toddler travel lap tray image
Melanie M
I have a 2 1/2 year old in a hip spica cast. I would like for anyone who has experienced this to offer any advise. Any tricks to make things easier or any suggestions you may have.
Answer
hmmmm!
Standard infant-only seatsVariesVaries
For more information about standard car seats, ask your pediatrician about the American Academy of Pediatrics brochure, Car Safety Seats: A Guide for Families.
VariesUpper limit varies from 20â35 pounds.Up to 35"Premature or small babiesChoose seats with smaller harness size. Use seats without shield or tray for best fit. Use rolled receiving blankets along both sides of baby for side support and a rolled cloth under the crotch strap to prevent slouching. At least 1 infant-only seat rear-faces to higher weights. Check instructions for weight and height limits.
Standard convertible seatsVariesVaries
VariesRear-facing varies from 20â35 pounds; forward-facing up to 40 pounds.Up to 40" Decreased head and neck control, tracheostomies, long leg casts, eyeglassesUse rear-facing for all children until they are at least 1 year of age AND at least 20 pounds. Use seats that rear-face to higher weights for larger babies or children with decreased head, neck, and trunk control. In forward-facing position, use a seat that can be semi-reclined for children with decreased head and neck control. Use 5-point harness for children with tracheostomies, eyeglasses, and thick, long leg casts.
Standard combination seatsVariesVariesVariesUp to 40 pounds with harness; up to 80 pounds used as booster seat without harnessUp to 40" with harness; up to 54" used as booster seat without harnessSome casts, behavioral conditions, decreased muscle toneForward-facing car seat with harness. After 40 pounds, harness is removed and seat becomes a high-back belt-positioning booster seat. Must have a lap and shoulder belt when used as a booster seat.
Standard forward-facing seats/
restraintsVariesVariesVariesUpper limit varies from 40â80 pounds.Upper limit varies from 40"â53"Some casts, behavioral conditions, decreased muscle toneForward-facing only. Some require use of a tether.
Standard booster seatsVariesVariesVariesVaries from 80â100 pounds.Varies from 50"â56"For children who can sit up unassistedMust be used with a lap and shoulder belt. Low-back and high-back models are available.
Car bedsAngel Ride Infant Car BedMercury Distributing
800/815-6330
www.mercurydistributing.com
Angel Guard Products, Inc
www.angel-guard.com$55Up to 9 pounds20" or lessSmall and premature babiesHarness with dual- tongue buckle. Install lengthwise with baby's head toward the center of the vehicle.
Car beds continuedUltra Dream Ride Car BedCosco, Inc
2525 State St
Columbus, IN 47201
800/544-1108
www.djgusa.com
$70Up to 20 poundsUp to 26"
Useful for babies who must travel flat because of breathing problems, fragile bones, Pierre Robin Sequence, spina bifida, and orthopedic conditions. Install lengthwise with baby's head toward the center of the vehicle. If it is medically necessary for the baby to travel on his stomach, he will outgrow the bed before weighing 20 pounds.
Snug Seat Car BedSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com
$5004â21 poundsUp to 29" Useful for babies who must travel lying down because of conditions such as breathing problems, osteogenisis imperfecta, Pierre Robin Sequence, spina bifida, and orthopedic conditions.Baby is secured in a sturdy cloth bunting (sleeping bag) inside the bed. Snug Seat may modify sleeping bag for special applications. Install lengthwise with baby's head toward the center of the vehicle.
Specialized convertible car seatSpelcastSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com$29510â20 pounds rear-facing;
20â40 pounds forward-facing
Up to 40"; childâs head should not go above seat.
Designed for babies and toddlers who cannot use a standard car seat because of hip spica casts or other orthopedic devices.
Designed specifically for children in casts. Tether recommended for forward-facing position. Check with manufacturer to see how the weight of the cast affects how you use the seat.
Forward-facing medical seatsColumbia Orthopedic Positioning SeatColumbia Medical
PO Box 633
Pacific Palisades, CA 90272
800/454-6612
www.columbiamedical.com
$74520â102 poundsUp to 60" Lack of upper body strengthComes with adjustable head support pads, 4 positioning pads, crotch strap pad, and tether. Optional seat depth extender and abductor pad. Fits in many stroller bases including Columbia Stroller Base. Tether required for installation for children more than 65 pounds.
