What is extended rear-facing, and how does it differ from standard rear-facing car seat use?
Jayne Caul explains: “Extended rear-facing (ERF) refers to keeping a child travelling rear-facing beyond infancy and toddlerhood, typically until around four, five, six or even seven years of age, depending on the car seat. While all babies should travel rear facing from birth, many children move into forward-facing seats much earlier. Extended rear-facing seats are specifically designed to accommodate older, taller and heavier children, allowing them to remain in the safest travel position for longer.”
In practice, these car seats are larger car seats designed to support a child as they grow, so they can stay rear facing well beyond the early years, right up until they outgrow the seat itself.
Why do child safety experts recommend keeping children rear facing for as long as possible?
When deciding when to move a child into a forward-facing seat, safety is often one of the biggest considerations for parents.
According to Jayne Caul: “Child safety experts recommend keeping children rear facing for as long as possible because it offers the best protection for a young child's head, neck and spine in a collision. Young children have proportionally larger and heavier heads than adults, while the muscles and bones in their neck are still developing. In a frontal collision, a rear-facing seat distributes crash forces across the child's back - the strongest part of their body - rather than placing significant strain on the neck. This helps to reduce the risk of serious injury and provides vital protection during the years when children are most vulnerable.”
It’s a point that often comes up when parents are weighing up when to turn a seat forward-facing. Mumsnet user, Poobs2022 says: "[…] There is better impact distribution when rear facing so it protects the head, neck and spine […] Sweden have the best car seat testing which is why some seats are Swedish+ tested and they are rear facing seats that go to age 7."
What does the evidence tell us about the safety benefits of extended rear-facing?
Evidence from long-term crash data and real-world research consistently shows that rear-facing car seats offer significant protection for young children.
Jayne Caul says: "Decades of research support the safety benefits of extended rear-facing travel. Sweden, where rear-facing child restraints were first developed, has one of the lowest rates of child passenger fatalities in the world. Rear-facing travel until four or five years of age - and often beyond - is widely accepted there as the safest option for young children."
A recent study carried out by Folksam analysing child fatalities aged 0–6 in Sweden between 1992 and 2024 found that more than one in three child traffic deaths may have been prevented through rear-facing travel. The report also concluded that up to 48% of children aged 0–3 who died in collisions may have survived had they been travelling rear-facing.
Dr Maria Klingegård, Traffic Safety Researcher at Folksam and co-author of the study, says: "Children are not just small adults. They need extra support. A rear-facing child restraint system provides robust protection that is forgiving for misuse, offers synchronised support for the head and torso, and protects the neck. […] It is the responsibility of every parent to make sure children travel as safely as possible, and that means using rear-facing restraints."
The strength of this approach is also reflected in testing standards used in Sweden. The Swedish Plus Test developed by VTI is one of the toughest child car seat safety tests in the world. It measures the forces placed on a child's neck in a severe frontal collision, and to date only rear-facing car seats have been able to pass.