We examined 30 newborn infants for respiratory compromise before, during, and after placement in a recommended car seat restraining device. Twelve infants were premature with a history of apnea, eight were premature without knwon apnea, and 10 were born at term. Both premature groups had significant decreases in oxygen saturation while in the car seat (P<0.01) and more frequent desaturation episodes <80% (P<0.001). Premature infants with a history of apnea had more bradycardia events (P<0.05). No normal term infant had any of these problems. In addition, oxygen saturation trended downward from baseline for all premature infants during the recovery interval (P=0.07). We conclude that currently available car seats may place premature infants at risk for significant hypoxia and ventilatory compromise.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health