The perinatologist usually manages any required insulin adjustments and medical tests, and makes recommendations on the timing of those tests and the optimal time of delivery. In addition, a perinatal nurse educator with specialized training in diabetes is available to help. She can also coordinate meetings with a nutritionist. Genetic Counseling Genetic counseling can help individuals and families know the chance of having future children with a given condition. It can help them learn about current research, testing procedures and prenatal testing options pertaining to their age, ethnic background or family history.
Counseling also allows couples to make informed decisions regarding amniocentesis.
Many of these tests should be performed prior to planning a subsequent pregnancy. Level II ultrasound performed by a perinatologist provides highly detailed images of the developing fetus. The perinatologist can assess development, identify organs and check for problems throughout the pregnancy. Frequency of ultrasound exams is individualized for each patient. Tests of Fetal Well-Being To make sure the developing baby is doing well, it is sometimes necessary to perform one or more of these tests.