Baby Walkers

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KEY POINTS

• A baby walker is a device that has a base made of hard plastic sitting on top of wheels, and a suspended seat with 2 leg holes.
• Baby walkers can delay how soon your child learns to walk.
• A child in a walker is more at risk for falls, burns, drowning, or poisoning. Adult supervision is not always enough to prevent injuries from a walker.

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Why do some parents use a baby walker?

Some parents think that baby walkers help a child learn to walk sooner. Baby walkers do not help your baby to walk earlier. In fact, they can delay learning to walk. The muscles used to move a walker are different than the muscles a child uses to walk on his own. Babies in walkers tend to walk on tiptoe, which can tighten heel and leg muscles. This means they do not strengthen the muscle groups they need for sitting, crawling, and walking.

Parents also use walkers as a way to entertain and stimulate their children. Children can be entertained in other ways or placed in a safer piece of equipment. A stationary activity center is much safer than a walker. Stationary activity centers look like walkers, but without the wheels. They allow children to bounce, rock, spin, and play with lights, sounds, and objects on the center. Playpens, infant swings, and high chairs with wide bases are other ways to keep your child safe and happy.

Are baby walkers safe?

Many countries do not allow the sale of baby walkers. The American Academy of Pediatrics (AAP) recommends that walkers not be sold in the United States because:

• Baby walkers put children at risk for injury
• There are no clear benefits from using a baby walker.

Each year thousands of children are treated in hospital emergency rooms for walker-related injuries. Walker injuries can be serious, such as:

• Skull fractures, bleeding inside the head, or broken legs and arms from falls, often from falling down stairs
• Pinch wounds to fingers and toes
• Drowning from rolling or falling out of the walker into a bathtub, swimming pool, or pond
• Burns from pulling hot items off tables or stoves.

Babies can also get into cleaners or medicines they could not normally reach, which can result in poisoning.

Adult supervision is not always enough to prevent injuries from a walker. Most baby walker injuries happen while at least one parent is at home watching the child. A baby in a walker can move at a speed of 3 feet per second. This is much faster than a baby can move on his own. Baby walkers put children at higher risk for injury because the child can move around faster and reach higher objects. Babies can also climb out of the walker seat as they get older, resulting in a fall. Before you choose a child care facility, make sure they do not use baby walkers.

Safety tips

• Use toddler-proof locks on doors and screens. Keep outside doors locked at all times, even when you are at home.
• Install window guards to protect your child from falling through windows that your child can reach. Regular window screens will not protect your child.
• Put corner and edge bumpers on sharp edges of furniture such as coffee tables, end tables, and your fireplace hearth.
• Put away all breakable and valuable items from tables and shelves.
• Fasten heavy objects such as TVs, lamps, or stereo equipment to the wall so your baby doesn't accidentally knock them over.
• Some furniture, such as bookcases, can be tipped over if a child climbs on them. Fasten furniture to the wall with a wall anchor so your child can't pull the piece of furniture over on himself.
• Keep plants out of your child’s reach.
• Cover unused electrical outlets with plastic caps. You can also get boxes to cover outlets that are being used. If you can, place furniture in front of outlets and cords.
• Either do not use extension cords or tape cords down. Keep phone cords and cell phone chargers out of children's reach.
• Turn handles of all pots and pans to the back of the stove so your child can't reach them. Use the back burners of the stove when you can.
• Do not use tablecloths that a child can pull down.
• Put safety latches on drawers and cabinets.
• Store medicines, cleaning products and all other poisonous chemicals in a high cupboard out of your child's reach. Make sure the cupboard has a lock or safety latch.
• Keep hot drinks out of reach of your child. When handling hot liquids or foods, check to see where your child is BEFORE you pick up the tea kettle or pan.

If you choose to use a baby walker, make sure that you:

• Use a newer model infant walker with the "Meets Safety Standards" label. Safety standards require that baby walkers have a way to stop the walker at the edge of a step and a wide base so that they can't fit through doorways.
• Put baby gates at the top and bottom of stairs. Also use safety gates in front of forbidden rooms or areas. Safety gates that fasten to the wall are safer than the gates held against the wall by pressure. Gates do not prevent babies from tumbling down stairs in walkers. Children can take the gate down or the baby walker can knock the gate loose.
• Always keep your eye on a child in a baby walker. A child in a walker is more at risk for falls, burns, drowning, or poisoning.