Table 1.

Health Supervision for Children With Down Syndrome—Committee on Genetics*

PrenatalInfancy, 1 Month to 1 YearEarly Childhood, 1 to 5 YearsLate Childhood,
5 to 13 Years,
Annual
Adolescence,
13 to 21 Years,
Annual
Neonatal2 Months4 Months6 Months9 Months12 Months15 Months18 Months24 Months3 Years4 Years
Diagnosis
Karyotype review
Phenotype review
Recurrence risks
Anticipatory guidance
Early intervention services
Reproductive options
Family support
Support groups
Long-term planning§§
Sexuality
Medical evaluation
Growthooooooooooooo
Thyroid screeningoooooooo
Hearing screeningoS/oS/oS/oS/oS/oS/oS/oS/oS/o§S/o
Vision screeningS/o S/oS/oS/o S/oS/oS/oS/oS/oS/oS/o
Cervical spine roentgenogramo**
Echocardiogramo
CBCoo
Psychosocial
Development and behavioralS/oS/oS/oS/oS/oS/oS/oS/oS/oS/oS/oS/oS/oS/o
School performanceooooo
SocializationSSS
  • * Assure compliance with the American Academy of Pediatrics “Recommendations for Preventive Pediatric Health Care.”

    • = to be performed; S = subjective, by history; and o = objective, by a standard testing method.

  • Or at time of diagnosis.

  • Discuss referral to specialist.

  • § Give once in this age group.

  • According to state law.

  • As needed.

  • ** See discussion.