Forward-facing medical seats continuedCarrie Car SeatTumble Forms
Bergeron Health Care
15 S Second St
Dolgeville, NY 13329
800/371-2778
www.tumbleforms.com
$745â$885 (depending on size)Four sizes
â¢20â40 pounds (preschool)
â¢30â60 pounds (elementary)
â¢50â100 pounds (junior)
â¢60â130 pounds (small adult)Four sizes
â¢30"â38" (preschool)
â¢38"-48"
(elementary)
â¢48"-58"
(junior)
â¢56"-68"
(small adult)Decreased head, neck, and trunk control Lateral head support and molded seat shape. Adjustable seat-to-back angle. Tether required. Optional footrest adjusts to maintain hip, knee, and ankle flexion. Optional stroller base and Cozee cover. Seat designed to stabilize the pelvis to assist with positioning problems.
Traveller Plus
Britax Child Safety, Inc
13501 S Ridge Dr
Charlotte, NC 28273
704/409-1700
www.britaxusa.com$45020â105 pounds and minimum 1 year of age19"â56" Decreased head, neck, and trunk controlForward-facing only. Comes with seat extender, recline bar, and crotch pommel. Must use top tether. Tether anchored to 2 points for children 80â105 pounds. Interchangeable foam padding allows for customizing seat.
Gorilla Postural SeatSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com$59520â105 pounds and minimum 1 year of age.Childâs head not to extend above car seat back height.Cerebral palsy, spina bifida, muscular dystrophy, and similar conditionsForward-facing only. Tether required. Comes with adjustable head support pads. Optional seat extension kit and seat recline wedge. Optional stroller base.
Snug Seat I Postural SeatSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com$75020â45 pounds Childâs head not to extend above car seat back heightDecreased head, neck, and trunk control and skeletal deformitiesForward-facing only. Tether required. Foam pad positioning system for customized fit. Crash tested in conjunction with the Transport Stroller Base for tie-down in school buses.
Snug Seat 1000 Car SeatSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com$29530â60 pounds
Childâs head not to extend above car seat back height.Decreased trunk control and weak neck musclesForward-facing only. Uses shoulder/lap belt. Has 5-point positioning harness. Comes with adjustable head support pads, built-in abduction, support tray, and seat wedge. Optional trunk and hip pads available. Lightweight.
Travel vestsBESI Restraining HarnessBesi Manufacturing
9445 Sutton Pl
Hamilton, OH 45011
800/543-8222
www.besi-inc.com
$85Up to 164 poundsNone; for waists 22"â43" Behavioral conditions; decreased trunk controlFor school bus use only. Need hip measurement. Adjustable sizes. Cam wrap required for school bus installation, along with lap belt.
Travel vests continuedE-Z-On Vest
E-Z-On Products, Inc of Florida
605 Commerce Way W
Jupiter, FL 33458
800/323-6598
www.ezonpro.com
$77â$102 (varies with size and model)Manufacturer recommends for ages 2 years and older and 40â164 pounds.None; for waists 22"â43" Behavioral conditions; decreased trunk controlStandard and fully adjustable sizes. Optional crotch strap. Tether required for vehicle installation; cam wrap required for school bus installation. Styles include âadjustableâ zippers and shoulder straps.
E-Z-On 86-Y Universal
Harness E-Z-On Products, Inc of Florida
605 Commerce Way W
Jupiter, FL 33458
800/323-6598
www.ezonpro.com
$60â$80Manufacturer recommends for ages 4 years and older and 40â164 pounds.NoneBehavioral conditionsHarness supplements vehicle lap belt with 2 straps to hold upper body. Attaches to car with single bolt.
QâVestQâStraint
5553 Ravenswood Rd Bldg 110
Fort Lauderdale, FL 33312
800/987-9987
www.qstraint.com
$84Two sizes
â¢20â60 pounds
â¢60 pounds or moreNoneBehavioral conditions; decreased trunk controlManufacturer recommends for school bus use only.
