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Esme reading a book while waiting in the parking lot for Daddy. |
Prior to 2011 the AAP had said that the minimum for flipping a child was 1 year and/or 20 pounds, which is reflected in many state laws. In April of 2011, the AAP revised their recommendation to a minimum of 2 years.
Wait, 2 years, with no weight limit? What?
The reasoning for that comes from a little lesson in human development. Babies' (and toddlers') necks are cartilaginous, meaning their necks, holding their big 'ol bobble heads to their body, are largely cartilage as opposed to hard boney material. Around 2 years old is when the important process of ossification (cartilage turning to bone) begins. Note: it is when it begins, it can take until 3-6 years to actually complete. Before ossification happens, children are at a much higher risk for severe spinal injury. One haunting term that is commonly used is "internal decapitation". This is why it doesn't really matter if your 18 month old child is the size of a 3 year old, chances are they still haven't reached that important developmental milestone.
According to the Journal of Injury Prevention (per CNN), children rear facing before 2 years old are 75% less likely to die or be severely injured in a car accident as opposed to forward facing. I am going to say that number again: 75 percent! Furthermore, carseat.se says that out of 100 children in an accident, only 8 rear facers will be seriously injured or die. This is opposed to 40 forward facing children who will be seriously injured or die in an accident. For the record, that is a 500% increase. For illustration purposes, I made this representation of that data:
The two most common arguments I hear against extended rear facing are, firstly, "doesn't that put them at a greater risk of leg or hip injury?". To which I answer, "I am not sure, I do not have the statistics on that, but a broken leg or hip is much better than a broken neck. Some extended rear facing die-hards have asked, 'cast or casket?'". The second most common question is, "Well, won't they get bored facing backwards, don't they need to be stimulated more?", to which I say, "they can be plenty stimulated while rear facing. Provide books, toys, and sing songs with them in the car". Again, to me it isn't worth the risk. I would rather Esme scream from boredom on a 13 hour car ride than take the chance of a serious injury.
The fact of the matter is rear facing is safer for everybody. You, me, my grandma, your uncle, my husband's eighth cousin once removed, everyone would be better off rear facing. However, that is not logistically possible. It is possible, however to keep toddlers rear facing. Again, the American Association of Pediatricians is a huge panel of doctors (60,000 primary care providers, surgeons, and specialists) say that children should be rear faced as long as possible and definitely not before 2 years old.
