You are 35 years or older; or will be 35 years or older at delivery. You have a history of pregnancy losses (miscarriages or stillbirths). You have an ongoing medical condition such as diabetes, thrombosis, psychiatric conditions, or a seizure disorder. You have been exposed to certain medications, alcohol, street drugs, chemicals, x-rays or infections during your pregnancy. You or your partner are from an ethnic origin in which a specific genetic condition is more common (e.g. sickle cell anemia in individuals of African-American descent and Tay Sachs disease in individuals of Ashkenazi Jewish descent). The results of a maternal serum screening test indicate that your baby is at increased risk for Down syndrome, trisomy 18 or spina bifida. You and your partner are blood relatives *These are only some examples of conditions requiring genetic counseling. Your provider will help guide you with your individual care.