CAR Seat Safety for Premature Babies
Medically reviewed by Drugs.com. Last updated on May 4, 2025.
Premature babies (born before 37 weeks) have a high risk for problems while sitting in a car seat. These problems include periods of not breathing (apnea), slow heart rate, or a low oxygen level. Your baby will be screened for these problems before you take him or her home.
DISCHARGE INSTRUCTIONS:
Call your local emergency number (911 in the US) if:
- Your baby is not breathing or not responsive.
Seek care immediately if:
- Your baby stops breathing for periods of time while in the car seat.
- Your baby's lips or fingers turn blue.
Call your baby's doctor if:
- You have questions or concerns about your baby's condition or care.
Keep your baby safe in a car seat:
- Follow the installation instructions that come with the car seat. The safety seat should not move more than 1 inch in any direction after you secure it. Always follow the instructions provided to help you position the car seat. The instructions will also guide you on how to secure your child properly.
- Always place your baby's car seat in the back seat. The best spot to place your baby's car seat is in the middle of the back seat. Never place your baby's car seat in the front seat. This can cause serious injury or death.
- Make sure the harness straps are not loose. Make sure the chest clip is at the center of your baby's chest. The chest clip should be at the same level as your baby's armpits. Make sure your baby is dressed in thin layers of clothing while in the car seat. Thick coats or jackets can cause the straps to be too loose in an accident. You can place a coat or blanket over your baby's lap after he or she is secured in the car seat.
- Prop rolled towels around your baby. The towels will keep him or her from slouching or falling over in the seat. Do not put the towels under or behind your baby. Do not use a seat insert unless it came with the seat.
Follow up with your baby's doctor as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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