Injuries Associated With Infant Walkers

In 1999, an estimated 8800 children younger than 15 months were treated in hospital emergency departments in the United States for injuries associated with infant walkers. Thirty-four infant walker-related deaths were reported from 1973 through 1998. The vast majority of injuries occur from falls do...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2001-09, Vol.108 (3), p.790-792
Main Author: Committee on Injury and Poison Prevention
Format: Article
Language:English
Subjects:
Accidental Falls - prevention & control
Biological and medical sciences
Causes of
Consumer Product Safety
Equipment Design
Equipment Safety
Humans
Infant
Infant Equipment - standards
Infants
Injuries
Medical sciences
Miscellaneous
Traumas. Diseases due to physical agents
United States
Walkers - standards
Wounds and injuries
Wounds and Injuries - prevention & control
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Summary:In 1999, an estimated 8800 children younger than 15 months were treated in hospital emergency departments in the United States for injuries associated with infant walkers. Thirty-four infant walker-related deaths were reported from 1973 through 1998. The vast majority of injuries occur from falls down stairs, and head injuries are common. Walkers do not help a child learn to walk; indeed, they can delay normal motor and mental development. The use of warning labels, public education, adult supervision during walker use, and stair gates have all been demonstrated to be insufficient strategies to prevent injuries associated with infant walkers. To comply with the revised voluntary standard (ASTM F977-96), walkers manufactured after June 30, 1997, must be wider than a 36-in doorway or must have a braking mechanism designed to stop the walker if 1 or more wheels drop off the riding surface, such as at the top of a stairway. Because data indicate a considerable risk of major and minor injury and even death from the use of infant walkers, and because there is no clear benefit from their use, the American Academy of Pediatrics recommends a ban on the manufacture and sale of mobile infant walkers. If a parent insists on using a mobile infant walker, it is vital that they choose a walker that meets the performance standards of ASTM F977-96 to prevent falls down stairs. Stationary activity centers should be promoted as a safer alternative to mobile infant walkers.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.108.3.790