My OB sent me to a Maternal Fetal Medicine Specialist and a Genetic Counselor at the top Women's hospital. They do not feel that it is safe to be on the meds that I am taking. There are some options out there in the event of an episode, but overall the docs want you off meds. My pdoc wants me to stay on the Lamictal, but I have read too many studies that show a risk of cleft palate. My pdoc supports me in the decision I have made. In the event that I have an episode while pregnant he said that ECT is the safest option for the baby. That sounds scary to me, but I am just going to hope for the best. I am now off of the Geodon and boy can I tell a difference. My mind is going nonstop and I am wicked irritable. Hopefully I can make it.