5. Confusing strap height advice for rear-facing child
Confusing Strap Height Recommendation for Rear-Facing Newborns (May/June 2004)
The recommendation given in the standardized CPS curriculum and in child restraint instructions calls for strap-height for rear-facing restraints to be positioned at or below the baby’s shoulders. This is an over-simplification that can lead to confusion. In many sets of instructions, there is an absolute statement that the straps “must be at or below the shoulders.”
The acceptance of this concept over the years has led to the design of many products with lower slots than in the past. Many rear-facing CRs now fall well within the acceptable criterion of 10 inches or less set by the AAP in its policy statement of 1996. That 10-inch height was low for products at that time, but is higher than the shoulders of most newborns, especially premature infants.
It can be very confusing for parents to be given a seemingly absolute rule which may not be possible to follow. CPSTs and other educators could simplify the message by encouraging parents to use the lowest available slots until the baby’s shoulders reach the higher slots. They should understand that the closer the slots are to the baby's shoulders the better. However, even if the lowest slots are above the newborn baby’s shoulders, the seat can be used. If there is a wide discrepancy, a different seat could be found (see list, right).
Editors’ Note
Better, simpler wording, in my opinion, would be "use the lowest slots until the baby's shoulders reach the level of the upper slots."