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who weigh less than 5 lb 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