Travel vests
(reclined)
Modified
E-Z-On VestE-Z-On Products, Inc of Florida
605 Commerce Way West
Jupiter, FL 33458
800/323-6598
www.ezonpro.com
$111â$132Manufacturer recommends for ages 2â12; 20â100 pounds.Child must fit lengthwise on a bench seat. Sizes are for hips 22"-32".For older children who must lie down because of conditions such as spinal injuries, body casts, long leg casts, or hip spica castsNeed hip measurement to determine size. Standard and adjustable models. Optional crotch strap. Requires 2 seat belts for installation.
Mobility base systemsKid Kart XpressSunrise Medical
7477 E Dry Creek Pkwy
Longmont, CO 80503
800/388-5278
www.sunrisemedical.com
$2,195 (standard package)Seat is built on basis of childâs measurements; maximum user weight of 55 pounds. Based on specific measurements of child.Decreased head, neck, and trunk control
and other conditions requiring use of wheelchairFor use in school bus or van. Tie-down locations on mobility base tested and approved for transit. Manufacturer recommends use of QâStraint tie-down system. Center mount joystick. Seating system options and accessories, including vent base frame, IV pole, and spica cast support.
Kid Kart TLCSunrise Medical
7477 E Dry Creek Pkwy
Longmont, CO 80503
800/388-5278
www.sunrisemedical.com
$2,750 (standard package)Seat is built on basis of childâs measurements; maximum user weight of 75 pounds.Based on specific measurements of childDecreased head, neck, and trunk control and other conditions requiring use of wheelchairFor use in school bus or van. Tie-down locations on mobility base tested and approved for transit. Manufacturer recommends use of QâStraint tie-down system. Seating system options and accessories, including vent and battery tray, and IV pole.
Mobility base systems continuedMulholland Growth Guidance SystemMulholland Positioning Systems, Inc
215 N 12th St
PO Box 391
Santa Paula, CA 93061
800/543-4769
www.mulhollandinc.com
$2,500â$4,500Up to 50 poundsNoneDecreased head, neck, and trunk controlPostural support system with stroller base. Remove from stroller for installation in vehicle. Requires a tether. Install in bus or van only with Positioning Systems, Inc tie-down system.
Pixie Positioning ChairSammons Preston
PO Box 5071
Bollingbrook, IL 60440-5071
800/323-5547
www.sammonspreston.com$1,435â$1,625Children ages 3â12; small and large sizes up to 110 poundsNoneCerebral palsy and conditions that require positioningHeight-adjustable footrest and multiple harness settings. Folds for storage and travel.
Resources
The Emergency Information Form for Children With Special Needs is available from the AAP and the American College of Emergency Physicians. This form is on the Internet at www.aap.org/advocacy/emergprep.htm.
American Academy of Pediatrics
www.aap.org
Medem, an e-health network
www.medem.com
Automotive Safety for Children Program
Riley Hospital for Children
575 West Dr, Room 004
Indianapolis, IN 46202
317/274-2977
www.preventinjury.org
Easter Seals
230 W Monroe, Suite 1800
Chicago, IL 60606
800/221-6827
www.easter-seals.org
National Highway Traffic Safety Administration (NHTSA)
Office of Occupant Protection-NTS-13
400 7th St, NW
Washington, DC 20590
888/DASH-2-DOT (888/327-4236)
www.nhtsa.dot.gov
Web site devoted to issues related to wheelchairs.
www.wheelchairnet.org
There may be car safety seats/restraints available that are not listed in this brochure. The products listed here are current only as of the date of publication. Some of the products noted may accommodate children with medical conditions not listed here. Addresses, phone numbers and Web site addresses are as current as possible, but may change at any time.
Suggested retail prices may vary.
The appearance of the name American Academy of Pediatrics (AAP) does not constitute a guarantee or endorsement of the products listed or claims made.
The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
Although the American Academy of Pediatrics (AAP) is not a testing or standard-setting organization, this guide sets forth the Academyâs recommendations based on the peer-reviewed literature available at the time of its publication and sets forth some of the factors that parents should consider before selecting and using a car safety seat or safety restraint.
hmmmm!
Standard infant-only seatsVariesVaries
For more information about standard car seats, ask your pediatrician about the American Academy of Pediatrics brochure, Car Safety Seats: A Guide for Families.
