Efforts to promote the use of infant car seats through health education techniques have been disappointing when strict criteria for evaluation are used. Low-income families were targeted and were provided with educational sessions in the prenatal, postdelivery, and infant follow-up periods. Free car seats were given to 179 clients. Base-line and follow-up observations were performed at 4 months after delivery. The proportion of correctly restrained infants increased from 9% to 38%. The number of infants who were lap held decreased from 38% to 18%. The proportion of clients who had an approved car seat but who were using it incorrectly increased from 11% to 23%.

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