2017 Recommendations for Preventive Pediatric Health Care

Abstract

The guidance in this statement does not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. All policy statements from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffi rmed, revised, or retired at or before that time.

The Edinburgh Postpartum Depression Scale: Stable structure but subscale of limited value to detect anxiety

“…Further research is needed to assess the maximum potential of the EPDS in the detection of anxiety, and whether additional efforts should be made to detect both depression and anxiety reliably and efficiently in an early stage. This may add to screening policies for both depression and anxiety regarding women during pregnancy and the postpartum period [44, 45], and thus promote maternal mental health.…”

Update: Interim Guidance for the Diagnosis, Evaluation, and Management of Infants with Possible Congenital Zika Virus Infection — United States, October 2017

“…The follow-up care of infants with findings consistent with congenital Zika syndrome requires a multidisciplinary team and an established medical home to facilitate the coordination of care and ensure that abnormal findings are addressed ( 34 ). At each subsequent well-child visit, all infants should have a standard evaluation ( Box 2 ) along with routine preventive pediatric care and immunizations ( 35 ), with decisions about further evaluation guided by clinical findings and made in consultation with the family. Follow-up visits with an ophthalmologist after the initial eye examination should be based on ophthalmology recommendations.…”

“…Health care providers should perform a standard evaluation along with routine preventive pediatric care and immunizations ( 35 ) at each subsequent well-child visit, and they should be vigilant for signs that might be associated with congenital Zika virus infection. If findings consistent with congenital Zika syndrome (e.g., impaired visual acuity/function, hearing problems, developmental delay, or delay in head growth) are identified at any time, referrals to the appropriate specialists should be made and further evaluation should follow recommendations for infants with clinical findings consistent with congenital Zika syndrome ( Figure ).…”

“…Clinical evaluation and management . Infants without clinical findings consistent with congenital Zika syndrome born to mothers without laboratory evidence of possible Zika virus infection during pregnancy should have a standard evaluation ( Box 2 ) performed at birth and at each subsequent well-child visit along with routine preventive pediatric care and immunizations ( 35 ). Health care providers should be alert to the possibility of congenital infection, especially in infants born to mothers with ongoing possible Zika virus exposure during pregnancy.…”

Hematuria and Proteinuria in Children

“…Although guidelines put forth by the American Academy of Pediatrics do not recommend yearly evaluation of urine by dipstick analysis for children, regular routine screening of pediatric populations has been established in Japan, Taiwan, and Korea. (1)(2)(3)(4) Our practice recommends screening of certain patient populations at increased risk for renal disease over a lifetime (Table 1).…”