It's important to note that my pain doctor worked very closely with my OB. With every visit the 2 of them talked regarding how to cont my care. My biggest problem (still is), I can not walk without the use of 1/2 canes, and when you gain 27 lbs, the RSDS limbs really feel the difference. I fall alot normally so it was funny to my family to watch the pregnant lady stubble like a drunk (but they never let me fall). You just need to have your OB work with your pain doctor. Keep in mind, If you have spinal blocks done the medication does not pass to the baby, but if it causes side-effects, those can effect your baby (rare, but if your blood pressure drops it can effect the baby). I would stay pregant if I could, but as I said before, my husband would leave me (ok maybe not, but 3 is enough for us)