Preemie infants require extra care and attention due to their delicate health conditions.
As a parent, your top priority is ensuring your preemie’s safety and comfort, especially during car rides.
A reliable preemie car seat protects your little one while on the road.
Top 3 PICKS

Graco SnugRide 35 Lite LX
- Compatible with many Graco strollers
- Can be installed using the LATCH system
- Has a multi-position canopy

Safety 1st Onboard 35 LT
- Side-impact protection
- FAA approved for use on aircraft
- Meets or exceeds federal, ASTM, and JPMA safety standards

Baby Trend Secure Snap Tech 35
- No re-thread harness system
- Extra-large canopy for sun protection
- Patented side impact head protection
- 1. Graco SnugRide 35 Lite LX
- 2. Safety 1st Onboard 35 LT
- 3. Baby Trend Secure Snap Tech 35
- 4. Chicco KeyFit 30
- 5. Britax B-Safe Gen2 Flexfit
- 6. Evenflo LiteMax DLX
- 7. MESA Infant Car Seat
- 8. Peg Perego Primo Viaggio 4-35
- 9. Doona Infant Car Seat
- 10. Century Carry On 35
- Best Preemie Car Seat: Factors to Consider
- FAQs About the Best Preemie Car Seat
- Conclusion
1. Graco SnugRide 35 Lite LX
The Graco SnugRide 35 Lite LX is not only an excellent choice for regular infants but also highly suitable for preemies, offering crucial features that cater to their unique needs.
One of the reasons why this car seat is ideal for preemies is its weight range. It can safely accommodate rear-facing infants as small as 4 lbs, ensuring that even the tiniest arrivals can travel safely and comfortably.
Moreover, the 4-position adjustable base is another significant advantage for preemies. It allows for a more customized and snug fit, keeping the little one in a safe and cozy position.
The ProtectPlus engineered safety features of the Graco SnugRide 35 Lite LX further solidify its suitability for preemies. Parents of preemies can have peace of mind knowing that their little one is surrounded by a highly protective and crash-tested car seat.
What we like
- Compatible with many Graco strollers
- Can be installed using the LATCH system
- Has a multi-position canopy
What we don’t like
- The harness is not as soft
2. Safety 1st Onboard 35 LT
Safety 1st has truly considered the needs of preemies, making this car seat a reliable and thoughtful choice for families with premature infants.
First and foremost, it accommodates infants as light as four pounds, which is ideal for those born prematurely and may weigh significantly less than full-term babies.
Moreover, the car seat’s four harness heights are crucial for preemies’ safety and comfort. With this feature, parents can rest assured that their preemie will be snugly and safely secured throughout their journey.
The inclusion of head and body inserts in the car seat is another advantage for preemies. The extra comfort and stability offered by these inserts make the car seat a cozy space for preemies during travel.
Lastly, Handling a premature infant can be challenging, and the straightforward harness adjustment ensures that parents can effortlessly secure their little one in the car seat without any hassle.
What we like
- Side-impact protection
- FAA approved for use on aircraft
- Meets or exceeds federal, ASTM, and JPMA safety standards
What we don’t like
- May not be compatible with all strollers
3. Baby Trend Secure Snap Tech 35
One of the key reasons why this car seat is suitable for preemies is its removable 4-piece grow-with-me insert. The insert can be adjusted to accommodate the tiny size of a preemie, keeping them secure during travel and preventing any potential slippage or discomfort.
Additionally, the no re-thread harness system is a crucial feature for preemies. This feature not only saves time and effort but also ensures that the harness fits perfectly around the preemie, offering the utmost protection and minimizing any potential misuse.
Moreover, the car seat’s multiple reclining positions on the base provide flexibility for accommodating the unique needs of preemies. The ability to customize the seat angle provides a safe and comfortable environment for the preemie while traveling.
In conclusion, this car seat is not only an excellent choice for babies within the recommended weight and height range but also proves to be suitable for preemies.
What we like
- No re-thread harness system
- Extra-large canopy for sun protection
- Patented side impact head protection
What we don’t like
- The car seat is relatively heavy
4. Chicco KeyFit 30
Designed with utmost care and consideration, this car seat is suitable for even the tiniest preemies babies, offering a secure and comfortable environment during their early stages of life.
One of the main reasons why the Chicco KeyFit 30 is ideal for preemies is its included removable infant head and body support insert. This additional cushioning provides extra comfort and ensures a snug fit for newborns and smaller infants, including preemies.
Moreover, the car seat’s weight and height limits make it suitable for preemies as well. With a starting weight requirement of 4 lbs., preemies falling within this range can safely travel in the Chicco KeyFit 30.
