 At the University of Maryland we're one of the only epilepsy centers in this region that has a women with epilepsy program. It's a priority because of the fact that women need this more specialized and individualized care and the best outcomes are for women that are treated under specialized care. With our program we have a focus on caring for women when they're undergoing family planning or if they want to discuss contraceptive use and then also care during pregnancy and then when they get older in their postmenopausal we can have discussions about bone health or hormone replacement if it's needed. During pregnancy we will evaluate the kind of seizure that a woman has and then select the best medication for a pregnant patient that will control seizures but also reduce or minimize risks potentially to the baby and there is a lot of drug monitoring that we do and a lot of counseling you know for our patients in terms of safety with having seizures but also having a newborn at home. We've created a connection specifically with the maternal fetal medicine which is the high risk obstetricians and also with the psychiatry department so when our patients are seen we have really this comprehensive team approach where they'll see the epilepsy doctor who will take care of their seizures, we have epilepsy nurse specialist, a social worker and then the connection with psychiatry and also the high risk OB doctors. We cover maybe a lot of topics that other physicians you know either didn't cover or didn't feel comfortable discussing and I think we have honest discussions you know about all the risks and benefits of our medications and how that can affect them throughout their life.