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Mothering Magazine Sponsored Chat with Stephanie Tombrello -- Stephanie Merton Tombrello, L.C.S.W. -- Stephanie M. Tombrello, L.C.S.W., has been active in the field of child passenger safety since 1970. She originated the Child Safety Project of Women for Political and Social Action in 1972 in Pasadena, CA. She has participated in development of both the technical and program aspects of the field and has been instrumental in major changes in government regulations, including HR 4616, to expand funding for child passenger safety nationwide. She successfully petitioned for regulation changes mandating shoulder/lap belts in outboard rear-seating positions in all cars and light trucks sold in the US since December 1989. She served on the National Blue Ribbon Panel on Child Restraint & Vehicle Compatibility, and is a nationally certified Child Passenger Safety Technician-Instructor. Recently, she provided support for newly enacted federal legislation to improve testing of safety seats and resources for parents. Ms. Tombrello is recognized as an outstanding expert in the realm of child/ car safety, and has received numerous awards for her activism over the years.

She has also participated in establishing and developing three currently functioning non-profit organizations: Wellmet Project, Inc., a Massachusetts halfway house for formerly hospitalized psychiatric patients, founded in 1960; The Children's Center at Caltech, a child care center founded in 1972; and SafetyBeltSafe U.S.A., founded in 1980. Please join Stephanie for a general chat on car seat safety.

www.mothering.com
2/23/07

13 mothers in attendance!

12:40:52 Webmama_Tina ok today we are so happy to have stephanie tombrello with us as our expert....here's some info on stephanie....
12:41:52 Webmama_Tina Stephanie M. Tombrello, L.C.S.W., has been active in the field of child passenger safety since 1970. She originated the Child Safety Project of Women for Political and Social Action in 1972 in Pasadena, CA. She has participated in development of both the technical and program aspects of the field and has been instrumental in major changes in government regulations, including HR 4616, to expand funding for child passenger safety nationwide. She successfully petitioned for regulation changes mandating shoulder/lap belts in outboard rear-seating positions in all cars and light trucks sold in the US since December 1989. She served on the National Blue Ribbon Panel on Child Restraint & Vehicle Compatibility, and is a nationally certified Child Passenger Safety Technician-Instructor. Recently, she provided support for newly enacted federal legislation to improve testing of safety seats and resources for parents. Ms. Tombrello is recognized as an outstanding expert in the realm of child/ car safety, and has received numerous awards for her activism over the years.  She has also participated in establishing and developing three currently functioning non-profit organizations: Wellmet Project, Inc., a Massachusetts halfway house for formerly hospitalized psychiatric patients, founded in 1960; The Children's Center at Caltech, a child care center founded in 1972; and SafetyBeltSafe U.S.A., founded in 1980. Please join Stephanie for a general chat on car seat safety.
12:42:52 Stephanie Tombrello Shall I lead with a few principles?
12:43:52 Webmama_Tina anything you want to add to that intro stephanie?
12:44:52 Webmama_Tina sure that would be great, thanks stephanie!
12:45:52 Stephanie Tombrello The intro is fine, of course. For detail, go to www.carseat.org BUT here goes with the most key messages.
12:46:52 Stephanie Tombrello When pregnant, wear your belt properly. If you are in a crash, check on having 24-hour fetal monitoring because it is hard to recognize placental abruption. 5 x as many fetuses are lost from car crashes than
12:47:52 Stephanie Tombrello kids in the first year of life.
12:48:52 Stephanie Tombrello 2: Rear facing is the best way to ride. One's protection is demoted as one grows older and larger. Take your time with your child.
12:49:52 Stephanie Tombrello Today, all convertibles are certified to at least 30 lbs. rear facing.
12:50:52 Stephanie Tombrello Plan to keep your child rear facing for at least 18-24 months. Rear facing is the best way to survive both frontal and side impacts, the most common and the most fatal types.
12:51:52 Stephanie Tombrello #3 Plan on using a seat with a full 5-point harness for as long as possible. Use the top tether strap to give best protection for your child by keeping the child's head farther back.
12:52:52 Stephanie Tombrello Today, there are many more options for products that are certified above 40 lbs. with a full harness. Consider them. Check out flyers at carseat.org on the details. Under Helpful Handouts, #627 & #650.
12:53:52 Stephanie Tombrello Next, once your child is in a booster, keep the youngster there until he/she can pass the 5-Step Test, flyer #630 and also there is a video on the site.
