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 reporte d from 1973 through 1998. The vast majority of injuries occur from falls do wn 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 us e of warning labels, public education, adult supervision during walker use, and stair gates have all been demonstrated to be insufficient strategies t o prevent injuries associated with infant walkers. To comply with the revis ed voluntary standard (ASTM F977-96), walkers manufactured after June 30, 1 997, must be wider than a 36-in doorway or must have a braking mechanism de signed 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, a nd because there is no clear benefit from their use, the American Academy o f 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 t hat they choose a walker that meets the performance standards of ASTM F977- 96 to prevent falls down stairs. Stationary activity centers should be prom oted as a safer alternative to mobile infant walkers.