Most New Parents Installed Newborn Car Seats Incorrectly

Car seat misuse occurred in majority of first trips home from hospital

/ Author:  / Reviewed by: Joseph V. Madia, MD Beth Bolt, RPh

(RxWiki News) The first trip home from the hospital with a newborn can be a great moment in a new parent's life. But, without proper car seat use, it can also be dangerous. Many parents may be incorrectly using car seats.

A new study looked at incorrect car seat use among new parents.

Almost every parent surveyed had incorrectly installed or positioned the baby's car seat.

The authors of the recent study, led by Benjamin Hoffman, MD, FAAP, of the Doernbecher Children's Hospital, assessed the car seats of 267 mother-infant pairs leaving the Oregon Health and Science University Hospital.

They found that almost all of the parents made at least one critical mistake with their baby's car seat. Mistakes ranged from the seat's harness being too loose to the seat not being angled correctly.

The authors said all parents should ensure that their car seats are properly installed and positioned to avoid infant injury and death.

"We need to move beyond the idea that we cannot afford to develop and support child passenger safety programs," Dr. Hoffman said in a press release. "Car crashes kill more kids that any other cause; we can't afford not to."

Car seats should face the rear of the car and be installed according to the car seat's manual, the study authors wrote. Also, the harness should be snug and the retainer clip should be at chest level.

For the study — to be presented at an American Academy of Pediatrics (AAP) conference — the authors surveyed parents leaving the hospital with their newborns. They asked them how confident they felt about their car seats.

Then, a certified child passenger safety technician checked the car seats.

Although 79 percent of parents felt "somewhat or very confident" that the car seat was installed correctly, 95 percent of the car seats had one or more critical errors.

Common mistakes included incorrect angling (36 percent), a loose harness (69 percent) and a loosely installed seat (43 percent).

The authors noted that parents who had asked a certified car seat technician to check the seat prior to the child's birth were 13 times more likely to use their car seats correctly.

The study authors will present their research Oct. 13 at the AAP National Conference & Exhibition.


Review Date: 
October 10, 2014
Last Updated:
October 13, 2014