5
4
Before using this child restraint for preterm or low birth
weight infants, ensure the Child Requirements are met and
follow the guidelines in this section.
According to the U.S. National Highway Traffic Safety
Administration, a properly installed child restraint reduces
the risk of death by over 70 percent for infants involved in
crashes. Federal Motor Vehicle Safety Standard (FMVSS)
213 establishes design and dynamic performance
requirements for child restraint systems. However, the
standard has no minimum weight limit and does not
address the special medical needs of preterm or low-
birth weight infants. To ensure that preterm and low-
birth weight infants are transported safely, the guidelines
published by the American
Academy of Pediatrics (AAP) in Pediatrics 2009; 123:
1424–1429 must be followed.
All children should ride rear-facing in the vehicle as long
as possible. Preterm and low-birth weight infants are at
additional risk of breathing difficulties and heart problems
when placed in a child restraint. Evenflo requires that the
evaluation recommended by the AAP be conducted for all
infants born earlier than 37 weeks and all newborn infants
who weigh less than 5 pounds at birth before their first car
trip to check for breathing difficulties or heart rate problems
when traveling in a rear-facing child restraint.
The AAP recommends that appropriate hospital staff
observe your infant in the child restraint for a period of
90 to 120 minutes or the duration of travel, whichever
is longer. This period of observation must be performed
with the infant properly positioned as described in these
instructions and with the child restraint placed at an angle
that is approved for use in the vehicle. The hospital staff will
check for any breathing difficulties or heart rate problems.
Your child’s pediatrician will let you know if there are
any special considerations for travel. The number of trips
and the duration of time the infant is seated in the child
restraint should be minimized. A caregiver should ride in
the back seat to monitor the infant during travel.
You can learn more about the AAP’s recommendations
for observation of newborns and the guidelines for safe
transportation of preterm and low-birth weight infants, as
well as other resources for parents and medical
professionals, at
https://www.healthychildren.org/english/safety-
prevention/on-the-go/Pages/default.aspx
PREMATURE INFANT USE
Important
CHILD REQUIREMENTS
Warning: Failure to follow these Child Requirements could
result in serious injury or death.
This child restraint is designed for use by children in both
rear-facing and forward-facing orientations. To use this
child restraint properly, children
MUST
meet the size and
age requirements below. In addition, Evenflo recommends
consulting with your child’s physician before allowing your
child to transition from rear-facing to forward-facing
use of this child restraint.
The American Academy of Pediatrics (AAP) recommends
keeping children rear-facing until 2 years old or until
they reach the maximum height or weight for their child
restraint in rear-facing orientation. Additionally, some
states’ laws require children to be rear-facing until age 2.
Accordingly, you will see this guidance reflected in the Child
Requirements below. Please review any applicable local,
state or provincial laws related to child passenger safety
before installing and using this child restraint.
Rear-facing
• 2.3 to 18 kg (5 to 40 lbs)
• 48 to 94 cm (19 to 37 in.) and top of child’s head is at
least 25 mm (1 in.) below the top of the child restraint
seat back
IMPORTANT: Once your child exceeds any of the size
requirements above, they
MUST
use this child restraint
in the forward-facing orientation, if possible. If your
child exceeds any of the size requirements above and
is less than 2 years old, however, you
MUST
discontinue
use of this child restraint.
Forward-facing
• 10 to 29.4 kg (22 to 65 lbs)
• 71 to 127 cm (28 to 50 in.) and tops of the child’s ears
are at or below the top of the child restraint seat back
• At least 2 years old
IMPORTANT: Once your child exceeds any of the
size requirements for forward-facing use above, you
MUST
discontinue use of this child restraint. Consider
use of a booster seat at that time.
