Pediatrics Group Recommends Children Sit in Rear-Facing Car Seats Until Age 2

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Toddlers should continue riding in rear-facing child safety seats until they are 2 years old, according to new recommendations from the American Academy of Pediatrics published in Pediatrics. This represents a change from past convention, in which children were allowed to ride forward-facing when they reached 1 year of age.

Among the other evidence-based recommendations:

    * Children younger than 2 years who surpass the weight and height restrictions for rear-facing seats may switch to forward-facing seats.
    * Children older than age 2 should use a forward-facing seat with a harness for as long as possible.
    * Children who have outgrown their safety seat may transition into a belt-positioning booster seat.
    * Children between 8 and 12 years who are at least 4 feet 9 inches tall may use the vehicle seat belt alone without the booster seat.

The document also includes an algorithm to help practitioners find the best seat configuration based on the child's age, weight, and height.

AAP policy statement in Pediatrics
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AAP technical report in Pediatrics
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