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Injuries and deaths can occur in children held on adult laps during turbulence and nonfatal crashes. The American Academy of Pediatrics recommends that children should be placed in a rear-facing Federal Aviation Authority (FAA)-approved child-safety seat until they are at least 1 year old and weigh at least 20 pounds. Children older than 1 year of age and 20-40 pounds in body weight should use a forward-facing.
Air travel is safe for healthy newborns and infants it can just be stressful and adjustments may be needed to accommodate them. Travel to different time zones, “jet lag,” and schedule disruptions can disturb sleep patterns in infants and children, as well as adults. After arrival, children should be encouraged to be active outside during daylight hours to promote adjustment.

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