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Now both the AAP and the National Highway Traffic Safety Administration (NHTSA) recommend children face backward until they outgrow their seat. That means most children should remain in a rear-facing car seat until they're at least 2 or 3 years old.
What this sentence is trying to say, is that for kids who weigh less than 20 lbs. the only direction you are allowed to install this car seat is rear-facing â i.e. a child under 20 pounds may never ride forward-facing in this car seat.