PREMATURE INFANT USE
Before using this child restraint for preterm or low
birth weight infants, you must read and follow the
guidelines in this section.
According to the U.S. National Highway Traffic Safety
Administration, a properly installed child restraint re-
duces 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 2.26 kg
(
5 lbs) at birth before their first car trip
to check for breathing difficulties or heart rate prob-
lems 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
http://www.aap.org/healthtopics/carseatsafety.cfm
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