VariesUpper limit varies from 20â35 pounds.Up to 35"Premature or small babiesChoose seats with smaller harness size. Use seats without shield or tray for best fit. Use rolled receiving blankets along both sides of baby for side support and a rolled cloth under the crotch strap to prevent slouching. At least 1 infant-only seat rear-faces to higher weights. Check instructions for weight and height limits.
Standard convertible seatsVariesVaries
VariesRear-facing varies from 20â35 pounds; forward-facing up to 40 pounds.Up to 40" Decreased head and neck control, tracheostomies, long leg casts, eyeglassesUse rear-facing for all children until they are at least 1 year of age AND at least 20 pounds. Use seats that rear-face to higher weights for larger babies or children with decreased head, neck, and trunk control. In forward-facing position, use a seat that can be semi-reclined for children with decreased head and neck control. Use 5-point harness for children with tracheostomies, eyeglasses, and thick, long leg casts.
Standard combination seatsVariesVariesVariesUp to 40 pounds with harness; up to 80 pounds used as booster seat without harnessUp to 40" with harness; up to 54" used as booster seat without harnessSome casts, behavioral conditions, decreased muscle toneForward-facing car seat with harness. After 40 pounds, harness is removed and seat becomes a high-back belt-positioning booster seat. Must have a lap and shoulder belt when used as a booster seat.
Standard forward-facing seats/
restraintsVariesVariesVariesUpper limit varies from 40â80 pounds.Upper limit varies from 40"â53"Some casts, behavioral conditions, decreased muscle toneForward-facing only. Some require use of a tether.
Standard booster seatsVariesVariesVariesVaries from 80â100 pounds.Varies from 50"â56"For children who can sit up unassistedMust be used with a lap and shoulder belt. Low-back and high-back models are available.
Car bedsAngel Ride Infant Car BedMercury Distributing
800/815-6330
www.mercurydistributing.com
Angel Guard Products, Inc
www.angel-guard.com$55Up to 9 pounds20" or lessSmall and premature babiesHarness with dual- tongue buckle. Install lengthwise with baby's head toward the center of the vehicle.
Car beds continuedUltra Dream Ride Car BedCosco, Inc
2525 State St
Columbus, IN 47201
800/544-1108
www.djgusa.com
$70Up to 20 poundsUp to 26"
Useful for babies who must travel flat because of breathing problems, fragile bones, Pierre Robin Sequence, spina bifida, and orthopedic conditions. Install lengthwise with baby's head toward the center of the vehicle. If it is medically necessary for the baby to travel on his stomach, he will outgrow the bed before weighing 20 pounds.
Snug Seat Car BedSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com
$5004â21 poundsUp to 29" Useful for babies who must travel lying down because of conditions such as breathing problems, osteogenisis imperfecta, Pierre Robin Sequence, spina bifida, and orthopedic conditions.Baby is secured in a sturdy cloth bunting (sleeping bag) inside the bed. Snug Seat may modify sleeping bag for special applications. Install lengthwise with baby's head toward the center of the vehicle.
Specialized convertible car seatSpelcastSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com$29510â20 pounds rear-facing;
20â40 pounds forward-facing
Up to 40"; childâs head should not go above seat.
Designed for babies and toddlers who cannot use a standard car seat because of hip spica casts or other orthopedic devices.
Designed specifically for children in casts. Tether recommended for forward-facing position. Check with manufacturer to see how the weight of the cast affects how you use the seat.
Forward-facing medical seatsColumbia Orthopedic Positioning SeatColumbia Medical
PO Box 633
Pacific Palisades, CA 90272
800/454-6612
www.columbiamedical.com
$74520â102 poundsUp to 60" Lack of upper body strengthComes with adjustable head support pads, 4 positioning pads, crotch strap pad, and tether. Optional seat depth extender and abductor pad. Fits in many stroller bases including Columbia Stroller Base. Tether required for installation for children more than 65 pounds.
Forward-facing medical seats continuedCarrie Car SeatTumble Forms
Bergeron Health Care
15 S Second St
Dolgeville, NY 13329
800/371-2778
www.tumbleforms.com
$745â$885 (depending on size)Four sizes
â¢20â40 pounds (preschool)
â¢30â60 pounds (elementary)
â¢50â100 pounds (junior)
â¢60â130 pounds (small adult)Four sizes
â¢30"â38" (preschool)
â¢38"-48"
(elementary)
â¢48"-58"
(junior)
â¢56"-68"
(small adult)Decreased head, neck, and trunk control Lateral head support and molded seat shape. Adjustable seat-to-back angle. Tether required. Optional footrest adjusts to maintain hip, knee, and ankle flexion. Optional stroller base and Cozee cover. Seat designed to stabilize the pelvis to assist with positioning problems.
