personal Opinion.

Car seat recommendations:

Keeping the head straight:

Now you have seen these standard recommendations, I would suggest you look at your child and use your judgment as to whether your baby should move up to the next seat. I had a patient of mine who weighed 40 lbs at 7 months old.   There is no way he would fit in the seat for his weight. And an infant could be too long and outgrown it's car seat, but the baby is not yet 20 lbs.  I think the seats should be sold based on the length of the baby and not based on the weight. If you baby has outgrown your seat and fits the next size seat, then move him up.  The main idea is that the straps hit his body where they are supposed to make contact in order to hold him in the seat.   It's just common sense. .... We want the lap belt to be over the pelvis and not on top of the abdomen. See the following link to Highway safety research site.

Many authorities recommend keeping them facing backwards as long as they are able to.  It would be safer to keep them backwards to 18-24 months.

Dr. Knapp

Car seat recommendations: http://www.iihs.org/iihs/ratings/child-boosters

Premature care seats.

Some times premes can have low blood oxygen from riding in the car seat because their head to so large for their body.  Their chin gets tilted forward and pinches the airway:

If a role of towel or some pad is placed under their backs so the head falls back, then the head will be in line with the body more anatomically, the airway will stay more open.

One doctor even designed a pad to place under the premature to try and keep the head from falling forward.  You will have to cut your own since they do not sell them.

 

Dr. Knapp