Car Seats: From Turning Around to Moving to the Front Seat

A baby in a car seat in Texas.

Choosing the right car seat as your child grows is essential to keeping them safe on every ride. In this article, we explain the American Academy of Pediatrics (AAP) recommendations for using rear-facing car seats, forward-facing seats, and booster seats, plus tips on installation, transitions, and protecting your child’s safety in all types of vehicles.

Need more guidance? Pediatric Associates of Austin offers in‑office car seat consultations and hands-on car seat checks in Austin, Texas. Our providers can make sure your child’s seat is correctly installed and ready for every trip. Contact us today. 

Types of Car and Booster Seats (AAP‑Aligned)

The AAP recommends keeping kids in the safest option for as long as possible. That means matching the seat to your child’s age, weight, and height limits, and how they ride best. These are the following types of car seats are available for children:

Infant‑Only and Convertible Rear‑Facing Car Seats

  • Rear-facing is the safest way to ride for children younger than age 2, and even longer if your seat allows. Infant seats are designed only for the rear-facing position, while convertible seats can transition from a rear-facing to a forward-facing seat later on.

Forward‑Facing Car Seats

  • Once your child outgrows the rear-facing seat based on the manufacturer’s instructions and the vehicle owner’s manual, they move into a forward-facing seat with a 5‑point harness.
  • Attach the top tether to the vehicle’s tether anchor for added crash protection.

Booster Seats

  • After the forward-facing harness stage, children need a booster seat to help the vehicle’s seat belt sit correctly. The booster raises the child so the lap belt fits across the upper thighs and the shoulder belt crosses the middle of the shoulder and chest, not the neck or stomach.
  • A booster stays in use until the seat belt fits properly without it, usually around age 8–12 years and 4’9” tall.

Safety reminder: Never place a seat on the rear shelf or any surface not designed for passengers, and take extra care in pickup trucks, where airbags and seating layouts may differ.

Car Seat Recommendations & Guidelines (Based on AAP)

To keep your child safe while travelling, follow the guidelines below for each stage:

Infant‑Only and Convertible Rear‑Facing Car Seats

The AAP advises keeping children in the rear-facing car seat until they hit the maximum weight or height limits for that seat, rather than just until age 2. Many convertible seats allow rear-facing up to 40–50 lbs for extended protection of the head, neck, and spine. Follow these guidelines while setting up the seat:

  • Adjust the harness height to be at or below the shoulders
  • Tighten harnesses so there is no slack
  • Place the chest clip at armpit level and remove twists and tangles
  • Install a car seat with a locked seatbelt or Lower Anchors & Tethers for Children (LATCH); the seat should not move more than one inch in any direction
  • Most car seats expire after 6 years – check the manufacture date!
  • Long folded legs are okay!
 

Always check your seat’s model number for specific weight limits and height limits to know when your child outgrows that model.

Forward‑Facing Seat with Harness and Tether

After rear‑facing, children can move to a forward-facing seat with a 5‑point harness and top tether. Some safety seats hold kids this way until 60 lbs or more, offering vital protection for your child’s body in the event of a car crash. Adjust the harness height to be at or above the shoulders

Remember, no aftermarket products are considered safe to add to a car seat unless they are produced by the car seat manufacturer.  Aftermarket products include seat strap pads, neck support, or pillows.  These products are considered NOT SAFE and should not be used.

Booster Seat Until a Proper Seat Belt Fit is Achieved

The booster seat stage lasts until the lap belt and shoulder belt provide a proper seat belt fit without the booster.

This should usually be until they are taller than 4”9 (144 cm) AND at least 80 lbs. Many children are 10 years old or older at this stage.

To ride without a booster, children/teens should pass the 5-Step Test.  To pass this test, children/teens should be able to do all the following:

  1. Sit back against the seat
  2. Have your knees bent at the seat edge
  3. Have the shoulder belt sit between the neck and arms (if the shoulder belt is high on the neck in an accident, serious neck and/or rib injuries could occur)
  4. Have the lap belt lie low on the thighs (if the lap belt sits high on the belly in an accident, serious organ damage could occur)
  5. Be able to sit in this position for the entire car ride
 

If the child/teen can do all of these, he/she can ride using the vehicle seat belt alone.

Front vs Back Seat

Rules for sitting in the front vs the back seat are determined by age, height, and weight.

Those under 13 years of age need to sit in the back seat.  Once the teen is 13 years and 5 feet tall (60 inches, 152 cm) and 100 lbs, he/she can move to the front seat. 

Safety Tips

The following safety tips can ensure your children receive the maximum protection:

  • Always follow the manufacturer’s instructions for your car seat and your vehicle owner’s manual. Some vehicle manufacturers include unique guidance for seats in pickup trucks or smaller cars.
  • Every safety seat sold in the U.S. must meet federal safety standards, but correct use is what truly protects your child’s safety.
  • Use the tether anchor every time for a forward-facing seat.
  • Check belt placement. The lap belt should cross the upper thighs, never the belly, and the shoulder belt should lie across the chest, not under the arm.
  • Never place any car seat in front of an active front airbag.
  • Replace a car seat after a minor crash or serious injury accident, even if it looks fine.

Installation Tips

  1. Read the manufacturer’s instructions and both the owner’s manual and the vehicle owner’s manual before starting.
  2. Install the car seat in the rear seat.
  3. Choose either the vehicle’s seat belt or LATCH, not both, unless your seat allows.
  4. Make the seat tight. It shouldn’t move more than one inch along the belt path.
  5. Connect the top tether to the tether anchor when forward-facing.
  6. Check the child’s body positioning. Harness straps should fit snugly, and bulky coats should be removed.
  7. If you have more than one seat, check each model number, expiration date, and fit before use.
  8. Recheck after your child outgrows a stage or the seat is moved to a new vehicle.

Ready for a Car Seat Check?

Pediatric Associates of Austin can help you with the appropriate child seat through every transition, making sure they are safe and secure.

Contact us in Austin, Texas, to schedule your car seat appointment. We’ll discuss safe travel recommendations at every well check and make sure your little traveler stays child safe, every ride, every time.

Medically reviewed by Emily Woodard, MSN, APRN, CPNP