Traveller Plus
Britax Child Safety, Inc
13501 S Ridge Dr
Charlotte, NC 28273
704/409-1700
www.britaxusa.com$45020â105 pounds and minimum 1 year of age19"â56" Decreased head, neck, and trunk controlForward-facing only. Comes with seat extender, recline bar, and crotch pommel. Must use top tether. Tether anchored to 2 points for children 80â105 pounds. Interchangeable foam padding allows for customizing seat.
Gorilla Postural SeatSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com$59520â105 pounds and minimum 1 year of age.Childâs head not to extend above car seat back height.Cerebral palsy, spina bifida, muscular dystrophy, and similar conditionsForward-facing only. Tether required. Comes with adjustable head support pads. Optional seat extension kit and seat recline wedge. Optional stroller base.
Snug Seat I Postural SeatSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com$75020â45 pounds Childâs head not to extend above car seat back heightDecreased head, neck, and trunk control and skeletal deformitiesForward-facing only. Tether required. Foam pad positioning system for customized fit. Crash tested in conjunction with the Transport Stroller Base for tie-down in school buses.
Snug Seat 1000 Car SeatSnug Seat, Inc
PO Box 1739
Matthews, NC 28106
800/336-SNUG (7684)
www.snugseat.com$29530â60 pounds
Childâs head not to extend above car seat back height.Decreased trunk control and weak neck musclesForward-facing only. Uses shoulder/lap belt. Has 5-point positioning harness. Comes with adjustable head support pads, built-in abduction, support tray, and seat wedge. Optional trunk and hip pads available. Lightweight.
Travel vestsBESI Restraining HarnessBesi Manufacturing
9445 Sutton Pl
Hamilton, OH 45011
800/543-8222
www.besi-inc.com
$85Up to 164 poundsNone; for waists 22"â43" Behavioral conditions; decreased trunk controlFor school bus use only. Need hip measurement. Adjustable sizes. Cam wrap required for school bus installation, along with lap belt.
Travel vests continuedE-Z-On Vest
E-Z-On Products, Inc of Florida
605 Commerce Way W
Jupiter, FL 33458
800/323-6598
www.ezonpro.com
$77â$102 (varies with size and model)Manufacturer recommends for ages 2 years and older and 40â164 pounds.None; for waists 22"â43" Behavioral conditions; decreased trunk controlStandard and fully adjustable sizes. Optional crotch strap. Tether required for vehicle installation; cam wrap required for school bus installation. Styles include âadjustableâ zippers and shoulder straps.
E-Z-On 86-Y Universal
Harness E-Z-On Products, Inc of Florida
605 Commerce Way W
Jupiter, FL 33458
800/323-6598
www.ezonpro.com
$60â$80Manufacturer recommends for ages 4 years and older and 40â164 pounds.NoneBehavioral conditionsHarness supplements vehicle lap belt with 2 straps to hold upper body. Attaches to car with single bolt.
QâVestQâStraint
5553 Ravenswood Rd Bldg 110
Fort Lauderdale, FL 33312
800/987-9987
www.qstraint.com
$84Two sizes
â¢20â60 pounds
â¢60 pounds or moreNoneBehavioral conditions; decreased trunk controlManufacturer recommends for school bus use only.
Travel vests
(reclined)
Modified
E-Z-On VestE-Z-On Products, Inc of Florida
605 Commerce Way West
Jupiter, FL 33458
800/323-6598
www.ezonpro.com
$111â$132Manufacturer recommends for ages 2â12; 20â100 pounds.Child must fit lengthwise on a bench seat. Sizes are for hips 22"-32".For older children who must lie down because of conditions such as spinal injuries, body casts, long leg casts, or hip spica castsNeed hip measurement to determine size. Standard and adjustable models. Optional crotch strap. Requires 2 seat belts for installation.
