8 Best Car Seats For Preemies In 2023

Your little bundle of joy has arrived before time, but that’s okay! With our list of the best car seats for preemies, you can be all set to take your little one home. Newborn babies are delicate, but preemies can be even more fragile. Therefore, finding the right car seat can be a daunting task. You have to keep in mind that your baby needs maximum protection. The seat also has to be approved medically. Keeping your infant’s special needs in mind, our list can help you choose the right car seat. Read on to know more.

In This Article

Car Seat Safety For Preemies

Premature babies need to clear a car seat test before being released from the hospital. The American Academy of Pediatrics (AAP) recommends this for babies born before 37 weeks, and the test is performed on babies with low birth weight or special medical conditions. This test monitors the baby for bradycardia, apnea, or oxygen desaturation (1).

The baby’s breathing and heart rate must remain constant throughout the test to pass. Here are a few pointers to help you obtain the best results during the test.

  • Straps: Strap up and buckle your child in the seat, just as you would when you are driving them home. Maintain a snug fit and make sure the child does not slouch. This will provide the doctors with a more accurate reading.
  • Swaddling: Swaddle the baby well, so they are comfortable and sleeps through the test.
  • Recline: Recline the seat to its highest position. This will keep their airways free and allow them to breathe continuously. The level indicator will tell you if the seat is well-reclined.
  • Feeding: Avoid taking the test just after a feed. Give them time to digest the breast milk to avoid reflux action and vomiting.

8 Best Car Seats For Preemies

1. Best With Extra-Large Canopy: Britax B-Safe Ultra Infant Car Seat


Preemies require special care, which the Britax B-Safe car seat provides. The rear-facing micro-preemie car seat can accommodate babies weighing four to 35 pounds with a strong, durable steel frame body and a crumple zone. In addition, the safe and effective baby car seat is moisture, odor, and stain-resistant — thanks to the Nanotex technology, and the reclining action is spring-assisted. This video review will give you more insights into the newborn car seat.

Color: Stay Clean | Material: Alloy Steel | Item Weight: ‎20.5 pounds | Product Dimensions: ‎26.5 x 17.75 x 25 inches


  • Seat belt guide for extra safety
  • Dual-layered side impact protection
  • Safe cell technology
  • Safe center latch
  • Easy installation
  • Built-in locks
  • Recline level indicators
  • Extra-large canopy


  • May be narrow for some babies
Price at the time of publication: $194.99

2. Best Lightweight: Graco SnugRide 35 Lite Lx Infant Car Seat


The Graco SnugRide preemie baby car seat is ideal for babies weighing four to 35 pounds. It measures 18.07×14.41×27.4 inches. The lightweight, tried-and-tested car seat for preemies is designed with Protect Plus to protect the baby from front, rear, side, and rollover impacts. It also includes a two-piece head and body support for optimal comfort. To make an informed decision before buying, you can check out this video.

Color: Hailey | Item Weight: ‎11.49 pounds | Product Dimensions: ‎18.07 x 14.41 x 27.4 inches


  • Easy-to-read level indicator
  • Four-position adjustable base
  • Rotating canopy
  • Easy installation latch
  • Head and body support
  • Snug fit


  • May be hard to release

protip_icon Do remember
Only use the head or body support provided by the manufacturer. Alternatively, you can use blanket rolls for a better fit if recommended by your doctor.

Why It's Worth Buying: The product has garnered more than 4,270 positive reviews on Amazon.
Price at the time of publication: $119.99

3. Best With Removable Canopy: Chicco KeyFit 30 Infant Car Seat

An easy-to-install car seat for preemies, the Chicco KeyFit 30 incorporates the SuperCinchlatch feature. It includes a five-point harness and a single-pull tightener. The tiny baby car seat is recommended for babies weighing 4 to 30 pounds and comes with a Recline Sure leveling foot for a perfect base angle and Ride Right bubble indicators. In addition, the EPS energy-absorbing foam provides maximum impact protection. Check out this YouTuber’s unbiased review about this tried-and-tested car seat for premature babies.

