Just found out I'm pregnant

Because of the significant risk of intrauterine growth restriction. Ideally an early MFM consult and referral with continued co-management.

 *like*

After many discussions with a DS surgeon and a prominent maternal-fetal medicine practice in NYC (whom I went to),  I was told multiple times that there is not increased risk of IUGR for DSers provided they have been and continue to be vigilant about nutrition and supplements.  There was no reason for me to see a high risk OB except for my age and previous abdominal surgeries (hernias,  adhesions, etc).  My nutrition was fine during my pregnancy,  I had frequent labs and increased my supplements/vitamins - no fetal growth issues.  I really think it depends on the individual and their cir****tances.  Of course somebody with nutritional issues needs to see a high risk OB - but not every DSer has them.