Mobility base systemsKid Kart XpressSunrise Medical
7477 E Dry Creek Pkwy
Longmont, CO 80503
800/388-5278
www.sunrisemedical.com
$2,195 (standard package)Seat is built on basis of childâs measurements; maximum user weight of 55 pounds. Based on specific measurements of child.Decreased head, neck, and trunk control
and other conditions requiring use of wheelchairFor use in school bus or van. Tie-down locations on mobility base tested and approved for transit. Manufacturer recommends use of QâStraint tie-down system. Center mount joystick. Seating system options and accessories, including vent base frame, IV pole, and spica cast support.
Kid Kart TLCSunrise Medical
7477 E Dry Creek Pkwy
Longmont, CO 80503
800/388-5278
www.sunrisemedical.com
$2,750 (standard package)Seat is built on basis of childâs measurements; maximum user weight of 75 pounds.Based on specific measurements of childDecreased head, neck, and trunk control and other conditions requiring use of wheelchairFor use in school bus or van. Tie-down locations on mobility base tested and approved for transit. Manufacturer recommends use of QâStraint tie-down system. Seating system options and accessories, including vent and battery tray, and IV pole.
Mobility base systems continuedMulholland Growth Guidance SystemMulholland Positioning Systems, Inc
215 N 12th St
PO Box 391
Santa Paula, CA 93061
800/543-4769
www.mulhollandinc.com
$2,500â$4,500Up to 50 poundsNoneDecreased head, neck, and trunk controlPostural support system with stroller base. Remove from stroller for installation in vehicle. Requires a tether. Install in bus or van only with Positioning Systems, Inc tie-down system.
Pixie Positioning ChairSammons Preston
PO Box 5071
Bollingbrook, IL 60440-5071
800/323-5547
www.sammonspreston.com$1,435â$1,625Children ages 3â12; small and large sizes up to 110 poundsNoneCerebral palsy and conditions that require positioningHeight-adjustable footrest and multiple harness settings. Folds for storage and travel.
Resources
The Emergency Information Form for Children With Special Needs is available from the AAP and the American College of Emergency Physicians. This form is on the Internet at www.aap.org/advocacy/emergprep.htm.
American Academy of Pediatrics
www.aap.org
Medem, an e-health network
www.medem.com
Automotive Safety for Children Program
Riley Hospital for Children
575 West Dr, Room 004
Indianapolis, IN 46202
317/274-2977
www.preventinjury.org
Easter Seals
230 W Monroe, Suite 1800
Chicago, IL 60606
800/221-6827
www.easter-seals.org
National Highway Traffic Safety Administration (NHTSA)
Office of Occupant Protection-NTS-13
400 7th St, NW
Washington, DC 20590
888/DASH-2-DOT (888/327-4236)
www.nhtsa.dot.gov
Web site devoted to issues related to wheelchairs.
www.wheelchairnet.org
There may be car safety seats/restraints available that are not listed in this brochure. The products listed here are current only as of the date of publication. Some of the products noted may accommodate children with medical conditions not listed here. Addresses, phone numbers and Web site addresses are as current as possible, but may change at any time.
Suggested retail prices may vary.
The appearance of the name American Academy of Pediatrics (AAP) does not constitute a guarantee or endorsement of the products listed or claims made.
The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
Although the American Academy of Pediatrics (AAP) is not a testing or standard-setting organization, this guide sets forth the Academyâs recommendations based on the peer-reviewed literature available at the time of its publication and sets forth some of the factors that parents should consider before selecting and using a car safety seat or safety restraint.
VERY active 16 month old baby on 9 hour flight?
