SAFETY: CAR SEAT USE AND MISUSE Alaska Injury Prevention Center Sept 11, 2012 Mary Pomeroy, PT Ability.

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Presentation transcript:

SAFETY: CAR SEAT USE AND MISUSE Alaska Injury Prevention Center Sept 11, 2012 Mary Pomeroy, PT Ability Pediatric Physical Therapy

AAP: Car Seat Alert SAFE SLEEP  Not safe for sleeping  Car safety seats are not stable on a crib mattress or other elevated surfaces.  Contributes to positional skull deformities  American Academy of Pediatrics: OCT 2011

Car Seat: Suffocation Alert!!  “Infants who are younger than 4 months are particularly at risk, because they might assume positions that can create risk of suffocation or airway obstruction.”

“Bucket Babies” Developmental Consequences and Their Prevention  AGENDA Who are the Bucket Babies? Etiology  Prevention  Safety

DIAGNOSIS: BUCKET BABIES

“Baby Buckets”

Motor Delay/Asymmetry, Plagiocephaly and Torticollis  Motor delays extending to 15 mo. of age (J Ped 2006)  Plagiocephaly (deformational): 1 in 60 live births (Petisch, Keefer, LaBrie, Mulliken. Pediatrics 2002; Graham 1999))  Torticollis (positional): 17% of babies with torticollis (Kordestani, Pate., et al)

Plagiocephaly

The prone-reluctant baby  Look for developmental and health concerns  Observe for asymmetrical skill development: limbs, torso, head  Consider PT referral

Tummy Time Tools from Children’s Healthcare of Atlanta  etools etools 

Head tilt, asymmetric rotation: so what?

Age 6: SCOLIOSIS

PREVENTION of BUCKET BABY TRIAD THROUGH EDUCATION  Before baby arrives: childbirth class/health fairs  Car seat / misuse education  Well baby checks

Parent Education: Newborn Nursery and Health Care Office  Prone time education: flip the pancake  Feeding and diapering positions  Carrying in arms, not “bucket”  Appropriate use not Misuse

Thanks!

References Available upon request.