12:54:52 Stephanie Tombrello The back seat is the better seat: the latest research shows it is the place for kids until they are 15 and beginning to learn to drive. Now enough of my principles and on with your concerns. And obviously, use the restraint you choose every time--correctly
12:55:52 SandraMort I live in  NYC and don't currently have a car.  I have a 70 lb 8 year old, a 45 lb 5 year old and a 20something lb 21 month old.  What, if any, portable options are available for taxi use?   I've heard mixed reviews ont he vests and can't guarantee working
12:56:56 SandraMort shoulder harnesses in taxis.
12:59:25 SandraMort When I buy a new car, I want THREE five point harnesses for it, but right now, my hatchback only has room for a little booster for the 8 year old
13:00:13 Webmama_Tina hi mamas! we're going to get started here in just a minute
13:00:17 Stephanie Tombrello Good question. And of course, not an easy one to manage if you use cabs a lot. I would suggest first, check out the 5-Step Test for your oldest. If he passes, at least in many cabs, that youngster can use the shoulder-lap belt. Otherwise, 2 light weight 
13:01:20 SandraMort I don't think she's tall enough in the legs for it.
13:01:25 Stephanie Tombrello backless boosters or 2 Ride Safer Vests for those vehicles that have shoulder belts are a start. With the Ride Ryte, one can get a tethered harness. It will work in vehicles made from '99 on. The Vests don't 
13:01:26 SandraMort And no, we don't use taxis at *all*
13:01:44 SandraMort Backless boosters don't work for the 5 yo, he squirms too much
13:01:55 SandraMort Plus they're too big to carry.
13:02:44 Stephanie Tombrello need tethers UNLESS there are no shoulder belts--that gives some flexibility as one can use them with the tethers when there is no shoulder belt. It is mandatory to have shoulder-lap belts in all outboard positions in back since 12/89-'91, depending on whe
13:03:04 SandraMort Lots of older cabs, though :(
13:03:40 Stephanie Tombrello ther passenger vehicles or vans. For the youngest, rear facing is recommended until the child cannot no longer use the convertible seat rear facing. That means for all on the market today, 30-35 lbs. One to consider is the Sit n Stroll.
13:04:02 SandraMort *nod*  He'll fit in that for a good long time.
13:04:08 SandraMort What about height, though?
13:04:10 SandraMort He's almost two
13:04:31 Stephanie Tombrello Back to the wiggler. Consider the vest; also in most vehicles w/shoulder-lap belts, the belt can be locked on the child by pulling out the shoulder belt from the top completely and then letting it ratchet back.
13:04:52 SandraMort Is it difficult to attach quickly?  Cabs don't like to sit and wait
13:05:18 Stephanie Tombrello Height: for rear facing the issue is head level: you need at least an inch of space to the top of the plastic shell. The heights listed on seats are standing heights and not very useful for making these decisions.
13:05:57 SandraMort Sorry, I meant torso height, I know... I just meant is it likely to fit a toddler tthat old
13:06:00 Stephanie Tombrello Every piece of equipment takes time to find friendly. But I think you can insist the cabbie wait as it is the law. 
13:06:20 SandraMort I haven't used one before, I don't know how t hey're sized
13:06:36 SandraMort Heh.  Law shmaw, this is NYC.
13:06:49 Stephanie Tombrello The way to tell is to measure your child's torso and then the back of the safety seat--if you can't just put the youngster in it for a test.
13:07:00 SandraMort Well, sure, but I have to BUY it to do that :)
13:07:27 Stephanie Tombrello I know NYC--I lived nearby for my formative years! Yes, it is a challenge but of course, New Yorkers are able to be effective.
13:07:45 SandraMort Most people I know don't bother with carseats in taxis
13:08:31 SandraMort I don't have a Sit and stroll to measure, that's why I was asking.
13:08:45 Stephanie Tombrello Actually, for some items that are sold on the Web only--sure. But you can ask for measurements. Otherwise, I wouldn't deal with any retailer that won't let the seat be fitted to the vehicle/child. Each retailer needs a way to manage that--return policy or 
13:08:55 Stephanie Tombrello guidance in store.
13:09:06 SandraMort Yes, I was going to get it online, no car to go pick the thin up :)
13:09:37 Jwebbal I have the height measurement for sit and stroll
13:10:12 Jwebbal top slot height is 14 inches
13:10:35 SandraMort Jweb - that's from the bottom of his seated butt to the top of the seat?
13:10:38 Jwebbal back height is 22.5
13:10:45 Jwebbal yes
13:10:46 SandraMort Ahhh, ok.
13:10:48 SandraMort Excellent.
13:10:53 SandraMort Thank you.  And weiht max is?
13:10:56 SandraMort WEIGHT
13:11:01 Jwebbal sorry stephanie
13:11:07 Stephanie Tombrello For rear facing the issue is the height of the plastic shell.