well the end of may i am traveling with a 16 month old,its a friends baby and he is coming on a 9 hour flight with us....thing is he is very active and angry
he cannot sit on someones lap for longer then 2 minutes without screaming and kicking to get down
i will be bring new toys he hasn't seen before,and a dvd player
thing is,they toy,crayons,books....he will throw at people or on the ground after about 2 minutes...the dvd player he will try slapping and try to throw at people or on the ground,if we don't let him slap or throw it,he will pull an tantrum kick and hitting and screaming,yes we can walk up and down the aisle but he tends to let little kicks out and do it so it looks like an accident,as well as knocking things over,he doesn't care who owns it,so if its someone laptop on a tray he'll knock it off and laugh in there face
because he us under 2 he sits on a lap and so no car seat to sit him in,i would have also liked to have him in a car seat,but the lap option is cheaper
it wasn't my idea to bring the baby,it was my older sisters,she paid for him a stuff if i had my way,i know its bad and all but i wouldn't have brought him
so any ideas on what else i could do,to calm him
we are sitting in middle seats so no window seat and my sister wont change it so thats were we will stay
food,snacks,bottle and soothers will be brought
even they gets thrown at people and on the ground
i am flying during the day,i mind the kids on a daily basis for 5 hours, and my rules never work,he just doesnt listen,time outs are used,never work tho
the flight is paid for an all,and she bought no seat for him,she wouldnt really let me or her sit in another seat with him...she would prefere he seat with the 3 of us meaning me,her and her husand
Answer
I don't have to say what you already know, which is that this is going to be a difficult flight. My very first recommendation would have to be that you get control of the situation early. Perhaps a week early! What I am recommending you do is take the child in with enough time to get him to acclimate to you, and for you to set and enforce some ground rules with him. While I am not a big fan of being harsh with children, you may have to act the part of a strict disciplinarian so that by the time you are on the plane, he will know to follow your rules and guidance. My other tips are more general, for anytime flying with a baby or toddler; but in this particular case, getting control of things early on will help you to keep control on the plane.
My second piece of advice is to get him his own seat and a car seat (make sure it is approved for use on an airplane, not all are). Even though he is under two, he is a rambunctious tot with an attitude. It will do well to have a place for him to call his own, for all involved.
You didn't mention what time of day the flight is, but trying to time it so he will sleep is a good one. It would be useful to allow him some to run around a bit before boarding, so try to arrive a little early. Don't worry if he is too hyper at this point; let him blow off his steam. See if the airport you are departing from has a children's play area, and let him run loose. Don't skip any naps, but maybe only allow a short one before the flight. Skipped nap = cranky toddler; short nap = sleepy toddler... :)
Here are a few other things to consider... First is hydration! The air in the cabin comes in from a source on the engine (called "bleed air"). Being from the ambient air outside, it is remarkably dry. It is around ten to twenty percent relative humidity, if that much at all. The problem here is breathing. We lose water normally from sweat, urination, etc; but in an airplane we also loose a lot from just breathing. The moisture comes when we exhale.
Any adult can easily become dehydrated if not taking in adequate water, but for a small child, this is an even greater concern. At nine hours, you should make sure he stays well hydrated. Avoid sugary drinks, of course; but water, sugar-free, etc. would be useful here.
You will likely have to purchase the water or juice inside the terminal as they do not allow sufficient quantity of liquid through security screening. Also, I do not trust the "tap" water on airplanes; drink only the bottled water...
A bottle or sippy cup, pacifier, teething ring, etc to suck on is also a must. During ascent and descent, the cabin pressure will change and as a result, he may get an ear block. These can be very painful, but are relieved by negative pressure in the mouth and throat. If it is really bad, you can try to yawn with him looking at you, the yawn reflex is strong and it often results in equalizing the pressure (ever yawn after watching someone else yawn? or did you just yawn because you've read this?). You can also try gently massaging his forehead, neck, and around his ears if it doesn't clear.
I've flown so many sick kids, I'm pretty good at recognizing the "ear block" before it really becomes an issue; and it during the early onset that it is easiest to treat. Look for him becoming fidgety, reaching for his ear, changes in breathing patterns, etc. Even slight, subtle clues would be enough to try the "yawn reflex", or give him a sippy cup, bottle, etc. The combination of yawning and sucking give enough negative pressure to the ear canals to prevent a true ear block from developing.
If it does develop, it can last for days, so be vigilant here.
Also, some people fret about pacifiers or bottles at this age. If he uses one, don't hesitate. In this case, it is a blessing!
Toys and distractions are also requirements. Nothing big or fancy, just something that might occupy him for twenty or thirty minutes at a time. You can recycle them throughout the flight.
Coloring books, toys that beep or vibrate, Be creative, but you don't have to go too crazy either. You can even go so far as setting a small budget for him and letting him pick something out at the airport shop; but remember not to give it to him until you're in the airplane.
Finally, see if you can get a bulkhead row seat. This will give you the opportunity to let him play on the floor area without being able to get away. Just put a blanket down and some toys, and he will have his own space.