Color: Oxford | Material: Fabric | Item Weight: ‎16.6 pounds | Product Dimensions: ‎27.5 x 17 x 24 inches


  • Smooth underside protection for vehicle seat
  • Removable head, body, and neck support
  • Removable canopy
  • Integrated lock-offs
  • Comfortable fabric


  • Chest buckle may not sit flat
Price at the time of publication: $229.99

4. Best With Recliner Indicator: EvenfloLiteMax Infant Car Seat

 EvenfloLiteMax Infant Car Seat Image: Evenflo

If you’re looking for a car seat for your growing preemie, the EvenfloLiteMax accommodates children weighing four to 35 pounds. It has four shoulder harness positions and an ergonomic handle design for easy carrying. In addition, the premature baby car seat has an easy-to-install base with a vehicle belt lock-off. The infant car seat measures 18.3×17.8×30 inches.

Color: Knoxville Gray | Material: Polyester | Item Weight: ‎8.17 pounds | Product Dimensions: ‎28.5 x 19 x 24 inches


  • Lightweight
  • Integrated belt lock
  • Recliner indicator
  • Four recline positions
  • Extended usage
  • Full coverage canopy


  • Back padding may not be enough
Why It's Worth Buying: Join the 2,516 satisfied buyers on Amazon who have said the product meets their needs and expectations.
Price at the time of publication: $125.49

5. Best For Adjustable Height: Baby Trend Ez Flex Loc Infant Car Seat

Baby Trend Ez Flex Loc Infant Car Seat Image: Baby Trend

The Baby Trend Ez Flex Loc preemie car seat has a five-point harness and four push-button height adjustments. The seat can be easily released with one hand access, and the EPS foam absorbs crash impact energy for added protection. In addition, it features flexible base latch straps and a smooth carry handle to make it a secure car seat for premature infants.

Color: Carbon | Material: Foam | Item Weight: ‎16.87 pounds | Product Dimensions: ‎16.25 x 14.66 x 26 inches



  • Soft head-rest
  • Easy installation
  • Adjustable height
  • Level indicator
  • Energy-absorbing foam


  • Could be heavy for some
Why It's Worth Buying: Over 1,251 customers on Amazon have opined that this is one of the best products in its category.
Price at the time of publication: $82.5

6. Best Machine Washable: Safety 1st OnBoard 35 Air 360 Infant Car Seat

Safety 1st OnBoard 35 Air 360 Infant Car Seat Image: Safety 1st

This extended rear-facing onBoard infant car seat from Safety 1st has a latch installation system. With five layers of safety foam padding, the extra-padded, safe, and effective car seat for preemies keeps your little one comfortable. Further, the Air Protect structural design protects against side impacts and rear, front, and rollover impacts to offer safe travel for preemies. In addition, an easily adjustable five-point harness and four harness heights make this an ideal car seat for premature infants.

Color: Raven HX | Material: Foam | Item Weight: ‎18.48 pounds | Product Dimensions: ‎16.5 x 19 x 31.5 inches


  • Machine-washable
  • Lightweight
  • Dryer-safe
  • Latch technology
  • Energy-absorbing GCell HX patented race car foam
  • Reinforced handle
  • Soft foam
  • Comfortable


  • Excess padding may make the child feel hot

protip_icon Caution
Never leave blankets, plushies, or soft bedding in the car seat, as they can cover the baby’s head, neck, or face, leading to suffocation or overheating (5).

Price at the time of publication: $179.99

7. Best With Energy-Absorbing EPS: Primo Viaggio 4/35

Primo Viaggio 4/35 Image: Pegperego

Designed with soft jersey fabric, the Primo Viaggio is a comfortable car seat for preemie babies weighing 4 to 35lb. The preemie car seat base is integrated with an anti-rebound bar with dual-stage cushioning for extra support.

The color-coded belt paths and compact handles make the seat easy to use and carry. In addition, a unique shell design with six vertical positions of this small baby car seat optimizes comfort and safety measures.

Color: Atmosphere | Material: Jersey,Fabric | Item Weight: ‎21 pounds | Product Dimensions: ‎28.9 x 17 x 25.3 inches


  • Innovative shell design
  • Energy-absorbing EPS
  • Five-point harness
  • Side impact protection
  • No-rethread harness
  • Installation with or without base
  • Latch system installation


  • Translucent headcover may not block the sun
Price at the time of publication: $299.99

8. Best Side-Impact Protection: Graco SnugRide SnugLock 35 LX Infant Car Seat


The Graco SnugRide SnugLock 35 LX Infant Car Seat is a multitasker with a canopy that can be adjusted with one hand. The InRight LATCH system offers a one-second LATCH attachment and an easy-to-read level indicator, eliminating guesswork during installation. The four-position adjustable, safe, and effective car seat for tiny babies is compatible with most cars. Safely constructed to meet and exceed US safety standards, its TrueShield Side Impact Technology provides advanced side impact overall protection.

