Rear-facing: why and how to make it work!

All rear-facing! 4 years old, 11 months old, and 2.5 years old

The message to rear face a child well past the legal bare minimum of 1 year old and 20lbs and instead to age two seems to be getting out there into mainstream media, which is great.  But did you know that current recommendations are to rear face for as long as possible to the limits of your seat?  With many seats on the market now easily able to accommodate children to age three, four, or longer, many people wonder why. Isn’t it hard to do? Don’t kids get uncomfortable?  This article will attempt to explain the significant safety benefits of rear facing your children, and how to accomplish it as smoothly as possible.

Legal bare minimums to forward face vary from province to province but generally are somewhere in the neighbourhood of age 1 and 20lbs. Transport Canada has set new (as of Jan 1 2012) standards to which manufacturers must test and produce their seats, and they set a minimum of 22lbs and walking unassisted.  Manufacturers may set additional limits as well regarding age, weight, or developmental milestone.  A parent or caregiver must adhere to the strictest of the combined conditions for the province in which they are in.

That, however, is the bare minimum. And when it comes to child safety, what parent wants the bare minimum? Regarding the most dangerous place kids are every day — the car — it IS possible to well-protect your children if you understand why current recommendations are what they are.

Two major studies influenced the “until age two” recommendation.  One from Sweden, where most children rear face to at least age four (and have the seats to accomplish that) and then transition directly to a booster seat, and another from US traffic safety data from 1988-2003.

Traffic safety data from the Swedish study show an amazingly low frequency of child fatalities in car crashes between 1976-2000; of nearly 4,500 children involved in collisions there was only one fatality of a child in a rear-facing seat.  It’s not easy to directly compare Swedish statistics to Canadian ones as the cars, roads, driving habits, drivers, types of restraints, and longevity of rear facing vary greatly, but that statistic is compelling.

The study referencing US traffic safety data from 1988-2003 examined crash data from cars, light trucks, and SUVs.  The study looked at the effectiveness of rear- and forward-facing child restraints for children aged 0-23 months.  It found that children in forward-facing restraints were significantly more likely to be injured in all types of crashes; the difference was particularly evident in side-impact collisions (less frequent but more deadly than frontal or frontal-offset crashes) where rear-facing children were 532% safer than those in forward-facing seats.  It also found that some forward-facing children would have lived had they been restrained rear-facing.

The large US study is where the “rear face to age two” message originated — the study didn’t go beyond that age bracket.  In 2003 there was very little on the market that would have permitted the average child to rear face much beyond that, with many kids turned before that benchmark once they’d outgrown the available options.  Given the availability of restraints today that can accommodate the average child rear facing to the age of four it would be very interesting to see what the crash statistics would look like for the period of 2003-2013.

The physics of rear versus forward facing are undeniably convincing. In a frontal impact (for which cars and car seats are designed as most crashes are frontal or frontal-offset),  a rear-facing restraint spreads the crash forces across a child’s head, neck, shoulders, and back, cradled and protected by the shell of the car seat.  The concept was developed in Sweden in the 1960s, with inspiration from the Gemini mission astronauts for their take-off and re-entry.  In contrast, a forward-facing restraint holds back the body but not the head, and the weak neck and heavy head focus a great deal of force on the spinal cord.

This video illustrates the differences in how a child moves in frontal collision seated in a forward-facing restraint and a rear-facing restraint. Please note it is foreign (and therefore details like harness height relative to shoulders is different from how we do it, and there’s no chest clip) and an animation, but the physics remain the same!  Watch here: Rear vs foward facing animation

 

Babies have markedly different body proportions than adults, with a large and heavy head making up approximately 25% of their body weight.  An adult male’s head comprises only about 6% of body weight.  The Swedish study found that children are better protected if they ride rear facing up to an age and size when the size/weight of the head is proportionally less and the neck is much stronger, to at least age 3-4.  If a child is faced forward too soon, a hideous injury referred to as internal decapitation can occur, where the bones and muscles stretch in a crash, but the spinal cord in the neck does not.  It is as horrific as it sounds.

 

Transport Canada, the Child Passenger Safety Association of Canada, and child passenger safety advocates everywhere encourage parents to keep children rear facing until they outgrow their restraint, and promote shopping for an infant/child seat that will accommodate your child for as long as possible.  For many children this is realistically beyond age four.  Parents often worry about their child’s legs at this age – what on earth do they do with them?!  Won’t they break in a crash?  Research indicates that injuries to the legs are uncommon in rear-facing children, with a greater frequency of injuries in forward-facing children.  Remember that in a crash everything moves towards the point of impact, so in a frontal crash everything goes forwards, including legs.  Rear-facing car seats are designed to best protect the head, neck, and spine; even if legs were injured in a crash, they’re much easier to fix than a head or spinal injury.  Leg room varies greatly from car seat to car seat, so that is one factor to consider when shopping.  Kids are much more flexible than adults, and can sit in ways where we would be very uncomfortable.

