The American Academy of Pediatrics (AAP) has approved the 2019 Recommendations for Preventive Pediatric Health Care, an update to the 2017 schedule of screenings and assessments.

According to a policy statement released by AAP, these recommendations, also referred to as the Periodicity Schedule, are intended for the care of children receiving competent parenting, have no significant health issues, and who are growing and developing at satisfactory rates. The following updates were made:

Blood pressure

Infants and children with certain risk conditions should have their blood pressure measured at visits before age 3 years. Footnote 6 was updated to read “Screening should occur per ‘Clinical Practice Guidelines for Screening and Management of High Blood Pressure in Children and Adolescents.”

Anemia

“Perform risk assessment or screening, as appropriate, per recommendations in the current edition of the AAP Pediatric Nutrition: Policy of the American Academy of Pediatrics (Iron chapter),” has been updated in Footnote 24.

Lead

See “Prevention of Childhood Lead Toxicity” and “Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention” to learn about prevention strategies for children at risk of lead exposure, updated in Footnote 25.

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Reference

2019 Recommendations for Preventive Pediatric Health Care [published online February 25, 2019]. Pediatrics. doi: 10.1542/peds.2018-3971