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

Quick Table of A & B Recommendations Specific to Pregnant Women 21-64 Years of Age 

Condition
Maneuver
Population
"A" Recommendations
Bacteriuria in pregnancy Urine culture Pregnant women
D (Rh) Sensitization D (Rh) antibody screening and immunoglobin (D Ig) administration after delivery of D positive infant Pregnant women
Gastrointestinal and respiratory infection in the newborn  Counselling on breast feeding; peripartum interventions to increase frequency of breast feeding Pregnant women (or peripartum period) 
Lack of initiation and early cessation of breastfeeding Education programs and postpartum support to promote breastfeeding; Rooming-in and early maternal contact to promote breastfeeding Pregnant women
Low birth weight/cognitive ability of child Smoking cessation interventions Pregnant women
"B" Recommendations
Chlamydial infection  Smear, culture or analysis Pregnant women
Congenital rubella syndrome Screen, counsel and vaccinate post-partum if indicated Pregnant women
D (Rh) Sensitization Repeat blood test, D (Rh) antibody screening and immunoglobin (D Ig) administration Pregnant women who are antibody negative and women undergoing induced abortion or amniocentesis 
Domestic violence Referral to post-shelter advocacy counseling Pregnant and non-pregnant women
Down syndrome Genetic screening and counselling High-risk pregnant women 
Down syndrome Triple screening and counselling Pregnant women <35 yrs 
Fetal alcohol syndrome Screening and Counselling, alcohol consumption Pregnant women
Group B Streptococcal Universal screening for GBS colonization and selective intrapartum chemoprophylaxis to colonized women with risk factors Pregnant women
Group B Streptococcal Universal screening for GBS colonization and intrapartum chemoprophylaxis to all colonized women Pregnant women
Hemoglobinopathies 1) Screen for carrier status (complete blood count, hemoglobin and electrophoresis) High-risk pregnant women 
Iron deficiency anemia in infants Counselling, breast feeding Pregnant women (or peripartum period) 
Lack of initiation and early cessation of breastfeeding Peer counseling to promote breastfeeding Pregnant women
Neural tube defects Maternal serum aplha-fetoprotein/ ultrasound, amniocentesis  Pregnant women
Perinatal morbidity and mortality Single prenatal ultrasound, second trimester Pregnant women
Preeclampsia Blood pressure measurement Pregnant women

 

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

Condition
Maneuver
Population
"A" Recommendations
Dental caries Community fluoridation, fluoride toothpaste or supplement General population
Dental caries, periodontal disease Brushing and flossing teeth to apply toothpaste (A) and prevent gingivitis (B) but not cariostatic (C) General population
Hearing impairment Noise control and hearing protection General population
Household and recreational injury Public education/ Legislation on poison control General population
Influenza Influenza vaccination General population
Influenza Neuraminidase inhibitor prophylaxis General population
MVA injury Legislation, restraint use and control of drinking and driving General population
Periodontal disease Flossing teeth Adult population
Progressive renal disease Urine dipstick Adults with IDDM
Tobacco-caused disease Counselling, smoking cessation or offer nicotine replacement therapy Smokers

"B" Recommendations

All-cause mortality and morbidity Moderate physical activity General population
Diet-related illness Counselling on adverse nutritional habits  Adult population
Gingivitis Brushing teeth General population
Gonorrhea Counselling, Educational materials General population
Household and recreational injury Legislation, window and stair guards, smoke detectors General population
Household and recreational injury Public education/ Legislation, fire burn and water (tub and swimming) safety General population
Household and recreational injury Legislation, avoidance of alcohol with water recreation General population
Lung cancer Dietary advice on green leafy vegetables and fruit Smokers
MVA Injury Counselling on restraint use and avoidance of drinking and driving General population
Periodontal disease Tooth scaling and prophylaxis General population
Problem drinking Case finding and counselling General population
Skin cancer Counselling, sun exposure, clothing General population
Tobacco-caused disease Referral to validated cessation program Smokers
Vehicle-related injury Legislation, bicycle motorcycle or all terrain vehicle helmet General population