When transitioning from the infant seat (or shopping for an infant/child seat right from the start – some DO fit newborns quite well!) look carefully at your child’s build: height, torso height, and weight.  Average to small kids have plenty of options; tall and long-torsoed kids have far fewer options for seats that will take them well past age two rear facing.  Look at your child’s growth pattern on a growth chart to get a sense of how old s/he will be at a certain height, and then shop for a seat that has both a high standing height limit for rear facing AND a tall shell.  Before you buy it absolutely try it in your vehicle, and install it.  Try it in various seating positions, install with both UAS and then the seat belt (not both at the same time), and then try it forward-facing too.  The BEST car seat is the one that fits your child, your budget, your car, and that you will use correctly every single time.  It does not need to be the most expensive one or the one with the prettiest cover. What does a bit of extra money get you? Read here.  All seats for sale in Canada pass the same crash tests, and it’s a pass/fail system.  Most manufacturers don’t release their crash test data, so we don’t know how a particular seat performs beyond that it passes.  It’s also important to remember that you don’t drive a test sled, your child is not a fibreglass dummy, and you don’t get to pick your crash!

The logistics of how to rear face a child beyond the minimums will be simple for some, and a barrier for others.  Living in a cold or wet climate means dealing with boots.  It’s easy and generally more comfortable for the child to remove them altogether while in the vehicle.  Carrying a child out to the car and bringing boots with you minimizes mess (but don’t forget to bring them…oops, learned from experience!).  Getting a seat protector for where your child’s feet rest (NOT for under the seat) helps keep upholstery clean, but a simple fix for captain’s chairs is to fit an old t-shirt over the seat, popping the head rest right through the neck hole. Easy to throw in the wash when it gets dirty.

Once kids are agile enough to do it they usually like to climb in themselves…writing this I am hearing “I do it MY SELF!” as my youngest will shriek if I try to lift her in.  Hoisting a heavy child up and into a seat can be challenging, but let them learn to scamper up and you’ll save your back (but yes, quite possibly try your patience). Once a child has excellent head control their seat, if it allows it, can be installed at a more upright angle.  This means more room for driver and front passenger, and most older kids prefer a more upright angle. This is another factor to consider when shopping, and generally if you can fit an infant seat in your vehicle (that does require a very reclined angle to protect that newborn airway) you can fit a larger infant/child seat installed more upright.

Most children do go through a phase of complaining in the car seat, and don’t be tricked into thinking that forward facing them will solve the problem entirely.  The novelty of it may distract them for a while, but often it’s a phase of independence, and not liking being restrained at all in any orientation.  It is a critical safety decision to keep them rear facing despite their protests and it’s not their decision to make — don’t mistake comfort for safety. Parents make other safety choices for their kids all the time, despite their protests: No, you may not play with the sharp knife. No, you may not eat the whole bottle of vitamins. No, you may not run out into the street just because it looks fun.  Sorry kid, not your decision.  Try some new music, a car-seat-only soft toy, or even a soft, lightweight mirror so you can see each other. Do be aware that a mirror is a potential projectile in a crash, and your child’s face may impact it upon rebound in a crash, but it’s less of a safety risk than forward facing at a young age.

Have you already turned your child forward? It’s okay to turn them back. Make it fun and a novelty. Many kids aren’t bothered at all by the switch. Is your child outgrowing their infant/child seat rear facing but you’re not ready to go forward facing yet? It’s okay to consider a higher capacity seat to rear face for longer, but if that’s not possible for you don’t feel guilty – you rear faced your child to the limit of their seat, which IS the recommendation.

Take home message: Rear face for as long as you can.  Shop carefully for an infant/child seat that will take you to your rear facing goals, and plan ahead so you can watch for a sale (we announce them every Friday on our Facebook page).  Read your car seat and vehicle manuals carefully.  Need some install help? Check out our YouTube videos for some guidance, and after all of that it doesn’t hurt to meet with a tech for a check even if you think everything is perfect.  (Not on Vancouver Island? Chances are we know of a tech near you, so ask on our Facebook page and we’ll connect you with someone).

We’ve since written a follow-up article going into some technical details of rear facing, including elements not covered here. It was getting kind of long as it was!

Thank you to those who provided photos of rear facing kids of a range of ages and in a variety of seats!

 

We’d love your feedback on this article – if you have a moment please leave a comment.

 

13 comments to Rear facing: why do it and how to make it work!

  • ms jay Elle

    I’m currently not living in bc (But am from there) and it is amazing, shocking and appalling at how many mothers in my area are turning their child around at even as young as 7 months of age cuz they met two of the requirements. Which were in most cases, height and weight. I’m so glad i read your article because i now am armed with new information. I have always planned to keep my son as rear facing as possible.
    Thanks.