13:18:11 Webmama_Tina ok sandra did we get your question completely answered already?
13:18:28 Webmama_Tina and mamas, throw out your question mark if you want to be in line to ask a question please
13:18:46 SandraMort Mmm... I think so... I'lll have to go back and check the transcripts later after we've slept.  I have another question after other people have a turn.  Don't wanna be a hog.  Feel free to stick me in when there's time :)
13:18:52 Webmama_Tina i have a question a friend of mine asked me to ask...so we can start with that
13:19:11 Webmama_Tina i think you kind of answered it already stephanie, but want to clarify...for rear facing...
13:19:28 elijahsethsmom ?
13:19:42 Webmama_Tina she keeps her children rear facing as long as possible, as you suggested...and wanted to know if it is true that you HAVE to turn them forward facing once the top of their heads are one inch below the top of the car seat?
13:19:56 Stephanie Tombrello Yes.
13:20:01 Webmama_Tina she has a 4 yr old forward facing and a 1yr old rear facing
13:20:20 Stephanie Tombrello The reason is that when a seat is rear facing, it is permitted to rotate up to 70 degrees. The harness is
13:20:50 Webmama_Tina current chatter: Webmama_Tina ...upcoming chatters: elijahsethsmom 
13:20:57 Stephanie Tombrello placed at or BELOW shoulder level to help keep the child low in the safety seat. However, if the child's head is closer than an inch to the top, it will lead the crash--exactly what one doesn't want.
13:21:19 Webmama_Tina good to know
13:21:39 Webmama_Tina i have some questions myself...but i will get in line behind elijahsethsmom... you're up mama! 
13:21:49 Stephanie Tombrello Also when a child has head control and/or can sit, the safety seat can be made more upright to accommodate the youngster's comfort and also to start from a higher vantage point when in a crash, the seat will rotate forward and down.
13:22:00 Webmama_Tina current chatter: elijahsethsmom  ...upcoming chatters: Webmama_Tina  :)
13:22:02 elijahsethsmom My ds is almost 7 yrs, 52 lbs, i have him in a booster w/o a back, should i get one with the backing? 
13:22:12 Webmama_Tina thank you stephanie...that's very good to know
13:22:41 Stephanie Tombrello The jury isn't in yet. Initially, we considered backless better because the child was farther back, flush w/the vehicle seat.
13:23:06 Stephanie Tombrello Next, we got some results that indicated that boosters w/backs were linked with better outcomes.
13:23:27 Stephanie Tombrello However, the researcher, who has her kids in backless boosters, says she thinks the result might have been an artifact
13:23:36 elijahsethsmom ok
13:23:37 SandraMort Isn't the child's ability to sit still also part of the equation?  We left my son in a hacked booster because it helped him sit still better.
13:23:49 SandraMort Without the sides, he was leaning over into my daighter's lap
13:23:57 SandraMort WHich is certainly not safe.
13:24:13 SandraMort BACKED, not hacked.  *blush&
13:24:23 Stephanie Tombrello of the small number of backless boosters in the sample and also the proper positioning of the belt. If the belt isn't locked on the child, especially one of the younger users, it is more likely that the belt won't be in the proper location.
13:24:46 Stephanie Tombrello Yes, the description of the lolling child fits with not having the belt locked.
13:25:36 Stephanie Tombrello There is more trouble with Chrysler products that don't have belts that lock to the top of the shoulder belt; but even with them, the lap belt locks. Now remember, I'm talking about cars since model year '96.
13:26:23 Webmama_Tina ack i'm sorry...i forgot to turn off the ins and outs
13:26:34 rugbymom hey tina
13:26:36 SandraMort Sorry!
13:26:59 Stephanie Tombrello Have I missed something while typing?
13:27:00 Webmama_Tina ok its off now...anyone that would prefer to not have the ins and outs distracting them, hit refresh and then log back in :)
13:27:12 Webmama_Tina nope you're doing great stephanie!
13:27:24 Jwebbal ?
13:27:25 rugbymom hey tina, guess what
13:27:29 Webmama_Tina does that answer your question elijahsethsmom?
13:27:41 elijahsethsmom yes
13:27:41 Webmama_Tina yes rugby? we're having our mothering chat right now
13:27:42 elijahsethsmom thanks
13:27:51 rugbymom i know, and im pg
13:28:22 Stephanie Tombrello I assume everyone knows one belt, one person!
13:28:22 Webmama_Tina oh CONGRATS RUGBY! :)  how exciting!!
13:28:39 Kamibug_and_Kiddos