Know the Facts About Booster Seats
NHTSA recommends that children ride in a child safety seat with
a harness until their shoulders are above the top set of strap slots
(usually until they are 4 years old). The harness provides upper
torso, head, and neck protection. When children have outgrown their
safety seat, they should ride in an age/size appropriate restraint,
such as a belt-positioning booster seat.
"Adult seat belts do not properly fit
young children. The lap belt rides up around the child's waist
and the shoulder belt crosses the face or neck, often causing
the child to place the belt behind his/her back or under his/her
arm. This reduces the effectiveness of the belt and compromises
the torso restraint. As a result, the "premature graduation"
from a child safety seat to adult seat belts can cause significant
injury in the event of a motor vehicle crash."
(Winston et al. (2000). The danger of premature graduation
to seat belts for young children. Pediatrics, 105(6):1179-83) |
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What Is an Age/Size Appropriate Belt-Positioning
Booster Seat?
A belt-positioning booster seat (BPB) is a type of child safety
seat that elevates and positions children so that the vehicle lap
and shoulder belt fit them properly. Children who have outgrown
their convertible (converts from rear-facing infant to forward facing)
or forward-facing-only child safety seats but are too small to ride
safely in adult safety belts should be properly restrained in these
seats.
A BPB is typically recommended for children who are 4 to 8 years
old or who weigh at least 40 pounds and are up to 4 feet 9 inches
tall.* BPBs must never be used with a lap belt
only. A proper fit is obtained when the lap belt fits across the
hips and the shoulder belt fits across the child's shoulder and
chest. There are two major types of BPBs:
- Booster seats without a back (backless
or low-back) are used in vehicles with a high seat back in which
the child's head can be supported (up to the top of the ears) by
the vehicle seat back or head restraint.
- High-back booster seats are used in vehicles
with a low seat back in which the child's head cannot be supported
by the vehicle seat back or head restraint; some models have a
removable back (to allow usage in vehicles that can support the
child's head and neck). Appendix A contains
pictures of the major types of booster seats.
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What If a Vehicle Has Lap-Only Safety Belts
in the Rear Seating Positions?
Booster seats must be used with a shoulder and lap belt, never
with a lap belt only. Although shoulder belts cannot be added to
the middle seating position of the back seat of older vehicles,
many automakers offer "retrofit" kits for installing
shoulder belts in the outboard (next to the window) seating positions.
Fortunately, there are alternatives for those who are unable to
obtain and/or install retrofit shoulder belts in their vehicles.
Some child safety seat manufacturers make
child safety seats that accommodate children weighing up to 80 pounds.
These seats can be properly installed using the lap belt only.
Another alternative is the harness/vest, which includes a tether
strap that must be attached to the top tether anchor on the shelf
behind the back seat. These vests have two rings at the bottom to
allow for use with the lap belt.
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How Do Parents Know When a Child Is Ready To
Use an Adult Safety Belt?
Children who reach a height of 4 feet 9 inches before their eighth
birthday may be ready for adult safety belts. They can move to a
safety belt when they can place their back firmly against the vehicle
seat back cushion with their knees bent over the vehicle seat cushion.
The lap belt must fit low and tight across the child's upper
thighs. The shoulder belt should rest over the shoulder and across
the chest. Never put the shoulder belt under the arm or behind the
child's back.
A
NHTSA brochure, titled
Are You Using It Right? is another source to help the parent/caregiver
understand the correct child restraint for his/her child. |
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Facts About Child Safety Seats
Infants, from birth to age 1 weighing up to 20 pounds should ride
rear facing in the back seat in either an infant only, rear-facing
safety seat or a convertible safety seat.
- Harness straps should be at or below the infant's
shoulders.
- Harness straps should fit snugly. The straps
should lie in a relatively straight line without sagging.
-
The harness chest clip should be placed at the infant's armpit
level. This keeps the harness straps positioned properly.
- Infants weighing 20 pounds or more before age 1 should ride rear
facing in a convertible child safety seat rated for heavier infants.
(Some convertible seats are rated up to 35 pounds rear facing.)
Children older than 1 year who weigh at least 20 pounds may ride
in a forward-facing child safety seat in the back seat. Children
should ride in a safety seat with a harness until they weigh at
least 40 pounds.
- Harness straps should be at or above the child's
shoulders.
- Harness straps should be threaded through the
top slots, in most cases.
- Harnesses should be snug. Straps
should lie in a relatively straight line without sagging.
- Harness chest clips should be at the child's armpit level,
which helps keep the harness straps positioned properly on the child's
shoulders.
Along with these recommendations, parents and other caregivers
should always be told to read and follow the child safety seat and
booster seat manufacturer's instructions, as well as those
in the vehicle owner's manual.
*NHTSA recognizes that proper fit does not depend
solely on age. In general, children who have outgrown child safety
seats should be properly restrained in booster seats until they
are at least 8 years old. However, children who reach a height of
4 feet 9 inches before their eighth birthday may be ready for adult
safety belts.
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