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PREMATURE INFANT USE
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% 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 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
•
DO NOT
use this or any other child restraint with a premature
infant until after consulting your doctor. Premature infants may
have difficulty breathing when in a sitting position.
Premature Infants
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