Pregnant Women 21-64 Years of Age Quick Table: "Conflicting"

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Please note: In 2003, the CTF updated its Grades of Recommendations to include an "I Recommendation" for situations where insufficient evidence exists to allow a recommendation to be made.  (Formerly, these situations were captured under a "C Recommendation".)  This change is not retroactive, and all "C Recommendations" made prior to 2003 have not been reevaluated in light of the new "I" recommendation grade.  For a discussion of these recommendation grades, please link to the 2003 article in the Canadian Medical Association Journal here.

Quick Table of C Recommendations Specific to Pregnant Women 21-64 Years of Age

Condition
Maneuver
Population
"C" Recommendations
Fetal alcohol syndrome History, questionnaire, interview, clinical judgement/alcohol consumption Pregnant women
Gestational diabetes mellitus Blood glucose, fasting/random or glucose challenge test Pregnant women
Gestational diabetes mellitus History, risk factors; if positive glucose tolerance test Pregnant women
Group B Streptococcal Intrapartum chemoprophylaxis based on risk factors only Pregnant women
HIV/AIDS Voluntary HIV antibody screening Pregnant women
Low birth weight Iron supplementation Pregnant women
Low birth weight/preterm birth Diet supplementation Pregnant women at high risk of undernutrition
Low birth weight/preterm birth Multicomponent programs Pregnant women
Neonatal herpes simplex Cesarean section Symptomatic pregnant women 
Neonatal morbidity and mortality Electronic fetal monitoring, intrapartum  High-risk pregnancies
Perinatal morbidity and mortality Ultrasound, prenatal, serial Pregnant women
Phenylketonuria Phenylalanine test Pregnant women
Preeclampsia Aspirin prophylaxis, low dose Pregnant women
Preterm birth Home uterine activity monitoring High-risk pregnancies 

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Quick Table of C Recommendations from General Population Recommendations Relevant to Pregnant Women 21-64 Years of Age

Condition
Maneuver
Population
"C" Recommendations
Adverse consequences, children of alcoholics Routine evaluation; some screening options General population
All-cause mortality and morbidity Counselling, physical activity; prevent obesity General population
Child maltreatment Sexual abuse, abduction prevention programs General population
Coronary heart disease Diet/drug treatment Individuals with elevated cholesterol or LDL-C except males 30-59 yrs
Coronary heart disease Measurement of blood total cholesterol level General population with case-finding for males 30-59 years 
Coronary heart disease General dietary advice on fat and cholesterol General population except males 30-69 years 
Dental caries Counselling, diet or baby bottle General and high-risk population 
Domestic violence Batterer/couples interventions General population
Hemoglobinopathies Screening for carrier status and counselling Adult population
HIV/AIDS History, sexual and drug use counselling General population
HIV/AIDS Voluntary HIV antibody screening General population including pregnant women
Household and recreational injury Public education/ Legislation, gun control and use of Heimlich maneuver General population
Household and recreational injury Counselling, household and recreational injury (except some home hazards) Adult population
Influenza  Immunization, annual General population <65 years 
Iron deficiency anemia Routine hemoglobin General population
MVA injury Counselling, helmet, alcohol use General population
MVA injury Monitor medical impairment General population
Oral cancer Physical exam, oral cavity General population
Protein/calorie malnutrition Protein/calorie malnutrition screening  Adult population
Skin cancer Counselling, Skin self-examination General population
Skin cancer Counselling, Sun block General population
Skin cancer Physical examination, skin General population
Suicide Suicide risk evaluation General population
Thyroid cancer Neck Palpation Adult population
Tuberculosis INH Prophylaxis General population aged >35 years 

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