AAP/Bright Futures “Recommendations for Preventive Pediatric Health Care” (Periodicity Schedule)

EARLY CHILDHOOD MIDDLE CHILDHOOD ADOLESCENCE AGE1 Prenatal2 Newborn3 3-5 d4 By 1 mo 2 mo 4 mo 6 mo 9 mo 12 mo 15 mo 18 mo 24 mo 30 mo 3 y 4 y 5 y 6 y 7 y 8 y 9 y 10 y 11 y 12 y 13 y 14 y 15 y 16 y 17 y 18 y 19 y 20 y 21 y HISTORY Initial/Interval l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l MEASUREMENTS Length/Height and Weight l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l Head Circumference l l l l l l l l l l l Weight for Length l l l l l l l l l l Body Mass Index5 l l l l l l l l l l l l l l l l l l l l l Blood Pressure6 ê ê ê ê ê ê ê ê ê ê ê ê l l l l l l l l l l l l l l l l l l l SENSORY SCREENING Vision7 ê ê ê ê ê ê ê ê ê ê ê ê l l l l ê l ê l ê l ê ê l ê ê ê ê ê ê Hearing l8 l9 ê ê ê ê ê ê ê ê ê l l l ê l ê l l10 l l DEVELOPMENTAL/BEHAVIORAL HEALTH Developmental Screening11 l l l Autism Spectrum Disorder Screening12 l l Developmental Surveillance l l l l l l l l l l l l l l l l l l l l l l l l l l l l Psychosocial/Behavioral Assessment13 l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l Tobacco, Alcohol, or Drug Use Assessment14 ê ê ê ê ê ê ê ê ê ê ê Depression Screening15 l l l l l l l l l l Maternal Depression Screening16 l l l l PHYSICAL EXAMINATION17 l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l PROCEDURES18 Newborn Blood l19 l20 Newborn Bilirubin21 l Critical Congenital Heart Defect22 l Immunization23 l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l Anemia24 ê l ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê Lead25 ê ê l or ê26 ê l or ê26 ê ê ê ê Tuberculosis27 ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê Dyslipidemia28 ê ê ê ê l ê ê ê ê ê l Sexually Transmitted Infections29 ê ê ê ê ê ê ê ê ê ê ê HIV30 ê ê ê ê l ê ê ê Cervical Dysplasia31 l ORAL HEALTH32 l33 l33 ê ê ê ê ê ê ê ê Fluoride Varnish34 l Fluoride Supplementation35 ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ANTICIPATORY GUIDANCE l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l Each child and family is unique; therefore, these Recommendations for Preventive Pediatric Health Care are designed for the care of children who are receiving competent parenting, have no manifestations of any important health problems, and are growing and developing in a satisfactory fashion. Developmental, psychosocial, and chronic disease issues for children and adolescents may require frequent counseling and treatment visits separate from preventive care visits. Additional visits also may become necessary if circumstances suggest variations from normal. These recommendations represent a consensus by the American Academy of Pediatrics (AAP) and Bright Futures. The AAP continues to emphasize the great importance of continuity of care in comprehensive health supervision and the need to avoid fragmentation of care. Refer to the specific guidance by age as listed in the Bright Futures Guidelines (Hagan JF, Shaw JS, Duncan PM, eds. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 4th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2017). The recommendations in this statement do not indicate an exclusive course of treatment or standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Copyright © 2019 by the American Academy of Pediatrics, updated March 2019. No part of this statement may be reproduced in any form or by any means without prior written permission from the American Academy of Pediatrics except for one copy for personal use. Bright Futures/AAP Recommendations for Preventive Pediatric Health Care (Periodicity Schedule) Bright Futures/American Academy of Pediatrics