What should I do if my child was born prematurely or has low birth weight?

Before using this car seat for preterm or low birth weight infants, ensure the child meets the standard Child Requirements. Additionally, if your infant was born before 37 weeks or weighed less than 5 pounds at birth, Evenflo requires that a hospital evaluation be conducted before the first car trip. The American Academy of Pediatrics recommends that hospital staff observe your infant in the car seat for 90 to 120 minutes or the duration of travel, whichever is longer, to check for breathing difficulties or heart rate problems (Page 5).