Published 11 June 2009, doi:10.1136/bmj.b1994
Cite this as: BMJ 2009;338:b1994

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Advise use of rear facing child car seats for children under 4 years old

Elizabeth A Watson, general practice retainer1, Michael J Monteiro, specialist registrar2

1 Sunny Meed Surgery, Woking GU22 7EY , 2 Department of Oral and Maxillofacial Surgery, Royal Surrey County Hospital, Guildford GU2 7XX

Correspondence to: E A Watson eliwat1@yahoo.co.uk

This article explores why it is safer for young children to travel in a rear facing seat until they are 4 years old

The first 150 words of the full text of this article appear below.


Many babies are switched from a rear facing car seat to a forward facing seat at 9 kg (8 months of age for a boy on the 50th centile)
Excessive stretching or even transection of the spinal cord can result if a child is involved in a head-on crash while in a forward facing car seat
Rear facing seats are safer than forward facing seats for children under 4 years old
Parents and guardians should be advised to keep young children in rear facing seats for as long as possible


In many countries it is a legal requirement that children under a certain height or age (1 m 35 cm or 12 years, in the United Kingdom) use child restraints appropriate for their weight while travelling in a car. This significantly reduces morbidity and mortality.1 European car seats for babies and young children are classified as group 0+ (from birth . . . [Full text of this article]


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5-point harnesses and growth charts
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Clare M Rees
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Re: Are rear facing seats available in the UK?
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Does infant seat choice influence driving?
Graeme D Ruxton
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Rupert A Gude
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bmj.com, 20 Aug 2009 [Full text]



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