With the potential instability of some existing shopping cart designs, and because it is difficult for a parent to easily ascertain a cart's safety simply by looking at it, parents should carefully consider the potential for injury before placing a child in a shopping cart, according to the policy. Instead of putting children in shopping carts, parents can try one of the following alternatives:
If a parent chooses to place a child in a shopping cart, he or she
should ensure that the child is properly secured in an effective and
age - and size-appropriate belt or harness. Parents and caregivers should
never:
To help parents, the AAP recommends that businesses adopt shopping cart safety strategies and offer other assistance to help prevent injury. This may include providing a supervised in-store child-play area; a pick-up area or assistance in bringing purchases to a vehicle; cart modifications to improve child restraint and cart stability; strollers or wagons for in-store use; education and warnings about cart dangers; and/or customer incentives, such as stickers or other give-aways, to reward safe shopping cart behavior.
In addition, the AAP recommends that the current U.S. safety standards for shopping carts be revised to include "clear and effective performance criteria" for child-restraint systems and cart stability to prevent falls and injuries due to cart tip-overs. The U.S. Consumer Product Safety Commission should closely monitor and enforce manufacturer compliance, and regularly review child shopping cart-related injuries, according to the new policy.
The AAP recommends that child health and advocacy professionals support
revised manufacturer standards, and educate parents, families, the
public, and the media on shopping cart risks. 
