Prenatal and Perinatal Quick Table: All Relevant Recommendations

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 All Recommendations Specific and Relevant to Prenatal and Perinatal Care

Condition Maneuver

Population
"A" Recommendations
Congenital hypothyroidism Thyroid-stimulating hormone (TSH) test Neonates
Dental caries Community fluoridation, fluoride toothpaste or supplement General population
Hemoglobinopathies Hemoglobin electrophoresis High-risk neonates 
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
Ophthalmia neonatorum Ocular prophylaxis Newborns
Phenylketonuria Serum phenylalanine screening Newborns

"B" Recommendations

Adverse consequences, children of alcoholics Children of Alcoholics Screening Test (CAST) 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
MVA Injury Counselling on restraint use and avoidance of drinking and driving General population
Problem drinking Case finding and counselling General population

"C" Recommendations
Child maltreatment Sexual abuse, abduction prevention programs General population
Dental caries Counselling, diet or baby bottle General and high-risk population 
Iron deficiency anemia Routine hemoglobin General population
Lead exposure Universal screening (Blood lead level or questionnaire) General population
"D" Recommendations
Child maltreatment Screen for risk of maltreating children General population
Cystic fibrosis DNA analysis for carrier status General population
Cystic fibrosis Sweat test, immunoreactive trypsin and "BM meconium" test General population
Diabetes mellitus Blood glucose, fasting Non-pregnant General Population 
Urinary infection Urine dipstick  Newborns