8, 9 If needed, pediatricians can consult experts in international adoption or the AAP Council on Foster Care, Adoption, and Kinship Care. If adoption occurs or is to occur across states or internationally, review of records, need for waiting periods, scheduling of initial visits, concerns about potential fetal exposure (eg, maternal substance use or fetal alcohol spectrum disorders), and additional recommended screenings and/or tests can be discussed. This visit also can be particularly valuable to parents who are planning to adopt a child, because they may have had previous experience with pregnancy complications and/or be sensitized to special vulnerabilities in their infant (see the AAP clinical report The Pediatrician’s Role in Supporting Adoptive Families at ). Same-sex couples and parents expecting via surrogacy may have questions unique to their circumstance. The AAP has put forward the rationale and standards for the prenatal visit for pediatricians in Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, Fourth Edition (Bright Futures), 3 as well as for parents and families ( 4 This clinical report augments these approaches to making the prenatal visit an important part of the practice of pediatrics.Ī prenatal visit with the pediatrician is especially important for first-time parents or families who are new to the practice single parents women with a high-risk pregnancy or who are experiencing pregnancy complications or multiple gestations and parents whose previous pregnancies had a complication such as preterm delivery, an infant with a congenital anomaly, a prolonged course in the NICU, or a perinatal death. 2 The prenatal visit offers the opportunity to create a lasting personal relationship between parents and the pediatrician, one of the most important values in all ongoing pediatric care. 1 Although survey results show that 78% of pediatricians offer a prenatal visit, only 5% to 39% of first-time parents actually attend a visit. This clinical report is an updated revision of the original clinical report from the American Academy of Pediatrics (AAP) on the prenatal visit. doi: 10.1097/AOG.As the medical specialty that is entirely focused on the health and well-being of the child, embedded in the family, pediatric care ideally begins before pregnancy, with reproductive life planning of adolescents and young adults, and continues during the pregnancy, with an expectant mother and father of any age. Hepatitis C Virus Testing During Pregnancy After Universal Screening Recommendations. Hepatitis B surface antigen testing among pregnant women, United States 2014.
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