Furthermore, the car seat’s innovative SuperCinch Force-Multiplying LATCH Tightener plays a significant role in providing a secure fit in the vehicle. For preemies who may be smaller and more fragile, this enhanced tightness adds an extra layer of safety and stability during car rides.
What we like
- Easy to install
- Compatible with Chicco strollers
- Top-rated infant car seat
What we don’t like
- A little bit expensive
5. Britax B-Safe Gen2 Flexfit
Parents of preemies can confidently choose the B-Safe Gen2 FlexFit, knowing that their little ones are in safe and caring hands.
First and foremost, the B-Safe Gen2 FlexFit’s adjustable no-rethread, 5-point harness is a crucial feature for preemies. This minimizes the risk of discomfort or improper positioning during travel, providing optimal safety and support for preemies’ fragile bodies.
Additionally, the two layers of side impact protection in this car seat are especially beneficial for preemies. The enhanced protection surrounding the head, neck, and torso ensures an extra layer of safety, giving parents greater peace of mind during car journeys.
Furthermore, the SafeWash cover of the B-Safe Gen2 FlexFit is a practical advantage for preemie parents. Premature babies often have weaker immune systems, and maintaining cleanliness is crucial.
Lastly, the spacious seating area and smooth-touch knit fabric add a level of comfort and coziness that is vital for preemies. The soft and gentle fabric is suitable for their sensitive skin, and the generous seating area accommodates their smaller size comfortably.
In conclusion, the B-Safe Gen2 FlexFit is an excellent choice for preemies, as it addresses their specific needs with its adjustable harness, enhanced safety features, easy-to-clean cover, and comfortable design. This car seat provides not only top-notch protection but also the necessary comfort and support that premature babies require during their travels. Parents of preemies can confidently choose the B-Safe Gen2 FlexFit, knowing that their little ones are in safe and caring hands.
What we like
- Two layers of side impact protection
- No-rethread, 5-point harness
- Easy to achieve a secure installation
What we don’t like
- Can be heavy for some parents
6. Evenflo LiteMax DLX
Preemies, being born before 37 weeks of pregnancy, require extra care and specialized products to ensure their safety and well-being during travels. This car seat offers several features that make it a perfect fit for these delicate babies.
One of the key reasons why the LiteMax DLX is suitable for preemies is its adjustable and snug fit. The LiteMax DLX’s adjustable harness and headrest allow for a customized and secure fit, ensuring that preemies are properly supported and protected during car rides.
Safety is paramount for premature infants, and Evenflo takes this seriously. The LiteMax DLX Infant Car Seat meets and exceeds all applicable federal safety standards, including rigorous rollover, temperature, and structural integrity testing.
Furthermore, the FreeFlow cooling mesh fabric is another advantage for preemies. Preemies can be more sensitive to temperature fluctuations, and the cooling mesh fabric helps maintain a comfortable environment for them, preventing overheating during hot weather.
What we like
- Meets all applicable federal safety standards
- Features cooling mesh fabric that circulates air
- Easy to carry
What we don’t like
- May be difficult to fit two in a row in some vehicles
7. MESA Infant Car Seat
The MESA infant car seat is an excellent choice for preemies due to its thoughtful design and included features. It provides the necessary support and comfort to ensure a smooth and secure journey for these special little ones
The MESA’s infant insert provides extra padding and support around the baby’s head, neck, and body, ensuring that they are properly positioned and protected inside the car seat.
Moreover, the MESA’s low harness position is crucial for preemies, as it allows for a more secure fit for their smaller frames. The harness can be easily adjusted without the need for rethreading, making it convenient for parents to customize the fit as the baby grows.
In addition to the safety aspects, the MESA’s soft, breathable, and moisture-wicking fabrics keep the preemie comfortable and cool during rides, avoiding overheating which could be a concern for premature infants.
What we like
- Soft, breathable, and moisture-wicking fabrics
- Easily removable and washable seat fabric
- UPF hideaway canopy
What we don’t like
- Can be expensive
8. Peg Perego Primo Viaggio 4-35
The Primo Viaggio 4/35 rear-facing infant car seat by Peg Perego is not only a fantastic choice for babies within the weight range of 4 to 35 pounds, but it also proves to be suitable for preemies.
One crucial reason why the Primo Viaggio 4/35 is suitable for preemies is its adjustable side impact protection. This ensures that their head and shoulders are always well-supported and protected, reducing the risk of injury in the event of an impact.
Additionally, the dual-stage cushion system of the car seat provides essential comfort and support for preemies. This feature is crucial for preemies, as it helps keep them in a proper and safe position during travel, minimizing the risk of potential complications.
Furthermore, the use of soft and breathable fresco Jersey fabric in the cushions ensures that preemies remain comfortable in any season. Premature babies may have more sensitive skin, and the choice of materials in this car seat helps prevent discomfort and irritation.
