Preventing falls at home

Taking basic precautions in these hot spots can help prevent falls at home:

• Windows. Most children 5 years old and younger can fit through a 6-inch opening. To prevent falls from windows, install a stop that prevents windows from opening any further than 4 inches. Alternatively, install window guards that cover the lower part of the window. Other prevention strategies include opening double-hung windows only from the top, moving furniture away from windows, and supervising children in a room with open windows. Don't rely on a window screen to prevent falls.
• Stairs. Install safety gates at the top and bottom of staircases. Put doorknob covers on doors that lead to staircases, such as basement doors. Install lower stair rails that are easier for younger children to reach. Don't leave clutter on stairs.
• Porches and balconies. Don't let a child play unattended on a balcony, porch or fire escape even if there are railings. Lock doors and windows that provide access to these areas.
• Baby furniture and equipment. Use preinstalled safety straps on a changing table or highchair. Select a highchair with a wide base that makes tipping less likely. Don't leave a child unattended on a changing table or in a highchair.
• Beds. Install safety rails on beds for toddlers. Bunk beds should be used for children who are six or older. Safety rails on bunk beds should be on both sides of the bed, and gaps between rails should be 4 inches or less. Use a nightlight near the bunk bed stairs or ladder for safe use at night.
• Other furniture. Don't leave a baby unattended on furniture. Place bassinets or portables car carriers on the floor, rather than on tables, counters, beds or other furniture. Place bumpers or guards on sharp corners of furniture to protect toddlers when they fall.
• Bathtubs. Use a bathmat in tubs to lower the risk of falls. Don't leave your child unattended in a bath. Use a nonslip bathmat and clean up wet floors promptly.
• Baby walkers. The American Academy of Pediatrics recommends not using baby walkers, which can lead to falls. Consider alternatives, such as a stationary walker center or activity center.
• Nightlights. Use a nightlight in your child's bedroom, the bathroom and hallways to prevent falls at night.