Equally as important, this consultation is a chance to discuss problems in previous pregnancies, social issues, environmental exposures, and general health. If not recently done, we will check a blood count to screen for anemia, a rubella titer to check for immunity to rubella, your blood type, as well as other recommended, routine prenatal tests. We will review your ethnic and family background to determine if other tests should be recommended to screen for genetic or medical disorders which are more prevalent based on your history. Some of these disorders may include sickle cell anemia, thalassemia, and Tay Sachs to name a few. Appropriate counseling will be provided for all results of this testing. If necessary, we will arrange for you to consult with a high risk obstetrician prior to undergoing treatment.

Basic Recommendations Prior to Pregnancy:

• Eliminate if possible the intake of alcohol
• Limit intake of caffeinated beverages such as coffee, tea, and soda to a safe amount for pregnancy
• Avoid use of recreational drugs such as marijuana
• Avoid the use of prescribed and over-the-counter medications that may be harmful to a developing pregnancy
• Avoid exposure to industrial chemicals, herbicides, and pesticides
• Maintain good personal hygiene and health practices.
• Attempt to maintain a body weight ideal for your height and body frame