The car seat test

Specialties Ob/Gyn

Published

I had twins recently, and I've been thinking about how the hospital handled the car seat test. My water broke 4 weeks early, before we had a chance to install the ones we'd bought. My husband doesn't drive, and I had to be transferred to a hospital 250 miles away. When it was time for discharge, I had no car seat to test. The hospital gift shop sold car seats for about $175.

Since we had neither a car seat or a car, and we weren't going home right away (we were in temporary housing nearby), I planned to refuse the car seat test. The hospital refused to release my son without a car seat, and I didn't want to spend $175 for a seat I couldn't use. We had no friends or family in the area with kids, so we couldn't borrow a car seat.

In the end, I was discharged without my son, and Hubby and I went on the Target Run From Hell to find a suitable car seat. This was right after the big Graco Recall, and it was a Saturday night, so it was only by pure luck that we found one. Our son passed his test the next day, and was released that night.

The experience left a bad taste in my mouth. It wasn't the lack of a car seat so much as the fact that we were being coerced into buying an expensive one. The seat we bought was about $130. My local hospital gift shop sells them for $55. The only suggestion we got as an alternative was buying a seat for the test, then immediately returning it.

How does your hospital handle the car seat test for families that don't have one?

Specializes in NICU.

I've been told we do not do the car seat test because then, perhaps, we give them false sense of security. "Well my fragile baby PASSED the car seat test and then she died in the car seat. YOU GUYS said she passed and was okay to be in the car seat so it's your fault."

Plus there would likely need to be some documentation on which exact car seat the baby passed in to be sure the parents didn't change seats. And was the seat in the proper position or was it propped up somehow or on the floor vs in the car, etc etc.

I get the mentality, but it does seem twisted. We don't check car seat installation for the same reason. But how am I, a mom and prudent nurse, supposed to look the other way when the car seat is poorly installed? Our babies are hand carried out and it can be the MA that does it.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

Wow, your facility is crazy. I can't believe any facility would not follow standard of care like that.

Why couldn't your husband go get the car seats before you got discharged? He couldn't go without you?

He was premature and you are upset they wanted to make sure he didn't smother in a car seat before being discharged?

Specializes in NICU, PICU, PACU.

Our flow sheets for CSC do include name of seat, angle, if rolls are used.

We are also not allowed to adjust the straps or place the baby in the seat. We don't even walk the parents out, they are discharged at the door with baby in tow.

I work in a relatively small L&D/Mother baby unit and we won't release a baby without a car seat. That being said if it were in an urban area where people used public transportation more often things might be different. Either way I'm really not surprised by your situation. Although annoying and inconvenient to you at the time, the hospital staff was looking out for the best interest of your baby. The problem here is that they knew the car seat you bought wasn't going to be the one you would be using long term so the car seat test in it was basically pointless but had to be done for liability reasons. I think I probably would've made my hubby make a trip home to get the car seats lol. Annoying and pricey in gas though....just a sticky situation all around! Congrats on your babies!!!

Car seats are really important to use in order to ensure the safety of kids. According to American Pediatrics Academy the car seat should be use in a rare facing position.

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