Preconception Care:
Your checklist of pre-pregnancy planning

Now that you’ve decided to start a family, you need to prepare your body for it. Pre-pregnancy planning is essential for a healthy pregnancy and a positive outcome. Following this checklist will help you prepare physically, emotionally and mentally.

1. Start by reading

• Do preliminary research on ovulation and conception basics.
• Try to map your menstrual cycle and figure out when you’re ovulating.
• Make sure your insurance and medical documents are all in place.

2. Consult with a healthcare provider

• Schedule a preconception visit with your doctor or gynaecologist.
• Discuss your medical history, any existing health conditions and medications.
• Ensure all your vaccinations are up-to-date, especially hepatitis B and rubella.
• Get a preliminary health check-up.

3. Lifestyle modifications

• Quit smoking and alcohol: Both can harm your baby’s development.
• Reduce caffeine intake: Keep your daily caffeine intake limited to 2 cups of coffee or lower.
• Maintain a healthy weight: Being underweight or overweight affects fertility. If you’re overweight, try to lose a small amount of weight (3-5 kgs) and even that can create a big difference.
• Exercise regularly: Aim for moderate exercise to improve overall health. If you want some beginner-friendly activity, start with brisk walking, jogging and running. You can also introduce swimming in your daily routine.
• Balanced diet: You have to maintain a balanced diet that includes all kinds of vitamins, nutrients and minerals. Include folic acid-rich foods (green leafy vegetables, lentils, citrus fruits) to prevent birth defects. Cut back on junk food with empty calories.

4. Supplements

• Start taking folic acid (400-800 mcg/day) at least one month before conception. Visit your healthcare provider before introducing any supplements to your routine.
• Consider other prenatal vitamins like iron, calcium and vitamin D as per medical guidance.

5. Manage chronic conditions

• If you have diabetes, hypertension or thyroid issues, keep them under control.
• Consult your doctor about adjusting medications if needed.

6. Screen for infections

• Get tested for sexually transmitted infections (STIs) like chlamydia and gonorrhoea.
• Treat any existing infections promptly.

7. Review medications

• Some medications are unsafe during pregnancy. Get all your medications reviewed by your healthcare provider.
• Avoid self-medication.

8. Preconception care

• Oral health impacts pregnancy. Get a dental check-up to treat any issues.
• Stop using birth control methods. Understand how long it may take for fertility to return to normal.

9. Emotional well-being

• Address stress, anxiety and mental health concerns.
• Seek support if needed from family, friends and professionals.

10. Financial planning

• Factor in prenatal care, delivery costs, baby essentials and potential childcare expenses. Consider starting a savings plan or discussing financial planning with an advisor.
• Check your health insurance coverage.

11. Prepare your relationship

• Discuss expectations, anxieties and joys of parenthood with your partner. Talk openly about finances, childcare responsibilities and emotional support.
• Spend quality time together, nurture your relationship and build a strong foundation for your growing family.

12. Get ready for the baby

• Baby-proof your home to ensure a safe environment. This includes anchoring furniture, covering electrical outlets and removing choking hazards.
• Discuss parental leave options with your employer and explore childcare options if needed.
• Make sure your family and other support systems are all in place.

Pre-pregnancy planning sets the foundation for a healthy pregnancy. By following this checklist, you’ll be better prepared physically and emotionally for the exciting journey ahead. Remember to consult your healthcare provider for personalised advice and professional guidance.

Sources:
WebMD
Your Fertility
Moreland Ob-Gyn