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Lie-flat car seats - a better way to carry babies?

Lie-flat car seats are designed to allow your baby to lie totally flat whilst travelling in the car. Unfortuantely, there's alot of confusion surrounding whether they are 'dangerous', or in fact, 'safer' than a traditional, rear-facing 'wedge-shaped' infant carrier.

In reality there are significant pros and cons to each mode of transport, but recent research is suggesting that restraining babies in a semi-upright position is exposing them to some not inconsiderable health risks. Recognition of problems such as oxygen desaturation have led to the development of a new generation of lie-flat seats which are enabling new parents to make informed choices about which seat is right for their baby.

What is Oxygen Desaturation?

Oxygen desaturation is when the blood oxygen levels fall possibly to the extent that not enough oxygen reaches the vital organs, particularly the brain. There have been many reports into the effects of oxygen desaturation - some experts believe that it can have an effect on babies learning and physical development in later life whilst others believe it can cause bradycardia (slowing of the heart) and apnoea (temporary suspension of breathing), both of which are linked with cot death.

The 'wedge shape' of most infant carriers is considered the main cause of this problem. Because babies 'tummy breathe' rather than shallow breathe like adults, squashing them into an unnatural position restricts their breathing and possibly also their digestion.

What are car seat manufacturers doing about this issue?

As more research is carried out into the effects of rear-facing infant carriers and the clear health benefits lying flat, some car seat manufacturers are providing a helping hand to parents by introducing lie-flat and reclining car seats that allow babies to travel in a more natural position and therefor breathe more easily.The Jane Matrix continues to be a popular choice because it lies flat for newborns and then becomes rear facing. It can also be used on Jane pushchairs as a lie-flat carrycot.

The introduction of the Aprica Euroturn has set a new benchmark in terms of a lie flat seat that has an extended lifespan. Designed with a 360 degree swivel pivot on the base and 3- recline positions, your baby can lie flat when they're newborn but use the seat rearward-facing and then forward-facing up until they're 18kg (approximately 4 years old)

Should I be concerned?

We think so! The new research isn't about scaring parents into purchasing the latest and greatest lie-flat option, but making them aware of the potential risks involved in using conventional car seats - particularly with newborns (and especially low-birthweight and premature babies). Babies have been transported in infant carriers for years without any problems and there are numerous benefits with using them such as easy transportation, portability, size, convenience and price factor. But, it's important to remember they're a car seat first and not the comfiest place for a baby. A spokesperson for the The Foundation for the Study of Infant Deaths (FSID) cautions parents, " they should remember that a car seat is intended as a travel device not a sleeping device and that babies should never be left to sleep in a car seat at home." So, if you're using or plan to use an infant carrier, use them for travel purposes only and ensure your baby is able to lie flat wherever possible at other times.

Many health professionals now recommend that babies should never be left in infant carrier for more than two hours and ideally less than one hour. Additionally, the recommendation is that babies, especially newborns should not use an infant carrier for more than two hours in any one day.

Some infant carriers, such as the Bebe Confort Creatis have a sliding function on the head support that allows your baby to lie virtually flat - these are worth looking out for as there is significant evidence to show that a baby breathes better if the infant carrier they are in has a deep lie back angle.

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