Is preconception counseling recommended for women with TM and other rare neurologic diseases?
Yes, preconception counseling with a perinatologist is recommended. A perinatologist is a physician who has completed a fellowship in Maternal-Fetal Medicine. A high-risk obstetrician is the same as a perinatologist. However, be aware that some obstetricians refer to themselves as “high-risk” without having completed any additional training. It is important to know the difference when selecting a provider. A consultation with a high-risk OB/perinatologist can help a woman determine the level of care required as related to her specific needs. This would include a determination of which type of provider is most appropriate, i.e. certified nurse midwife, general obstetrician, or high-risk OB/perinatologist. What danger does medication use during pregnancy pose to a developing fetus? The medications, which a woman is taking prior to conception, need to be evaluated on an individual basis by an obstetrician or perinatologist. Any decisions involving medication changes or discontinuation sho
