Research Papers

Innovations for children's safety in vehicles: Preterm infants and car seat safety in the NICU

Filename Moher.pdf
Filesize 241 KB
Version 1
Date added June 6, 2010
Downloaded 1 time/fois
Category 2010 CMRSC XX Niagara
Tags Session 4C
Author/Auteur Catherine Moher, Brenda Vrkljan, Anne Snowdon, William Altenhof


Motor vehicle crashes remain the leading cause of death amongst infants and children in North America. Proper use of car seats can reduce injury by 69%, yet up to 85% of infant restraint systems are used incorrectly. The preterm infant population (< 37 weeks gestation at birth) is at higher risk of adverse cardio-respiratory effects when placed in a semi-upright position; typical in infant car seats. Current restraint systems are designed for the average newborn (5 lbs-20 lbs). Preterm infants can be discharged home weighing less than 5 lbs. Although interventions for evaluating these infants while in a car seat have been implemented in some neonatal intensive care units (NICU), consistent guidelines have yet to be developed. Registered nurses (RNs) in the NICU setting are uniquely positioned to offer every parent infant car seat safety information. This paper is a scoping review of the literature concerning preterm infants and car seat safety. The process in which the scoping review was conducted is outlined to support rigor and reliability of this review. Results of the consultation phase with registered nurses in the NICU is explored and shared from an "expert" perspective. Many areas of this topic remain undiscovered, therefore suggestions for future research are offered in an effort to resolve safety issues for this population in the years to come.

Catherine Moher, Brenda Vrkljan, Anne Snowdon and William Altenhof