·      Read the Manual: Make sure you understand how to safely use the seat, carrier or wedge according to the manufacturer’s recommendations. Use the internet to look up information or contact the manufacturer. Register your equipment so you can receive important safety updates.

·      Check her Weight and Height: The manufacturer will specify the weight and height limits for each item. Your baby may be growing rapidly during the first year and need a new car seat or wedge.

·      Check her Airway: Observe her carefully by day to make sure she can move freely and breathe easily. A product such as Hug Me Joey can be used to improve the angle of seating.

·      Use the Harness: It is important to always use the harness and support system before leaving your baby in a car seat or positioner. Even for a moment. A baby can quickly slip down, roll or get stuck.

·      Mix Things Up: Maybe she can sleep in her car seat during the day near you and in her crib at night. Or she can digest in the infant seat by day and use the car seat at night for sleep. This way, she will be in a variety of positions throughout the day.

The American Academy of Pediatrics recommends back sleeping on a firm mattress in a crib. However, many babies with reflux cannot tolerate back sleeping or sleep poorly with frequent night waking when placed on their back. As I talk to parents, I hear about all kinds of sleeping arrangements and strategies to get some rest for both parents and baby. To my knowledge, there has not been a study of how infants with reflux are positioned during their first year. I imagine there are plenty of ways parents and babies manage to get a bit of sleep. I hope you will look at your baby equipment with new eyes and make sure your baby is safe.