I hope this helps! I'm a flight paramedic and have transported many children. I am also a frequent traveler, including many international destinations. I speak from both a professional medical provider and a frequent flyer. I've seen dozens upon dozens of parents travel with small children. Although he is a bit spoiled, and this makes it more difficult, with some preparation you can make this a good experience too.
Cheers!
I don't have to say what you already know, which is that this is going to be a difficult flight. My very first recommendation would have to be that you get control of the situation early. Perhaps a week early! What I am recommending you do is take the child in with enough time to get him to acclimate to you, and for you to set and enforce some ground rules with him. While I am not a big fan of being harsh with children, you may have to act the part of a strict disciplinarian so that by the time you are on the plane, he will know to follow your rules and guidance. My other tips are more general, for anytime flying with a baby or toddler; but in this particular case, getting control of things early on will help you to keep control on the plane.
My second piece of advice is to get him his own seat and a car seat (make sure it is approved for use on an airplane, not all are). Even though he is under two, he is a rambunctious tot with an attitude. It will do well to have a place for him to call his own, for all involved.
You didn't mention what time of day the flight is, but trying to time it so he will sleep is a good one. It would be useful to allow him some to run around a bit before boarding, so try to arrive a little early. Don't worry if he is too hyper at this point; let him blow off his steam. See if the airport you are departing from has a children's play area, and let him run loose. Don't skip any naps, but maybe only allow a short one before the flight. Skipped nap = cranky toddler; short nap = sleepy toddler... :)
Here are a few other things to consider... First is hydration! The air in the cabin comes in from a source on the engine (called "bleed air"). Being from the ambient air outside, it is remarkably dry. It is around ten to twenty percent relative humidity, if that much at all. The problem here is breathing. We lose water normally from sweat, urination, etc; but in an airplane we also loose a lot from just breathing. The moisture comes when we exhale.
Any adult can easily become dehydrated if not taking in adequate water, but for a small child, this is an even greater concern. At nine hours, you should make sure he stays well hydrated. Avoid sugary drinks, of course; but water, sugar-free, etc. would be useful here.
You will likely have to purchase the water or juice inside the terminal as they do not allow sufficient quantity of liquid through security screening. Also, I do not trust the "tap" water on airplanes; drink only the bottled water...
A bottle or sippy cup, pacifier, teething ring, etc to suck on is also a must. During ascent and descent, the cabin pressure will change and as a result, he may get an ear block. These can be very painful, but are relieved by negative pressure in the mouth and throat. If it is really bad, you can try to yawn with him looking at you, the yawn reflex is strong and it often results in equalizing the pressure (ever yawn after watching someone else yawn? or did you just yawn because you've read this?). You can also try gently massaging his forehead, neck, and around his ears if it doesn't clear.
I've flown so many sick kids, I'm pretty good at recognizing the "ear block" before it really becomes an issue; and it during the early onset that it is easiest to treat. Look for him becoming fidgety, reaching for his ear, changes in breathing patterns, etc. Even slight, subtle clues would be enough to try the "yawn reflex", or give him a sippy cup, bottle, etc. The combination of yawning and sucking give enough negative pressure to the ear canals to prevent a true ear block from developing.
If it does develop, it can last for days, so be vigilant here.
Also, some people fret about pacifiers or bottles at this age. If he uses one, don't hesitate. In this case, it is a blessing!
Toys and distractions are also requirements. Nothing big or fancy, just something that might occupy him for twenty or thirty minutes at a time. You can recycle them throughout the flight.
Coloring books, toys that beep or vibrate, Be creative, but you don't have to go too crazy either. You can even go so far as setting a small budget for him and letting him pick something out at the airport shop; but remember not to give it to him until you're in the airplane.
Finally, see if you can get a bulkhead row seat. This will give you the opportunity to let him play on the floor area without being able to get away. Just put a blanket down and some toys, and he will have his own space.
I hope this helps! I'm a flight paramedic and have transported many children. I am also a frequent traveler, including many international destinations. I speak from both a professional medical provider and a frequent flyer. I've seen dozens upon dozens of parents travel with small children. Although he is a bit spoiled, and this makes it more difficult, with some preparation you can make this a good experience too.
Cheers!
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