I never really worried about traveling in the car with baby. Everyone said things like, "Babies always sleep in the car. They love riding in the car. We always take our baby for a drive to put him to sleep."
They are some lucky ducks. My baby was only like that until about 4 weeks old. Then we were rudely thrust into a world where the baby screamed in the car seat. Oh, things would start out well. She would lay quietly. Then she would scream her head off until we reached our destination and took her out. So, aside from buying some earplugs, we came up with some solutions to content the baby.
1. Start with a full tummy and clean diaper. Whenever possible, change the baby's diaper and nurse her immediately before placing her in the car seat. If she doesn't fall asleep while nursing, being full will at least help her be more comfortable on the ride.

3. When the baby starts to show interest in toys, find a favorite one for car rides. Little K loves her turtle. It rattles, makes crinkly noises, and has a mirror on the bottom.
5. Make sure baby is comfortable. Little K gets the sun in her eyes in the mornings and evenings, so we hang a light blanket over the bar of the seat to provide some shade.
6. Have a pacifier handy. We keep a pacifier clipped to the head support in the seat. Sometimes Little K needs a few minutes of sucking to tip her over into dreamland....
7. Sympathize with baby. Think of how you feel after riding in the car for hours on end. Your rear starts tingling and you just want to stretch out. Babies get the same way! Whenever possible, take your baby out for a stretch. Put her in the carrier or sling while you're in the grocery store. Let her nap in your arms over lunch. Giving your baby a break from the car seat will do wonders.
Good luck to fellow suffering parents...you have my deepest sympathies for your hearing. My final tip is to drive fast and don't take the scenic route! The sooner you reach your destination, the sooner your baby can be comforted.
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