The evidence is for everyone.
The decision is yours.

Most of what I do in a clinical visit is help patients understand their diagnosis through the lens of a clinician; and how they can use that information to make decisions about their pregnancy.

The evidence we use is built from populations and various levels of research, some more rigorous than others. My job, and yours, is to figure out how that evidence may or may not apply to you specifically. It is also my job to help you understand when it doesn't apply cleanly, or when the outcomes we're trying to prevent are rare but serious enough that we treat them seriously anyway.

Patients with complex pregnancies often leave appointments having heard accurate information but feeling overwhelmed, or without enough context to know what to do with what they heard. They may not know what questions to ask, or how to ask them.

These guides are my attempt to provide that context in writing, for the conditions where I see it missing most. I also want to support the ongoing conversation as clinical situations evolve; nothing in pregnancy is static. The rule is change.

I am a physician, not a patient advocate. I believe in the medicine. I also believe patients deserve an honest account of what we know, what we don't, and where reasonable clinicians disagree. I hope this helps as you move forward.