What we like
- 5 point harness
- Large adjustable hood
- Travel system compatible
What we don’t like
- Can be a bit bulky and heavy
9. Doona Infant Car Seat
Parents can rely on the Doona Car Seat to provide their preemies with the best possible travel experience, whether it’s for short trips or long journeys.
One of the key reasons why the Doona Car Seat is suitable for preemies is the Doona Car Seat’s 5-point harness and 3 Layer Side Impact Protection offer crucial safety measures for premature babies.
The adjustable handlebar, acting as an anti-rebound bar inside the car, further enhances safety for preemies. This feature reduces the impact of sudden stops or accidents, protecting the delicate developing body of a premature baby.
Moreover, the Doona Car Seat’s baby-safe materials, breathable textiles like bamboo, and memory foam inserts ensure a gentle and comfortable environment for preemies.
For parents who need to travel with their preemies, the Doona Car Seat’s FAA Aircraft Approval makes it an excellent choice for air travel.
What we like
- The one-motion operation to convert from car seat to stroller
- Includes all necessary accessories
What we don’t like
- It is on the higher end price point for a car seat
10. Century Carry On 35
The Happy Planet Collection Infant Car Seat is not only a fantastic choice for regular-sized babies but also highly suitable for preemies. Its thoughtful design and features make it an excellent option to cater to the unique needs of premature infants.
One of the key reasons why this car seat is suitable for preemies is its rear-facing functionality. Preemies are generally more vulnerable, and the rear-facing position provides optimal support for their delicate necks and bodies.
The car seat’s ability to cater to infants as light as 4 lb ensures a secure and snug fit for these tiny arrivals, giving them the utmost comfort during travels.
Additionally, the KeepSafe Protection feature plays a crucial role in making this car seat ideal for preemies. Its rigorous testing and design ensure that even the tiniest passengers are cocooned in a protective and safe environment.
What we like
- Lightweight (just under 7 pounds)
- Designed and tested for safe and secure protection
- Side-impact tested for occupant retention with or without base
What we don’t like
- May not be as durable as some other car seats
Best Preemie Car Seat: Factors to Consider
When searching for the best preemie car seat, there are several essential factors to consider.
1. Safety Standards and Ratings
The safety of your preemie is non-negotiable. Ensure that the car seat complies with all safety standards and has high safety ratings. Look for features like side-impact protection, energy-absorbing foam, and a secure harness system.
2. Proper Fit and Adjustability
A well-fitted car seat is vital for your preemie’s safety. Look for a car seat with multiple adjustable features, such as harness height and headrest, to accommodate your baby’s growth.
3. Compatibility with Strollers
If you plan to use a stroller with your car seat, ensure that they are compatible. Some car seats are designed to click into specific stroller models, providing a convenient travel system.
4. Weight and Portability
As preemies are often smaller and lighter, consider a car seat that is lightweight and easy to carry. This feature comes in handy, especially when you need to move the car seat between vehicles or use it as a carrier.
5. Easy Installation
Installing a car seat should be a straightforward process. Look for car seats with clear instructions and user-friendly installation features to ensure correct and secure fitting.
6. Comfort and Padding
Your preemie deserves the utmost comfort during car rides. Opt for a car seat with sufficient padding and additional newborn inserts for enhanced support.
7. Easy Cleaning
Babies can be messy, so selecting a car seat with easy-to-remove and machine-washable covers is a practical choice.
8. Longevity and Adjustability
Investing in a high-quality car seat that will grow with your preemie is a smart choice, ideally converting into a forward-facing seat as your child gets older.
FAQs About the Best Preemie Car Seat
Here are some frequently asked questions about preemie car seats, along with detailed answers to help you make an informed decision.
Q: Can I use a regular car seat for my preemie?
A: Regular car seats may not provide the necessary support for small infants. It is recommended to use a car seat specifically designed for preemies to ensure a proper fit and optimal safety.
Q: When can I transition my preemie to a regular car seat?
A: The transition to a regular car seat typically happens when your preemie outgrows the weight and height limits of their infant car seat or when they meet the minimum size requirements of a convertible car seat.
Q: Can I use a second-hand car seat for my preemie?
A: It is generally not recommended to use a second-hand car seat, as it may have been involved in an accident or have parts missing. Additionally, safety standards may have evolved since its manufacture.
Conclusion
In conclusion, choosing the best preemie car seat for your little one is a critical decision that requires thorough research and consideration.
We’ve provided an overview of the top five preemie car seats of the year, each offering unique features to meet your little one’s needs.
Furthermore, we addressed some frequently asked questions (FAQs) to provide clarity on common concerns related to preemie car seats.