Preconception and Perinatal Genetic Services Find a Location Find a Doctor Genetics Genetics Center for Precision Medicine and Genomic Health Hereditary Cancer Program BRCA Testing Preconception and Perinatal Genetic Services Carrier Status Screening Proactive Genetic Screening Preconception and Perinatal Genetic Counseling Genetic Counselors work as part of our healthcare team, providing information and support to families who have members with birth defects or genetic disorders and to families who may be at risk for a variety of inherited conditions. Genetic Counselors identify families at risk, investigate the problem present in the family, interpret information about the disorder, analyze inheritance patterns and risks of recurrence and review available management with the family. A genetic counselor may be consulted for information about: Birth defects, such as cleft lip or congenital heart disease. Ultrasound anomalies, advanced maternal age, abnormal maternal serum screening. Genetic diseases affecting children and adults such as cystic fibrosis, Down syndrome, and muscular dystrophy. Infertility, stillbirth, infant death or multiple miscarriages. Diseases that “run in the family” such as cancer, schizophrenia, manic depression, muscle disorders, and certain heart conditions.• Genetic counselors also provide supportive counseling to families, serve as patient advocates and refer individuals and families to support services. Preconception Counseling We recommend that patients with certain pre-existing medical conditions or with a history of a prior pregnancy complication see us for preconception counseling. Preconception counseling provides a thorough understanding of risk and allows for appropriate preparation of a care plan designed to optimize the outcome of future pregnancies.