The back rest for the pram is a kind of board with three pieces, which fold round and clip together to make a triangle. This goes in behind the baby when the baby is sitting up (but when the baby needs to sleep you take it out and flatten it and put it in the tray under the pram, or at the foot or whatever). My feeling is that there's something important in developmental terms about this hard back rest, because the baby sits up on a firm base and against a firm support and learns to exercise the lower back muscles to keep balance. This must be expecially good practice if the pram is in motion. Someone ought to do a study to see if children who ride in a real pram between six months and a year learn to walk earlier than those who slouch in a stroller.
I think maybe some prams have a back rest built in, which folds up or down.
And I believe the really old prams with the cavernous coach built body (like the one I myself occupied on my earliest outings)
The harness, of course, is for safety, once the child is capable of getting about in various ways by itself. You need one for the baby in the pram and one for the toddler on the toddler seat.
This picture, by the way, is not a picture of me but just a random picture I found on the web.
The toddler seat is also important for child development,
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(How very different from the lack of contact with a child in a forward facing pushchair!)
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