The woman with SCD should be seen by a sickle
specialist to receive information on how her
disease affects pregnancy, how outcomes can be
improved for mother and baby (RCOG, 2011), and
her chances of having a baby affected with SCD.
Pre-conceptual care should include screening
for end organ damage, contraceptive advice,
education on medication and vaccinations, and
crisis avoidance (Sickle Cell Society, 2008)