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Main Page Site Index Getting Pregnant Pregnancy Parenting Pregnancy and Parenting Journals Fertility Nutrition Pregnant Moms Morning Sickness Women's Health Child Health	CDC Recommends Booster Seats for Children An article published in the February 5, 1999 MMWR, 48(4):83-841, recommends that parents use booster seats when driving with children who are older than 4 years, weigh more than 40 pounds and have outgrown their child safety seats. These recommendations were issued in observance of National Child Passenger Safety Week (February 14-20, 1999), by a partnership between CDC's National Center for Injury Prevention and Control, the American Academy of Pediatrics, the Society of Automotive Engineers, Inc., the National Highway Traffic Safety Administration, and the National Transportation Safety Board. What is a Booster Seat? Belt-positioning booster seats are designed to raise children up on the car seat so that the lap/shoulder belts fit correctly. This is the preferred type of booster seat and requires a lap/shoulder belt in the back seat of the vehicle. Shield booster seats have a plastic shield in front of the child. These seats offer less protection, however, and the report recommends they only be used with the shields removed so that they function as belt-positioning booster seats. Why Use a Booster Seat? In the United States, 1,791 children younger than 15 years were killed and 282,000 were injured as passengers in motor vehicle crashes in 1997. Among 5-9 year old passengers, 46% of those involved in fatal crashes were unrestrained.2 Who Should Use a Booster Seat? Children should start using a booster seat when they grow out of their convertible child safety seats -- when their ears are level with the top of the back of the safety seat and their shoulders are above the top strap slots, or when they reach the upper weight limit for the seat. Children should use a booster seat until the lap/shoulder belts in the car fit properly -- when they are at least 58 inches tall, have a sitting height of 29 inches and weigh 80 pounds (with clothing on).3 To ride comfortably and safely, children must be able to bend their knees over the edge of the seat while sitting with their backs firmly against the seat back. In most cases, this means that children 10 years old and younger should be using a booster seat. Where Should Booster Seats be Placed in the Car? All children 12 years and younger should ride in the back seat whenever possible, regardless of whether they require a booster seat. For More Information: Check out the following websites to learn more about child passenger protection and age/weight-specific recommendations: American Academy of Pediatrics Society of Automotive Engineers National Highway Traffic Safety Administration National Transportation Safety Board National Center for Injury Prevention and Control 1 Centers for Disease Control and Prevention. National Child Passenger Safety Week-February 14-20, 1999. Morbidity and Mortality Weekly Report, 1999;48(4):83-84. 2 US Department of Transportation, National Highway Traffic Safety Administration. Children. Traffic Safety Facts 1997. Washington, DC: US Department of Transportation, National Highway Traffic Safety Administration; 1998. 3 Klinich, KD, Pritz, HB, Beebe MS, et al. Study of Older Child Restraint/Booster Seat Fit and NASS Injury Analysis. National Highway Traffic Safety Administration Final Report, DOT HS 808 248, November 1994. For more information about these recommendations, contact Kyran Quinlan, MD, MPH, at the Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention, 770/488-4648, kaq0@cdc.gov. To learn more about this and other activities at NCIPC check out our website at: http://www.cdc.gov/ncipc.