    • Jen

      I am shocked that some people think it’s ok to judge other peoples parenting skills based on a car seat! Surely we all want what is best for our little ones! I think most people go by government regulations. I certainly did I my little one loves being in the car forward facing so he can look out and see what’s happening. We put him in the forward facing seat once he had outgrown (weight and size) his 1st car seat! I certainly don’t think this was the wrong decision! I actually think the forward facing seat is much safer as you can see your little one much easier with out having those awkward mirrors that move all the time!

      • jshapka

        Unfortunately government regulations are W-A-Y behind best practice. Thankfully manufacturers are producing seats that can and do keep kids rear-facing for a good long time, and it’s up to advocates and techs like ourselves to get the message out to parents. Forward-facing is absolutely not as safe as rear-facing. There is zero evidence supporting this. A driver really shouldn’t be turning around to see any child as ideally the goal is to not get in a crash in the first place. Mirrors are not recommended either, for both the risk of distracted driving, and the risk of the rear-facing child’s face impacting it during rebound.

      • Jen

        If you think forward facing is safer I suggest you log on to you tube and check out the crash test videos.

  • alex

    i’ve got so many friends who also turned their children before a year because of the convenience. or because their child wasn’t happy rear facing. I think parents who change their childrens carseat that early are downright idiots. they don’t seem to care about their childs safety!

    • Charis

      Or, instead of them being idiots and not caring if their child is injured or dies, perhaps they are simply misinformed or unaware.
      Thank you Vancouver Island Car Seat Technicians for doing your best to educate people.
      I appreciate the work that you do.

  • Kelly

    I always followed the public health nurse advice and used the one year and 20lb rule. But now that my 3rd child is rear facing I am shocked by the inconsistent info on the subject. Our first was born in the yukon, second in bc and now our third in alberta. The “rules” I am finding are guidelines really. All I can say is do what you feel is right for the fear facing subject and look forward to all the rules and guideline inconsistency on booster seats! Those seem to be worse! And parents are worse with the safety of this age group I have seen kids with no seat or sitting up front with airbags and booster seats! So I have taken the stance that I will do what I feel is best for my children and keep my comments to myself about what others think is right for their kids because safety is NOT the big deciding factor its connivance and that is wrong to me and if asked I will tell them what I think!

    • jshapka

      You seem to have discovered that different provinces/territories have different laws — Alberta, for example, has no booster law, but that is a huge disservice to kids in that province who are unsafe because of it. Beyond the bare minimum laws there’s best practice, which is what we advocate, and there’s a massive gap between those two. Considering that car crashes are the number one cause of accidental death of kids across the country we feel it’s vitality important to improve awareness, education, and reduce misuse as well as promoting practices that go well beyond the bare minimum safety standards, because who knowingly wants the bare minimum for their kids? Provinces by and large don’t do a lot of outreach programs (utilizing social media, speaking to parent groups, etc) and it’s advocates (volunteers) like us who do.

  • Katie

    I had been told by my family physician to keep the child rear-facing until their feet touch the regular seat. However, I see in these pictures that a lot of the rear-facing children’s feet are touching and bent because the legs are too long. How do you feel about this? What negatives are their for the children to have their legs bent in the car?

    • jshapka

      Absolutely none that I’m aware of, with the exception of a child with a pre-existing medical condition or physical requirement NOT to sit like that. Notice how kids tend to sit when not in the seat and you’ll find it’s quite similar to how they need to bend their legs while harnessed rear-facing. I’m afraid that your family physician was grossly outdated with the information given – perhaps s/he would be receptive to current, best-practice oriented information to share with other families? If so this tri-fold brochure is a great, concise resource, and can be shared and distributed at will! http://canadiancarseatnetwork.com/wp-content/uploads/2013/12/CPSAC-CCSN-trifold-brochure.pdf

  • Jenn

    Hi! Just wondering what vehicle and car seats are used in the 1st picture. It looks like
    They are all radians to me, but not 100%.
    Also, do you know the hip room of the vehicle pictured?

    I have a 2012 Subaru outback and currently have 2 yr old twins. We are expecting our 3rd in Feb and I need to figure out if 3 RF will work. We currently have the twins in Britax Marathons, but thinking they need to go. The infant seats we have are graco snug ride. Thinking they will not work either.

    Someone suggested that we get one radian and place that behind the DS, marathon in the middle and infant seat behind the PS.

    • jshapka

      Hi Jenn – the picture does indeed show all three Radians, but that is a full size pick-up truck. I would suggest posting instead on our Facebook Page where it is much easier to reply to questions. Please include the weight and height of the kids, and exactly which Marathon and which SnugRide versions you have. Thanks!

  • [...] high rear-facing specs make the Rainier/Pacifica/Olympia a definite contender for those wanting to rear-face well past the minimums as is currently recommended by everyone.  MOST kids will reach the height limit before the weight [...]

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