Color: Ion | Material: Polyester | Item Weight: ‎9.75 pounds | Product Dimensions: ‎19.96 x 30.87 x 15.51 inches


  • Silent shade canopy
  • Five-point, front-adjust harness
  • Rear-facing car seat for preemies
  • Accommodates weights up to 35 pounds
  • Safe material


  • May not fit some car seats
  • Can be cumbersome to clean
Price at the time of publication: $219.99

How To Choose The Right Preemie Car Seat?

Here are some pointers to keep in mind when choosing a car seat for preemies.

  • Weight: Preemies will need a car seat with a lower minimum weight allowance than normal car seats. Look for a seat with a four-pound minimum requirement.
  • Harnesses: The lowest harness slot must be lower than normal for a smaller baby. Look for shorter crotch buckles to keep the baby more secure. Specialized car seats for preemies with chest clips should be avoided, as these can obstruct the preemie’s chest and airway or reach their face, and the leg straps should not be too far apart.
  • Durability: Since your baby is precious and needs some extra security, choose a preemie-safe car seat that is strong and durable. The seat shell should be a sturdy frame with good foam and cushioning.
  • Special features: Infant carriers have adjustable harness height positions, indicators, latch installation, multiple reclining positions, canopies, and side-impact protection. Some convertible car seats for preemies also double as carriers and toddler seats as the baby grows. Pick a baby-friendly seat that offers maximum features.

Why Trust MomJunction?

Preemies require optimal protection during traveling. This post brings you a well-structured list of the best car seats for preemies available in the market. We have curated a detailed post to provide the necessary information about various car seat features useful for preemies. These safe and effective car seats have advanced safety features and are durable, high-quality, and lightweight. This post also has a useful buying guide to help you pick the most suitable one.

Frequently Asked Questions

1. Does my preemie need a preemie car seat?

Preemie should be screened before they are discharged from the hospital to check if they can sit in a reclined position. If they can sit in a reclined position, a preemie needs a preemie-specific car seat. You may consider a preemie car bed if they cannot sit in a reclined position but can lie down (2).

2. How long can a premature baby be in a car seat?

Experts recommend that preemies should not sit for more than an hour in the car seat (3).

3. Can I put a baby in a car seat after feeding?

It is not advisable to put your preemie in a car seat as soon as you feed them. Wait for an hour, and also ensure you do not feed your preemie in a moving vehicle.

4. Can I use a convertible car seat as a preemie car seat?

No, you should stick to a preemie-specific car seat. Preemies need a special car seat.

5. What is the minimum weight that an infant seat or a convertible car seat can accommodate?

An infant-only car seat is ideal for babies from birth and until they reach 35 pounds. A convertible car seat is suitable for babies from birth and until they reach 40 pounds (4).

6. Do I need an infant insert with a preemie car seat?

Some babies may be smaller than expected and might need premature baby inserts. You can also opt for a preemie car seat with inbuilt cushions.

7. How do I install preemie car seats?

Preemie-friendly car seats are installed rear-facing only. However, ensure that you follow the manufacturer’s instructions for installing the car seat.

Besides bringing tons of happiness and excitement, your preemie can also leave you feeling nervous and unprepared. And to travel with them with ease, you must invest in a car seat made specifically for their delicate and fragile body. Always ensure that the car seat you bring home has a minimum weight-holding capacity of four pounds, comes with shorter crotch buckles than regular car seats to keep your newborn safe, and is strong and durable. Also, avoid purchasing seats with chest clips as they may cause discomfort to their chest and airways. Lastly, for maximum protection, invest in car seats with adjustable harness height and reclining positions, latch installation and indicators, side-impact protection.

Infographic: Things To Consider When Using A Car Seat For Preemies

It is essential to use a car seat with preemie-friendly features regardless of whether it is the little one’s first ride home or the subsequent outdoor trips. One should also be careful about the strapping technique to keep the little one from sliding. The infographic lists car seat features and strapping techniques that can make car rides safer for the preemie.

Points To Remember When Buying And Using A Car Seat For Preemies (infographic)

Illustration: Momjunction Design Team

Get high-quality PDF version by clicking below.

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Download Infographic in PDF version


MomJunction's articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy.

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