Women who have disorders such as heart disease, high blood pressure, diabetes or anemia, also run a higher risk of problems during pregnancy. For these patients, we strongly recommend a pre-pregnancy consultation. During this session, our staff will provide the mother-to-be with recommendations about how to get in the best physical condition possible before becoming pregnant. Additionally, after becoming pregnant, Moscow Pullman OB/GYN may form a special interdisciplinary team of obstetricians (which may include a specialist in the disorder), and other health specialists such as nutritionists.